RESUMO
Laparoscopic adjustable gastric banding (LAGB) is used for the management of morbid obesity. Phytobezoars are rarely reported as a complication of this operation and are usually extracted by endoscopic means. We report a 48 year-old male subjected to a gastric banding, that consulted for progressive dysphagia, six months after the operation. A barium meal x-ray examination demonstrated the presence of a bezoar that was dissolved in one week using papain. A control barium meal confirmed the disappearance of the bezoar.
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Bezoares/etiologia , Gastroplastia/efeitos adversos , Laparoscopia/efeitos adversos , Obesidade Mórbida/cirurgia , Bezoares/tratamento farmacológico , Papaína/administração & dosagemRESUMO
Laparoscopic adjustable gastric banding (LAGB) is used for the management of morbid obesity. Phytobezoars are rarely reported as a complication of this operation and are usually extracted by endoscopic means. We report a 48-year-old male subjected to a gastric banding, that consulted for progressive dysphagia, six months after the operation. A barium meal x-ray examination demonstrated the presence of a bezoar that was dissolved in one week using papain. A control barium meal confirmed the disappearance of the bezoar.
Assuntos
Bezoares/etiologia , Gastroplastia/efeitos adversos , Laparoscopia/efeitos adversos , Obesidade Mórbida/cirurgia , Bezoares/tratamento farmacológico , Humanos , Masculino , Pessoa de Meia-Idade , Papaína/administração & dosagemRESUMO
Se presenta los resultados de un estudio comparativo entre el oxante/pirantel y el albendazol, en un grupo de 60 niños parasitados por alguno de los siguientes helmintos transmitidos por el suelo: áscaris, tricocéfalos y uncinarias. Los medicamentos fueron administrados en dosis única: el oxantel/pirantel a razón de 20 miligramos/Kilogramo de peso, y el albendazol en dosis total de 400 miligramos. Se observaron excelentes resultados con ambos medicamentos en el tratamiento de las ascariasis. En la curación parasitológica de la uncinariasis el oxantel/pirantel exhibió superioridad (85.7% de los casos tratados) sobre el albendazol (66.7% de los casos tratados); y en lo que respecta a la reducción en el número de huevecillos, ambas drogas demostraron ser de utilidad. En las tricocefalosis de grados I, II y III la curación obtenida con oxante/pirantel fue superior. En relación a la disminución de huevecillos en las heces, existió una ligera superioridad por parte del oxante/pirantel. En el grado IV de tricocefalosis, el efecto terapéutico de ambos medicamentos mostró muy poca utilidad cuando son suministrados en dosis única. Se propone una escala de los grados de parasitosis para ser utilizada en la evaluación de drogas antihelmínticas
Assuntos
Humanos , Ancylostomatoidea/efeitos dos fármacos , Ascaríase/tratamento farmacológico , Bezoares/tratamento farmacológico , Ensaios Clínicos como Assunto , Mebendazol/uso terapêutico , Pirantel/uso terapêutico , GuatemalaRESUMO
A 57 year old white man, was seen on the 16th, May, 1978, with the chief complaint of severe post-prandial epigastric cramping followed by nausea and vomiting and Dumping. The patient underwent troncular vagotomy and gastrojejunostomy for symptomatic and intractible hiati hernia in May 1960. Two months after discharged, he had recurrent apisodic diarrhea, nausea and vomiting. Physical examination revealed a flat abdomen, incisional hernia, with epigastric tenderness. No mass was palpable. Upper gastrointestinal reontgenographic examination revealed a large mass which was thought to represent a phytobezoar practically filling distal portion of the stomach. Deambulatory treatment was instituted with Tripsin and quimiotripsin; 200000 U. every 6 hrs. and soft diet. A review of his eating habits revealed that he had eaten oranges two weeks prior to the onset of symptoms. Three weeks later, the another upper gastrointestinal examination was normal, without phytobezoar. Recovery was uneventful.