RESUMO
The authors present eight cases of arterio-mesenteric duodenal ileus diagnosed in the Serviço de Cirurgia de Ribeirão Preto (São Paula--Brasil) among 2.573 surgical interventions of digestive tract performed in 15 years. Seven (87.5%) cases presented positive complement fixation test for Chagas' disease and signs of Chagas' cardiopathy and/or enteropathy. Comparing similar casuist studies published in Brazil, the authors suggest that American Trypanosomiasis must be considered as a contributive factor in the genesis of arterio-mesenteric duodenal ileus in Latin America.
Assuntos
Doença de Chagas/complicações , Obstrução Duodenal/etiologia , Artérias Mesentéricas , Adulto , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
The length of stay for 482 partial gastrectomy patients in the Servico de Cirurgia de Ribeirao Preto in the period from 1960 to 1974 is compared with that of four other neighbor hospitals for the year 1973. There was reduction in the length of stay during these years and it was more obvious when compared the other four hospitals. The authors claim that early discharge and home management should always be recommended and suggest an analysis of factors interfering with length of stay.
Assuntos
Duodeno/cirurgia , Gastrectomia , Tempo de Internação , Brasil , Gastroenteropatias/cirurgia , Neoplasias Gastrointestinais/cirurgia , HumanosRESUMO
In the present paper, the authors present the concentrations of electrolytes (Na, K, Ca, Mg and Cl) in the gastric juice of Na and K obtained by the flame photometer and by the atomic absorption spectrophotometer and conclude that the flame photometer may give false results when used to determine the electrolytes in the gastric juice.
Assuntos
Eletrólitos/análise , Suco Gástrico/análise , Adolescente , Adulto , Cálcio/análise , Cloro/análise , Feminino , Humanos , Magnésio/análise , Masculino , Potássio/análise , Sódio/análiseRESUMO
The authors present a simple and practical method to avoid the ileal juice expoliation in patients with ileostomy after intestinal resection. In the cases presented, after the resection, stomies were performed of the proximal and distal portions of the intestine, in relation to the extirpated segment. The juice collected in the proximal stomy was infused in the distal stomy, simulating that way the physiologic intestinal transit.
Assuntos
Ileostomia/métodos , Infusões Parenterais/métodos , Enteropatias/cirurgia , Secreções Intestinais/fisiologia , Adulto , Colostomia/métodos , Feminino , Humanos , Íleo/fisiologia , MasculinoAssuntos
Gastrectomia , Tempo de Internação , Adulto , Idoso , Úlcera Duodenal/cirurgia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Úlcera Gástrica/cirurgiaRESUMO
The authors analyzed the thickness of the pyloric muscle of 139 patients with peptic ulcer or gastric cancer. Subtracting the muscular thickness of pylorus measured by a ruler from the thickness estimated by the formula, P.T.=0.0415 X W+2.9, where P.T. represents the thickness of the pyloric muscle in millimeters and W represents the weight of the body in kilograms, they had the deviation from normal, in mm. The muscles with deviations greater than 3 mm were considered hypertrophics. Comparing their material with those of Horwitz et al the authors observed a difference in the group of patients with duodenal ulcer without stenosis in which they obtained 16.5% cases with muscular hypertrophy. Surprisingly, those patients showed positivity of sorologic reactions to Chagas' disease in 83.3% of the cases. These results together with the work of Kunze which demonstrated in 1973 that Chagas' disease may be one of the causative factors of the pyloric muscular hypertrophy, make the authors attribute to the neurological disturbances caused by the American Tripanosomiasis the difference observed.