RESUMO
Cancer is a public health problem in Argentina, and the role of the country's physicians in the fight against this disease is very important. Whether they are general physicians or specialists, including clinical oncologists, they must have basic knowledge and permanent updating in oncology. Unfortunately, the teaching of oncology is deficient in this country, the deficiencies being already noticeable at the undergraduate level where the teaching is incomplete and dispersed. In order to ascertain the level of oncologic information which medical students about to graduate had acquired, 15-hour courses were organized in 1983 to 1984 for students of the Universities of Buenos Aires, La Plata, and Del Salvador. The participants had to fill in a questionnaire of 50 questions of increasing complexity before and after the course. The comparison of both inquiries clearly showed the usefulness of the course, particularly regarding cancer control, early diagnosis, treatment, and curability. The overall error decreased by 50% after the course. However, some erroneous ideas still existed and it became evident that certain of the subjects must be studied in greater depth.
Assuntos
Educação de Graduação em Medicina/normas , Oncologia/educação , Argentina , Currículo , Avaliação Educacional , Humanos , Avaliação de Programas e Projetos de Saúde , Inquéritos e QuestionáriosRESUMO
Six patients with alkaline reflux gastritis postoperative were treated between 1977 and 1984 by Roux-en-Y diversion. All of the patients had a typical history of mild epigastric burning pain and bilious vomiting. The diagnosis was reached by endoscopic results of the gastric mucosa. The pain, complaints and the macroscopically apparent gastritis subsided completely after surgery but the histological manifestations of gastritis improved though no disappear. In four cases we used the Roux-en-Y procedure; in two, the Henley jejunal loop with the Soupault-Bucaile, technique. All patients were vagotomized for the fear recurrent peptic ulceration if increased the acid secretion. One patient was most complex because after derivation with Roux-en-Y developed severe diarrhea and was necessary to change to loop jejunal Henley and reversed 10 centimeter the jejunal loop at 1 meter from Treitz angle.
Assuntos
Refluxo Duodenogástrico/complicações , Gastrectomia/efeitos adversos , Gastrite/etiologia , Adulto , Feminino , Mucosa Gástrica/patologia , Gastrite/diagnóstico , Gastrite/cirurgia , Gastroscopia , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
Six patients with alkaline reflux gastritis postoperative were treated between 1977 and 1984 by Roux-en-Y diversion. All of the patients had a typical history of mild epigastric burning pain and bilious vomiting. The diagnosis was reached by endoscopic results of the gastric mucosa. The pain, complaints and the macroscopically apparent gastritis subsided completely after surgery but the histological manifestations of gastritis improved though no disappear. In four cases we used the Roux-en-Y procedure; in two, the Henley jejunal loop with the Soupault-Bucaile, technique. All patients were vagotomized for the fear recurrent peptic ulceration if increased the acid secretion. One patient was most complex because after derivation with Roux-en-Y developed severe diarrhea and was necessary to change to loop jejunal Henley and reversed 10 centimeter the jejunal loop at 1 meter from Treitz angle.
RESUMO
Two patients with annular pancreas are presented. Sintoms, complications, association with another congenital diseases, diagnosis, treatment and postoperative course are commented. Theories of embriologic development of pancreas and annular pancreas etiology are mentioned.
Assuntos
Pâncreas/anormalidades , Adolescente , Colestase/etiologia , Obstrução Duodenal/etiologia , Feminino , Humanos , Pessoa de Meia-Idade , Pâncreas/diagnóstico por imagem , Pâncreas/embriologia , Pâncreas/cirurgia , Pancreatite/etiologia , Úlcera Péptica/etiologia , RadiografiaRESUMO
Two patients with annular pancreas are presented. Sintoms, complications, association with another congenital diseases, diagnosis, treatment and postoperative course are commented. Theories of embriologic development of pancreas and annular pancreas etiology are mentioned.
RESUMO
Two patients with annular pancreas are presented. Sintoms, complications, association with another congenital diseases, diagnosis, treatment and postoperative course are commented. Theories of embriologic development of pancreas and annular pancreas etiology are mentioned.