RESUMEN
After a short examination of data in the literature, the paper presents a retrospective analysis of 340 patients who underwent endoscopic examination for upper gastrointestinal haemorrhage. Among them, 123 underwent emergency and 112 elective endoscopy. A source of active or recent bleeding was identified in 87.5% of the cases. Emergency endoscopy showed a clearcut diagnostic superiority over elective endoscopy, and endoscopy as a whole was more efficient than conventional radiology. The most commonly observed bleeding lesions were found in the duodenum and stomach followed by oesophageal varices. The value of an early endoscopic approach to the diagnosis and treatment of upper gastrointestinal haemorrhage is confirmed.
Asunto(s)
Enfermedades Duodenales/diagnóstico , Endoscopía , Hemorragia Gastrointestinal/diagnóstico , Gastropatías/diagnóstico , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Enfermedades Duodenales/complicaciones , Neoplasias Duodenales/complicaciones , Úlcera Duodenal/complicaciones , Urgencias Médicas , Várices Esofágicas y Gástricas/complicaciones , Várices Esofágicas y Gástricas/diagnóstico , Femenino , Hemorragia Gastrointestinal/etiología , Humanos , Masculino , Persona de Mediana Edad , Úlcera Péptica Hemorrágica/diagnóstico , Úlcera Péptica Hemorrágica/etiología , Estudios Retrospectivos , Gastropatías/complicaciones , Neoplasias Gástricas/complicaciones , Úlcera Gástrica/complicacionesRESUMEN
After a short introductory note on the incidence, classification and malignant potentiality of gastric polyps, according to the literature, the paper presents data on a six-year experience in gastric polypectomy involving 5942 endoscopies. The incidence of gastric polyps was 2.1%. Gastric polypectomy was performed on 84 patients with extirpation of 113 polyps. Assessments and comments are presented on the site, size, morphology, histological type, degree of dysplasia and degenerative potentiality of several types of gastric polyps. Gastric endoscopic polypectomy is a safe, economical, well-tolerated and valid methodology with considerable therapeutic possibilities and potential prophylactic actions against cancer.
Asunto(s)
Pólipos/cirugía , Gastropatías/cirugía , Anciano , Anciano de 80 o más Años , Femenino , Estudios de Seguimiento , Gastroscopía , Humanos , Masculino , Persona de Mediana Edad , Pólipos/patología , Gastropatías/patologíaRESUMEN
Gastric lymphomas have been easier to diagnose since the introduction of digestive endoscopy combined with multiple target biopsy and possibly macrobiopsy. Personal experience of three primary non-Hodgkin lymphomas of the stomach is reported. Analysis of this endoscopic series reveals the multiplicity and polymorphism of the lesions that are never, in any cases, pathognomic of this pathology.
Asunto(s)
Linfoma no Hodgkin/patología , Neoplasias Gástricas/patología , Femenino , Gastroscopía , Humanos , Persona de Mediana EdadRESUMEN
The results of a study conducted on 60 diabetics are reported. The HDL cholesterol levels of the diabetics and healthy controls of the same sex and age were compared and no statistically significant differences were found: 49.3 +/- 12 (diabetics) versus 47.6 +/- 9 (controls).