Subject(s)
Histiocytoma, Benign Fibrous/diagnosis , Wrist , Child , Hemorrhage , Histiocytoma, Benign Fibrous/pathology , Humans , MaleABSTRACT
Gastric duplications are cystic or tubular formations lying in close proximity to the stomach, gastric localizations representing only 3.8% of these digestive malformations of embryologic origin. They should possess walls contiguous with that of the stomach, and a smooth muscle layer fused with that of the stomach, their covering layer being digestive bat not necessarily gastric epithelium. Its presence was discovered fortuitously in a total gastrectomy piece from a patient with adenocarcinoma. The anatomy, diagnostic and treatment of these malformations are discussed.
Subject(s)
Cysts/embryology , Gastrectomy , Stomach/abnormalities , Aged , Cysts/surgery , Digestive System/embryology , Digestive System Abnormalities , Humans , Male , Stomach/embryologyABSTRACT
Early postoperative occlusion is an occlusive syndrome which either occurs immediately after operation or is delayed for a few days. It may result from many causes, with the four most common being a mechanical obstacle, inflammatory bowel occlusion, vascular ileus, and metabolic ileus. Each of these causes results in specific clinical features, but circumstances at onset are the most important distinctive criteria. Reoperation, which is viewed with anxiety by both the patient and surgeon, is not always requisite, although in some instances an emergency surgical procedure is needed.
Subject(s)
Intestinal Obstruction/etiology , Postoperative Complications/diagnosis , Humans , Intestinal Diseases/physiopathology , Intestinal Diseases/surgery , Ischemia/etiology , Postoperative Complications/therapy , Reoperation , Time FactorsABSTRACT
Perforation of an esophageal cancer can occur spontaneously or during radiotherapy. If the perforation is the first manifestation of the cancer, the diagnosis depends on X-ray and endoscopy. During radiotherapy, the intending perforation must be carefully watched for. We have treated two perforations appearing as first manifestation of the cancer and 3 developed during evolution, 2 of them during radiotherapy. Various treatments have been applied. In 2 cases, resection was possible, curative in one, palliative in the other. In the other 3 cases, retrosternal by-pass has allowed feeding and radiotherapy. Such a complication generally condemns the patient to a gastrostomy. However, a more aggressive surgical attitude can be adopted if the general status of the patient permits. An esophageal endo-prosthesis can also be used.
