RESUMEN
A sparing endoscopic establishment of gastric fistula was developed by the authors. The procedure does not require any special kits for endoscopic gastrostomy. Pezzer 36 Fr catheter is used as a gastrostomy tube. The diameter is sufficient for not only fluids, but relatively solid substances. At the same time, the tip of the Pezzer catheter forces the anterior wall of stomach against the front abdominal wall, preventing leakage and loss of the tube. Thus, the developed method of endoscopic gastrostomy is modern ind minimally invasive. It is efficient for the recovery and long-term preservation of enteral nutrition.
Asunto(s)
Estenosis Esofágica/cirugía , Gastroscopía/métodos , Gastrostomía/métodos , HumanosRESUMEN
The use of the improved puncture needle was evaluated on the basis of 126 biopsies of thyroid nodular lesions. Benign lesions were diagnosed in 114 (90,5%) patients, malignant tumors - in 10 (7,9%) cases. The method proved to be highly effective and provided correct preoperative diagnosis in 96,8% of patients with nodular goiter. Sensitivity of thin-needle aspiration thyroid biopsy was 100%, specificity - 99,95%.
Asunto(s)
Biopsia con Aguja Fina/métodos , Glándula Tiroides/patología , Nódulo Tiroideo/patología , Adulto , Diagnóstico Diferencial , Femenino , Humanos , Masculino , Reproducibilidad de los ResultadosRESUMEN
Results of surgical treatment of 192 patients with toxic goiter are analyzed. A new method of thyroid resection, based on the intraoperative morphofunctional evaluation of thyroid activity, was performed in all cases. The optimal volume of the reserved thyroid was determined by the size of the patint's little finger nail bone. The individual tactics of the extent of resection allowed to decrease the postoperative hypothyroidism and toxic goiter recurrence to 0,5%.
Asunto(s)
Enfermedad de Graves/cirugía , Tiroidectomía/métodos , Adulto , Anciano , Femenino , Estudios de Seguimiento , Enfermedad de Graves/sangre , Enfermedad de Graves/patología , Humanos , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Hormonas Tiroideas/sangre , Resultado del Tratamiento , Adulto JovenRESUMEN
Esophagoplasty was performed in 196 patients. Combined disease of the esophagus and stomach was in 71 patients. Esophagogastroplasty was performed in 122 patients, including 104 with gastric tube, 12 -- with whole stomach, 6 -- by means of lengthening of whole stomach. Insufficiency of cervical anastomosis was revealed in 17.2% cases. Long-term results (from 6 months to 9 years) were studied in 77.9% patients. Lethality was 4.2%. Esophagocoloplasty was performed in 74 patients. Insufficiency of cervical anastomosis was seen in 14.5% cases. Long-term results (from 5 months to 9 years) are available in 87.8% patients. Lethality was 4.1%.
Asunto(s)
Quemaduras/complicaciones , Quemaduras/cirugía , Estenosis Esofágica/etiología , Estenosis Esofágica/cirugía , Procedimientos de Cirugía Plástica/métodos , Estenosis Esofágica/patología , HumanosRESUMEN
Treatment of 108 patients with concurrent cicatricial stenosis of the esophagus and stomach is analysed. Various operations were performed on the stomach in 70 patients. The patency of the esophagus was restored by forced bougienage and intubation. The late-term results were studied in 48 patients in follow-up periods of 2-13 years. Forty-two patients feel quite well and are engaged in physical work, they live on a common diet. Six have to chew their food thoroughly. Two patients died in the postoperative period.
Asunto(s)
Quemaduras Químicas/cirugía , Cicatriz/cirugía , Estenosis Esofágica/cirugía , Estómago/lesiones , Adulto , Quemaduras Químicas/complicaciones , Cicatriz/inducido químicamente , Cicatriz/diagnóstico , Terapia Combinada , Estenosis Esofágica/inducido químicamente , Estenosis Esofágica/diagnóstico , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estómago/cirugíaAsunto(s)
Quemaduras Químicas/complicaciones , Estenosis Esofágica/diagnóstico por imagen , Esófago/diagnóstico por imagen , Adolescente , Adulto , Anciano , Quemaduras Químicas/diagnóstico por imagen , Quemaduras Químicas/terapia , Dilatación/métodos , Estenosis Esofágica/inducido químicamente , Estenosis Esofágica/terapia , Estudios de Evaluación como Asunto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Cintigrafía , Pertecnetato de Sodio Tc 99mAsunto(s)
Úlcera Gástrica/cirugía , Adulto , Anciano , Femenino , Gastrectomía , Humanos , Masculino , Persona de Mediana Edad , VagotomíaRESUMEN
In healthy persons the mean time of the passage of water through the esophagus was 3.75 +/- 0.12 s, that of 10% test meal 6.15 +/- 0.34 s. The average rates of the passage of water and test meals were 5.35 +/- 0.25 cm/s and 3.25 +/- 0.62 cm/s, respectively. In postburn cicatricial esophageal stenosis the time of the passage of water ranged within 5-9 s depending on a degree of stenosis, that of the test meal within 12-20 s, and the rates of their passage were 2-4 cm/s and 1-1.7 cm/s, respectively. While in some cases complete esophageal obstruction was shown by x-ray, scintigraphy revealed the presence of a lumen of the esophagus.