RESUMEN
Sclerosing of the gastric mucosa with a 60% fresh sterile solution of glucose was applied in 60 selected patients with chronic conflictual duodenal ulcers, hyperacidic gastritis by vagal neurogenic hyper-reactivity, associated with ischaemic gastropathy developed on an sympathico-adrenergic background. The immediate operatory results were good. The late results (between 1 and 5 years) were as follows: the clinical, radiological and metabolic results were good in 57 patients. Gastric chemical analysis, the values of the hourly basal output remained high in 16,6% of the patients, and those of acidity stimulated by histamine administration remained high in 13,3% of the patients. No peptic recidive was recorded. Unsatisfactory late results were noted in 3 patients (of which forced indication of the method in one patient and non-association of drainage in two patients).
Asunto(s)
Úlcera Duodenal/tratamiento farmacológico , Glucosa/uso terapéutico , Adulto , Úlcera Duodenal/etiología , Femenino , Mucosa Gástrica/efectos de los fármacos , Glucosa/farmacología , Humanos , Masculino , Persona de Mediana Edad , Esclerosis , Estrés Psicológico/complicacionesRESUMEN
The authors present the case of a patient with acute, right iliac fossa abdominal syndrome, simulating acute apendicitis. In the course of the intervention it was noted that the syndrome was determined by an acute Meckel diverticulitis, perforated by a foreign body (fish bone). In view of making the diagnosis of acute diverticulitis, that cannot be assessed before surgery, the importance is stressed of the correlation of the clinical aspects with the apendicular lesions found in the course of the operation, and, when there is no satisfactory concordance, careful checking of the cecum becomes necessary, as well as of the right annexe and of the ileon over at least three feet.
Asunto(s)
Diverticulitis/complicaciones , Cuerpos Extraños/complicaciones , Perforación Intestinal/etiología , Divertículo Ileal , Abdomen Agudo/etiología , Femenino , Humanos , Persona de Mediana EdadRESUMEN
Malignization of Crohn disease remains the most severe complication, both due to its intrinsic gravity and to the major complications that it may induce such as: peritonitis--following suppurations and perforation of the involved intestinal segment; intestinal sub-occlusion or mechano-inflammatory occlusion, either tumoral or chronic leading to stenosis of the intestine; hemorrhage. Malignization of Crohn disease was found in 53,84% of the cases (7 out of a total of 13 cases, between 1968 and 1974). This allows to conclude that Crohn disease can be considered as a pre-cancerous disease.
Asunto(s)
Enfermedad de Crohn/complicaciones , Adolescente , Adulto , Enfermedad de Crohn/patología , Femenino , Hemorragia Gastrointestinal/etiología , Humanos , Mucosa Intestinal/patología , Neoplasias Intestinales/etiología , Obstrucción Intestinal/etiología , Perforación Intestinal/etiología , Masculino , Persona de Mediana Edad , Peritonitis/etiologíaRESUMEN
On the basis of studies carried out by chronic experiments in dogs the authors noted, by clinical, chemical, radiological and histological methods, that the chemical sclerosis of the gastric mucosa performed with a sterile, fresh hypertonic solution of glucose at 60%, injected in the sub-mucosa, represents an intervention which is:--physiological, since the sclero-distrophy is achieved of the acid-secreting glands and "targeted" intra-gastric vago-sympathic denervation, while the storage function of the stomach is maintained;--feasible, since it can be easily performed from the technical view point, without hemorrhagic, perforative intra-operatory risks or hepato-renal toxicity;--fiable, since it was constantly accompanied by good clinical and functional results. The radiological examination of the barium passage in the stomach, antrum, pylorus and duodenum is normal.