RESUMEN
The investigation involved 307 patients operated on for gastric adenocarcinoma. Nutritional support was given enterally (50), parenterally (98) and by standard methods (159). Enteral nutrition should be recommended because it was followed by relatively higher total protein and serum albumin levels.
Asunto(s)
Adenocarcinoma/dietoterapia , Apoyo Nutricional , Neoplasias Gástricas/dietoterapia , Adenocarcinoma/sangre , Adenocarcinoma/cirugía , Adulto , Anciano , Anciano de 80 o más Años , Nutrición Enteral , Femenino , Humanos , Hipoproteinemia/dietoterapia , Hipoproteinemia/etiología , Masculino , Persona de Mediana Edad , Apoyo Nutricional/métodos , Nutrición Parenteral , Desnutrición Proteico-Calórica/dietoterapia , Desnutrición Proteico-Calórica/etiología , Estudios Retrospectivos , Albúmina Sérica/metabolismo , Neoplasias Gástricas/sangre , Neoplasias Gástricas/cirugía , Factores de Tiempo , Resultado del TratamientoRESUMEN
The results of radical surgical and combined treatment of 124 cases of esophageal and cardioesphageal tumors are presented. Extensive local disease (stage III, T2-4N0-2M0) was diagnosed in 113 patients (91.1%). Esophagoectomy with transmediastinal esophagogastroplasty and cervical esophagostomy proved most useful for esophageal tumor, while extensive surgery after Lewis in combination with extirpation or proximal resection of the stomach--for proximal gastric disease involving the esophagus. Combined surgery with resection of adjacent organs was carried out in 50%. Post-operative mortality rates were reduced to 7.1% due to application of effective surgical, anesthetic and intensive care procedures. The 3-year survival rate was 26.5%. Prognosis improved significantly when radiation was used prior to dissection of lymph nodes.
Asunto(s)
Procedimientos Quirúrgicos del Sistema Digestivo/métodos , Neoplasias Esofágicas/cirugía , Neoplasias Gástricas/cirugía , Cardias , Procedimientos Quirúrgicos del Sistema Digestivo/mortalidad , Neoplasias Esofágicas/mortalidad , Neoplasias Esofágicas/patología , Neoplasias Esofágicas/radioterapia , Esofagectomía , Esofagoplastia , Esofagostomía , Femenino , Gastrectomía , Gastroplastia , Gastrostomía , Humanos , Escisión del Ganglio Linfático , Masculino , Estadificación de Neoplasias , Pronóstico , Radioterapia Adyuvante , Neoplasias Gástricas/mortalidad , Neoplasias Gástricas/patología , Neoplasias Gástricas/radioterapia , Análisis de Supervivencia , Resultado del TratamientoAsunto(s)
Neoplasias de la Mama/complicaciones , Carcinoma Ductal de Mama/complicaciones , Neoplasias del Colon/complicaciones , Linfoma/complicaciones , Anciano , Colon/patología , Neoplasias del Colon/patología , Neoplasias del Colon/cirugía , Femenino , Humanos , Metástasis Linfática , Linfoma/patología , Linfoma/cirugía , Metástasis de la NeoplasiaRESUMEN
The data on the morbidity, time of diagnosis and results of treatment of esophageal cancer in St. Petersburg and Leningrad Region (1992-1994) were analyzed. The morbidity rates were higher in women than in men, the predominant age being over 60. Morphological verification data were not available in almost half the cases. Stage I-II tumors were detected in 15.7-26.5%. Specialized treatment was given to 25%, combination one-to nearly 2%. To raise the standards of medical aid, it is suggested that measures be taken to ensure stable operation of the Cancer Register, St. Petersburg, and to offer treatment to esophageal cancer patients at specialized medical facilities.
Asunto(s)
Neoplasias Esofágicas , Calidad de la Atención de Salud , Distribución por Edad , Terapia Combinada , Neoplasias Esofágicas/diagnóstico , Neoplasias Esofágicas/terapia , Femenino , Humanos , Masculino , Persona de Mediana Edad , Sistema de Registros , Federación de Rusia , Distribución por SexoRESUMEN
The data on 120 cases of primary multiple cancer of the large bowel and 91 cases of diffuse polyposis are discussed. The development, duration and morphological features of metachronous and primary cancer arising after resection of the bowel varying in type and extent were studied. The results pointed to a high risk of cancer in such cases. The study also pointed to disturbances in the enterohepatic system and bile acid circulation as a factor of carcinogenesis in the bowel.