ABSTRACT
A 44-year old male with carcinoma of the upper third of the oesophagus and invasion of the trachea recently underwent surgical treatment at our institution. After oesophageal resection tracheal and main bronchial leaks were unsuccessfully closed with pleural patches. The stomach was subsequently used to seal the remaining leaks. The post-operative recovery was uneventful and the patient was discharged after a hospital stay of 41 days.
Subject(s)
Esophagectomy , Fistula/surgery , Stomach/surgery , Tracheal Diseases/surgery , Adult , Esophageal Neoplasms/surgery , Humans , Male , Postoperative Complications/surgery , Suture TechniquesABSTRACT
Two techniques are presented by which secretions from the upper intestinal tract are reinfused directly, into a more distal part of the intestine. The advantages of the methods described includes: no severe bacterial contamination; the enteral nutrition going on; the possibility to break off progressively; less needs of biochemical correction or compensation; no needs to take into account the production-rate or the release of gas.
Subject(s)
Cholestasis/therapy , Infusions, Parenteral , Intestinal Secretions/metabolism , Drainage/methods , Humans , Male , Middle Aged , Postoperative Complications/therapyABSTRACT
Since 1973, 41 autogenous saphenous vein (ASV) fistulae in the arm or the leg have been constructed in 30 chronic haemodialysis patients. The mean patency rate for the arm fistulae was 36.8 months and 21.9 months for leg fistulae. Eight patients received a leg fistula, after their arm fistula thrombosed: in this group the mean patency rate for the arm and leg fistulae was 15.4 and 20 months respectively. If a conventional fistula is not feasible, an ASV fistula is the method of choice for some patients.
Subject(s)
Arteriovenous Shunt, Surgical , Renal Dialysis , Saphenous Vein/transplantation , Adult , Aged , Aneurysm/etiology , Arm , Arteriovenous Shunt, Surgical/adverse effects , Female , Graft Survival , Hemorrhage/etiology , Humans , Leg , Male , Middle Aged , Thrombosis/etiology , Time FactorsABSTRACT
Virus-like particles, about 45 nm in diameter, were present in renal epithelium (tubules and podocytes) of 12 patients with confirmed systemic lupus erythematosus (SLE) and in 2 patients with probable SLE. They were not detected in renal biopsies from non-SLE patients. Morphologically, they suggest togavirus-like particles.
