RESUMO
Se trataron 23 enfermos con Pancreatitis Biliar Aguda mediante papilotomía endoscópica y extracción de la litiasis de la vía biliar. 12 tenían una pancratitis aguda de mediana gravedad y 11 una pancreatitis severa, de acuerdo a los criterios de Glasgow. La edad de los pacientes osciló entre los 45 a los 92 años. 19 evolucionaron sin ninguna complicación, 2 pacientes eran portadores de una colangitis aguda, evolucionaron lentamente, pero fueron dados de alta, 2 fallecieron a raíz de la pancreatitis aguda por shock séptico y falla cardi-respiratoria (AU)
Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Idoso , Pancreatite/cirurgia , Colelitíase/cirurgia , Endoscopia , Colecistectomia , Escala de Coma de Glasgow , Prognóstico , Idoso de 80 Anos ou maisRESUMO
Se trataron 23 enfermos con Pancreatitis Biliar Aguda mediante papilotomía endoscópica y extracción de la litiasis de la vía biliar. 12 tenían una pancratitis aguda de mediana gravedad y 11 una pancreatitis severa, de acuerdo a los criterios de Glasgow. La edad de los pacientes osciló entre los 45 a los 92 años. 19 evolucionaron sin ninguna complicación, 2 pacientes eran portadores de una colangitis aguda, evolucionaron lentamente, pero fueron dados de alta, 2 fallecieron a raíz de la pancreatitis aguda por shock séptico y falla cardi-respiratoria
Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Colelitíase/cirurgia , Endoscopia , Pancreatite/cirurgia , Idoso de 80 Anos ou mais , Colecistectomia , Escala de Coma de Glasgow , PrognósticoRESUMO
23 patients with acute biliary pancreatitis were treated with endoscopic papillotomy and extraction of bile duct stones. 12 suffered on an acute moderate and 11 on an severe pancreatitis in the classification of Glasgow. The patients were between 45 and 92 years old. 19 had an evolution without complications, 2, who also had an acute cholangitis, had a slow but good evolution. 2 died due to a septic shock and cardio-respiratory failure.
Assuntos
Colelitíase/cirurgia , Pancreatite/cirurgia , Esfinterotomia Endoscópica , Idoso , Idoso de 80 Anos ou mais , Colecistectomia , Colelitíase/complicações , Feminino , Escala de Coma de Glasgow , Humanos , Masculino , Pessoa de Meia-Idade , Pancreatite/etiologia , PrognósticoRESUMO
23 patients with acute biliary pancreatitis were treated with endoscopic papillotomy and extraction of bile duct stones. 12 suffered on an acute moderate and 11 on an severe pancreatitis in the classification of Glasgow. The patients were between 45 and 92 years old. 19 had an evolution without complications, 2, who also had an acute cholangitis, had a slow but good evolution. 2 died due to a septic shock and cardio-respiratory failure.
RESUMO
Thirty patients, 18 males and 12 females, with PSC have been studied between 1972 and 1986. In nine PSC was associated with ulcerative colitis (30%), in 4 with Crohn's disease (13%) and 17 were free of any chronic bowel disease. Four of these 17 were siblings. Alkaline Phosphatase, Gamma GT, total bile acids and 7-alpha-hydroxilated bile acids were elevated in all patients. In 14 patients plasma and urinary copper as well as ceruloplasmin were studied, showing the copper in all cases and ceruloplasmin in 10 cases elevated, 4 were normal. By means of cholangiography alterations of the extrahepatic ducts, the intrahepatic ducts, and both the intra- and extrahepatic ducts were seen in 13%, 27% and 40% of the cases, respectively. Alterations of the pancreatic duct were observed by pancreatography in 21% of cases. 40% of the PSC-patients had also a Sjögren's syndrome, while 3% were associated with diabetes mellitus Type I and II, psoriasis and red lichen planus, iridocyclitis and hepatic hemangioma.
Assuntos
Colangite/patologia , Adulto , Idoso , Ductos Biliares/patologia , Biópsia , Colangiopancreatografia Retrógrada Endoscópica , Colite Ulcerativa/patologia , Doença de Crohn/patologia , Feminino , Humanos , Testes de Função Hepática , Masculino , Pessoa de Meia-Idade , Ductos Pancreáticos/patologia , Pancreatite/patologia , EscleroseRESUMO
APO A-1 and B HDL cholesterol in 15 cases of acute hepatitis and 13 cases of hepatic cirrhosis were comparatively studied with different biochemical parameters. The decrease in APO A-1 and HDL revealed an alteration of the hepatic function. When the APO A-1 and HDL returned to normal a recovery of the hepatic function was observed.
Assuntos
Apolipoproteínas A/sangue , Apolipoproteínas B/sangue , HDL-Colesterol/sangue , Hepatite Viral Humana/sangue , Cirrose Hepática/sangue , Doença Aguda , Adolescente , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
APO A-1 and B HDL cholesterol in 15 cases of acute hepatitis and 13 cases of hepatic cirrhosis were comparatively studied with different biochemical parameters. The decrease in APO A-1 and HDL revealed an alteration of the hepatic function. When the APO A-1 and HDL returned to normal a recovery of the hepatic function was observed.
Assuntos
Colelitíase/enzimologia , Glucuronidase/metabolismo , Fígado/enzimologia , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
Sixty-five patients with hepatic cirrhosis and esophageal varices were subjected to endoscopic sclerotherapy. Twelve patients were treated in the intervals between hemorrhages; 43 patients were treated after their first hemorrhage. The rate of survival in a 5 to 26 month period was 82%.
Assuntos
Varizes Esofágicas e Gástricas/terapia , Soluções Esclerosantes/uso terapêutico , Varizes Esofágicas e Gástricas/complicações , Hemorragia Gastrointestinal/terapia , Humanos , Infusões Parenterais , Cirrose Hepática/complicações , Prognóstico , Soluções Esclerosantes/administração & dosagemRESUMO
Se efectuo esclerosis endoscopica en 65 enfermos con cirrosis hepatica y varices esofagicas. En 12 se realizo el tratamiento intrahemorragico. En 53 luego de haber sufrido una o mas hemorragias. La sobrevida fue del 82% en un intervalo de 5 a 26 meses. No se observo ninguna complicacion inherente al metodo
Assuntos
Varizes Esofágicas e Gástricas , Soluções EsclerosantesRESUMO
Se determino la actividad de la obra glucoronidasa hepatica en 15 pacientes con litiasis pigmentaria y en 8 personas normales. No se encontro ninguna diferencia estadisticamente significantiva entre ambos grupos
Assuntos
Adulto , Pessoa de Meia-Idade , Humanos , Colelitíase , Glucuronidase , FígadoRESUMO
Sixty-five patients with hepatic cirrhosis and esophageal varices were subjected to endoscopic sclerotherapy. Twelve patients were treated in the intervals between hemorrhages; 43 patients were treated after their first hemorrhage. The rate of survival in a 5 to 26 month period was 82
.
RESUMO
Se efectuo esclerosis endoscopica en 65 enfermos con cirrosis hepatica y varices esofagicas. En 12 se realizo el tratamiento intrahemorragico. En 53 luego de haber sufrido una o mas hemorragias. La sobrevida fue del 82% en un intervalo de 5 a 26 meses. No se observo ninguna complicacion inherente al metodo
Assuntos
Soluções Esclerosantes , Varizes Esofágicas e GástricasRESUMO
Se determino la actividad de la obra glucoronidasa hepatica en 15 pacientes con litiasis pigmentaria y en 8 personas normales. No se encontro ninguna diferencia estadisticamente significantiva entre ambos grupos