RESUMO
Among a series of 266 cases of gastric cancer operated on between 1981 and 1991, 8 cases were developed on gastric stump after gastro-duodenal surgery. A post operative delay of 10 years has been insisted upon. We noticed an exclusive masculine serie. The main age was 61 years. Clinical aspects were univoque and treatment was always surgical with a resecability rate of 37%. Pathological analysis of operatory specimen and biopsies has shown everywhere an adenocarcinoma. The only way to improve prognosis is based on early histoendoscopic supervision since the tenth year after initial intervention of these operated patients of the stomach with high neoplasic risk
Assuntos
Humanos , Masculino , Neoplasias Gástricas/patologia , Neoplasias Gástricas/diagnóstico , Coto Gástrico/cirurgiaAssuntos
Humanos , Feminino , Neoplasias Colorretais/patologia , Adenoma Viloso/cirurgia , EndoscopiaRESUMO
The authors present 26 cases of ano-perianal suppurations during Crohn disease, collected in theGastro-Enterology and Proctology unit of the CHU Ibn Rochd of Casablanca, during a period of 12 years [1977-1989]. In our series, the young adults represent 34% of the cases with a slight masculine predominance in 57.7% of the cases. The ano-peri-anal suppurations are inaugural in 38% of the cases. They are concomittant in 38% cases to an ileo-colic localization: in 50% of the cases to a colic localization, and 70% of the cases to a rectal localization. We note a predominance of the secondary lesions in 66,7% of the cases. A spontaneous cicatrization of the ano-peri-anal suppurations under a general medical treatment is obtained in 80% of the cases. The evolution of the patients under surgical proctologic treatments marked by a cicatrization of the lesion in 75% of the cases
Assuntos
Humanos , Masculino , Feminino , Canal Anal/patologia , Períneo/patologia , Supuração , Doença de Crohn/diagnóstico , Estudos RetrospectivosRESUMO
The study of 5 cases of colic diverticulosis observed during 12 years and a review of the literature permit the authors to show that this pathology is rare in Morocco, to insist on these different clinical aspects and to show the rarely and especially the gravity of its complications which make colectomy necessary. Finally, the authors notice the importance of the pathogenical and therapeutical part of dietary fibers on matter of colic diverticulosis
Assuntos
Humanos , Masculino , Feminino , Doença Diverticular do Colo/fisiopatologia , Doença Diverticular do Colo/etiologia , ColonoscopiaRESUMO
Tow abservations about the oesophageal tuberculosis have been collected. In the two observation no oesophageal symptomatology has been indicated. The diagnosis of oesophageal tuberculosis has been done on anamnestic, clino, radiologic, enodoscopic and histologic bases. The different anatomic, clinio, radiologic and therapeutic aspects of the oesophageal tuberculosis based on review of literature have been investigated. It is necessary to notice the importance of fibroscopy with biojosies in order to do the diagnosis of the oesophageal tuberculosis