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1.
J Chir (Paris) ; 115(12): 649-52, 1978 Dec.
Artigo em Francês | MEDLINE | ID: mdl-84816

RESUMO

405 patient with carcinoma of the esophagus were operated on the unit from 1st January 1972 to 15th February 1977. Among these 405 patients, 55 underwent prolonged esophageal intubation and 24 a palliative operation. We considered successively the various methods of prolonged intubation and the various types of palliative operation possible. At the end of this study, it appears that palliative surgery for carcinoma of the esophagus owing to the severity of the operation and the high post-operative mortality and the doubtful functional results, should be reserved for eso-respiratory fistulas, per-operative loss of esophageal blood supply, and the contra-indications to prolonged intubation. On the other hand, it seems that the indications for prolonged intubation should be enlarged at the expense of those for gastrectomy, excluding however stenosing or too extensive carcinomas and carcinoma of the upper.


Assuntos
Nutrição Enteral , Neoplasias Esofágicas/terapia , Esôfago , Intubação/métodos , Cuidados Paliativos , Administração Oral , Adulto , Idoso , Comportamento Alimentar , Feminino , Humanos , Intubação/efeitos adversos , Masculino , Pessoa de Meia-Idade
2.
J Chir (Paris) ; 113(3): 319-24, 1977.
Artigo em Francês | MEDLINE | ID: mdl-885933

RESUMO

The authors study the effects of severe sepsis due to pathogenic gems in large quantity an healing of the suture of the ileum in the rabbit. Contamination of the suture did not lead to any breakdown of the suture whatever the germ. These experimental facts, compared with the data in the literature suggest that the peritoneal serosa ensures efficacious anti-infectious defence, permitting healing of intra-peritoneal digestive sutures in spite of the septic nature of the intestinal contents.


Assuntos
Infecções Bacterianas/etiologia , Íleo/cirurgia , Infecção da Ferida Cirúrgica/etiologia , Suturas , Animais , Íleo/microbiologia , Coelhos
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