ABSTRACT
When selecting the most suitable palliation of malignant jaundice, the following factors are to be considered: 1) patient's overall condition, 2) presumption of patient's survival, 3) technical, personal, and economic factors, 4) effectiveness of procedure, 5) morbidity and mortality of palliative treatment. (Tab. 2, Ref. 3.).
Subject(s)
Biliary Tract Neoplasms/complications , Jaundice/surgery , Palliative Care , Pancreatic Neoplasms/complications , Humans , Jaundice/etiology , Postoperative Complications , Retrospective StudiesABSTRACT
The authors analyzed in a retrospective study the stage of carcinomas of the stomach and colorectum in their material. In 1996-1998 they operated 35 patients with gastric tumours and 77 patients with colorectal cancer. In both groups they operated more than 50% of the patients in the IIIrd or more advanced stage of the disease. 22.8% gastric tumours and 19.5% colorectal tumours were operated in the acute stage. The situation in the group is alarming, it is essential to improve the early diagnosis and thus also treatment in all links of the chain: patient--attending physician--surgeon--society.
Subject(s)
Adenocarcinoma/pathology , Colorectal Neoplasms/pathology , Stomach Neoplasms/pathology , Adenocarcinoma/surgery , Aged , Aged, 80 and over , Colorectal Neoplasms/surgery , Female , Humans , Male , Middle Aged , Neoplasm Staging , Retrospective Studies , Stomach Neoplasms/surgeryABSTRACT
Aortoesophageal fistula is a rare cause of upper gastrointestinal bleeding, ranging from 0 to 2.3% in literature. The authors studied a group of 266 patients with upper gastrointestinal bleeding during the period of three years (1996-1998). According to two patient cases and the data from literature diagnostic methods, causes of aortoesophageal fistulas are analysed and the necessity of urgent closure of the fistulas is stressed. (Tab. 2, Fig. 2, Ref. 15.)