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1.
Arq Gastroenterol ; 36(2): 72-6, 1999.
Article in English | MEDLINE | ID: mdl-10511885

ABSTRACT

Colonoscopy is employed in prevention, diagnosis, follow-up and treatment of colorectal diseases. The technological advancement of colonoscopes and supplementary equipment, has broadened indications for colonoscopy. However, since it is an invasive method with potential complications and hazards it should be performed by specialists capable of preventing, recognizing and treating them. The authors report their personal experience with 1,234 colonoscopies. The most frequent indications were changes in bowel habits and rectal bleeding in 35.1% and 30.5% cases respectively. The patients were given 10% mannitol for bowel cleansing and inadequate bowel cleansing in only 15 (1.2%) so that the colonoscopy could not be completed. The overall incidence of perforation was 0.16%. Three hundred and one polypectomies were performed and two cases (0.75%) of bleeding were noted.


Subject(s)
Colonoscopy , Intestinal Diseases/diagnosis , Adolescent , Adult , Aged , Child , Humans , Middle Aged , Retrospective Studies
2.
Rev Hosp Clin Fac Med Sao Paulo ; 54(6): 187-92, 1999.
Article in English | MEDLINE | ID: mdl-10881066

ABSTRACT

METHOD: Eighty patients were prospectively randomized for precolonoscopic cleansing either with 750ml of 10% mannitol (Group M) or 180ml of a sodium phosphate preparation (Group NaP). Laboratory examinations before and after preparation on all patients included hemoglobin, hematocrit, sodium, potassium, phosphorous, calcium and serum osmolarity. A questionnaire was used to assess undesirable side effects and patient tolerance to the solution. The quality of preparation was assessed by the endoscopist who was unaware of the solution employed. RESULTS: Statistically significant changes were verified in serum sodium, phosphorous, potassium and calcium between the two groups, but no clinical symptoms were observed. There were no significant differences in the frequency of side effects studied. Six of the eight patients in Group NaP who had taken mannitol for a previous colonoscopy claimed better acceptance of the sodium phosphate solution. The endoscopic-blinded trial reported excellent or good bowel preparation in 85% prepared with sodium phosphate versus 82.5% for mannitol (p=0.37). CONCLUSIONS: Quality of preparation and frequency of side effects was similar in the two solutions. The smaller volume of sodium phosphate necessary for preparation seems to be related to its favorable acceptance. Nevertheless, the retention of sodium and phosphate ions contraindicates the use of sodium phosphate in patients with renal failure, cirrhosis, ascites, and heart failure.


Subject(s)
Cathartics , Colonoscopy/methods , Mannitol , Phosphates , Calcium/blood , Cathartics/adverse effects , Female , Humans , Male , Mannitol/adverse effects , Middle Aged , Phosphates/adverse effects , Phosphorus/blood , Potassium/blood , Prospective Studies , Sodium/blood
3.
Arq Gastroenterol ; 36(3): 133-8, 1999.
Article in English | MEDLINE | ID: mdl-10751900

ABSTRACT

The authors present their experience with 924 colonoscopic polypectomies in 549 patients. Postpolypectomy bleeding was 0.36% without perforations. Complications associated with the procedure are analyzed; evaluating the risk, diagnosis and treatment based on a survey of the literature and personal experience.


Subject(s)
Colonic Polyps/surgery , Adolescent , Adult , Aged , Child , Colonoscopy/methods , Humans , Middle Aged , Retrospective Studies , Video-Assisted Surgery
4.
Rev Hosp Clin Fac Med Sao Paulo ; 53(6): 277-82, 1998.
Article in Portuguese | MEDLINE | ID: mdl-10413941

ABSTRACT

Three hundred and twenty-eight patients with anorectal diseases were submitted ambulatory surgery, under local anesthesia, in a three-year period. Three hundred and fifty one operations were performed in outpatient service. Local anesthesia by Hook-Needle Puncture technique was used in 37 operations and the rest of them by classical technique through infiltration of both lateral anal quadrants. Hemorrhoids, fistulas, fissures and pilonidal cysts were the most frequent diseases treated (71.6%). The incidence of early and late complications was 19.6% and 4.8%, respectively. The most common complication was severe pain (16.1%). Five patients (1.5%) required hospitalization due postoperative complications. The surgery on an outpatient basis was a well-accepted procedure for two hundred eighty-eight patients (88%). The main benefit reported by patients was the possibility of recovery at home, which is more comfortable. The ambulatory anorectal surgery under local anesthesia is a safe and effective method, with the additional advantage of the costs saved and increase of available beds for more complex surgery.


Subject(s)
Ambulatory Surgical Procedures/methods , Anesthesia, Local , Rectal Diseases/surgery , Adolescent , Adult , Aged , Female , Humans , Male , Middle Aged , Treatment Outcome
5.
Rev Hosp Clin Fac Med Sao Paulo ; 53(6): 317-20, 1998.
Article in Portuguese | MEDLINE | ID: mdl-10413948

ABSTRACT

Rectal procidentia is an uncommon but debilitating condition that often affects elderly patients with significant medical problems. Fecal incontinence is usually frequent. Abdominal rectopexy with or without sigmoid resection repeatedly demonstrate lower recurrence rates (2-4%) but in high-risk patients, morbidity and mortality may be significant. Perineal or transacral approaches may be used in these patients to avoid the complications of abdominal procedures and general anesthesia. The lack of experience with transacral approach has limited your utilization by colon and rectal surgeons. We describe a case of rectal procidentia in patient with severe liver disease (Child C) sucssefull treated with transacral rectopexy, detailing the technique used.


Subject(s)
Liver Diseases/complications , Rectal Prolapse/surgery , Rectum/surgery , Fecal Incontinence/etiology , Fecal Incontinence/surgery , Gastrointestinal Hemorrhage/etiology , Gastrointestinal Hemorrhage/surgery , Humans , Male , Middle Aged , Rectal Prolapse/complications
6.
Rev Hosp Clin Fac Med Sao Paulo ; 51(5): 195-7, 1996.
Article in English | MEDLINE | ID: mdl-9216099

ABSTRACT

The squamous cell carcinoma of the pancreas is an uncommon form of pancreatic cancer, with a frequency in the range of 0.5-3.5%. A rare case of a primary squamous cell pancreatic carcinoma, with gastric invasion and upper digestive bleeding, requiring surgical control is reported. The surgical technique to treat the bleeding is also detailed.


Subject(s)
Carcinoma, Squamous Cell/secondary , Gastrointestinal Neoplasms/secondary , Pancreatic Neoplasms/pathology , Aged , Carcinoma, Squamous Cell/complications , Carcinoma, Squamous Cell/surgery , Gastrointestinal Hemorrhage/etiology , Gastrointestinal Hemorrhage/surgery , Gastrointestinal Neoplasms/complications , Gastrointestinal Neoplasms/surgery , Humans , Male
7.
Article in Portuguese | MEDLINE | ID: mdl-8762649

ABSTRACT

Major electrical injuries constitute approximately 5% of all admissions to Burn Units. Visceral complications are associated with a high mortality rate. The most common visceral lesions associated to electric burns are cardiac lesions. Pulmonary compromise is rare, if compared to inhalation injuries in termical burns. Although, when the entry or exit ports are the toracic wall, pleural effusion, hemotorax and pneumonitis may occur. A rare case of high-voltage electrical injury with massive pulmonary lesion is presented, regarding to clinical course and roentgenographic patterns.


Subject(s)
Electric Injuries/etiology , Lung Injury , Adult , Electric Injuries/diagnosis , Electric Injuries/diagnostic imaging , Humans , Lung/diagnostic imaging , Lung/pathology , Magnetic Resonance Spectroscopy , Male , Tomography, X-Ray Computed
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