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1.
Artigo em Inglês | IMSEAR | ID: sea-65247

RESUMO

A 47-year-old man presented with epigastric pain relieved by bilious vomiting since one month. He had undergone truncal vagotomy with posterior gastrojejunostomy for benign gastric outlet obstruction 2 years ago. Endoscopy showed distension and stasis in the afferent loop, bile gastritis and esophagitis. Laparoscopic Braun jejunojejunostomy relieved his symptoms.


Assuntos
Gastrectomia/efeitos adversos , Obstrução da Saída Gástrica/cirurgia , Humanos , Jejunostomia/efeitos adversos , Masculino , Pessoa de Meia-Idade , Síndromes Pós-Gastrectomia/diagnóstico , Estenose Pilórica/cirurgia , Vagotomia Troncular
3.
Indian J Pediatr ; 2001 Mar; 68(3): 267-72
Artigo em Inglês | IMSEAR | ID: sea-84475

RESUMO

Tetanus is an acute neurological disease characterized by muscle rigidity and spasms, autonomic dysfunction and in severe forms requires respiratory and hemodynamic support. Though it is entirely preventable by immunization, it still occurs in developing countries causing significant morbidity and mortality. Intensive care management of tetanus is fraught with problems of ventilator-associated pneumonia, nosocomial sepsis and a variety of other complications. Various treatment protocols have been tried in managing diverse manifestations of severe tetanus but the consensus is yet to emerge. In this review we have discussed the pathophysiology, clinical features and management controversies and suggest on basis of our experience use of high dose diazepam (20-120 mg/kg/day) and vecuronium with mechanical ventilation if required for control of spasms, and early detection of autonomic dysfunction and use of propranolol, in our circumstances.


Assuntos
Criança , Pré-Escolar , Diazepam/uso terapêutico , Feminino , Humanos , Cuidados Críticos , Masculino , Relaxantes Musculares Centrais/uso terapêutico , Tétano/terapia
6.
Indian J Pathol Microbiol ; 1980 Oct; 23(4): 247-50
Artigo em Inglês | IMSEAR | ID: sea-72695
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