Subject(s)
Biliary Fistula/etiology , Cholecystectomy/adverse effects , Cholelithiasis/surgery , Cystic Duct/injuries , Fistula/etiology , Pleural Diseases/etiology , Postoperative Complications/etiology , Biliary Fistula/diagnostic imaging , Biliary Fistula/surgery , Cystic Duct/diagnostic imaging , Cystic Duct/surgery , Fistula/diagnostic imaging , Fistula/surgery , Humans , Male , Middle Aged , Pleural Diseases/diagnostic imaging , Pleural Diseases/surgery , Postoperative Complications/diagnostic imaging , Postoperative Complications/surgery , RadiographyABSTRACT
In 96 out of 367 investigated patients with diagnosis of acute obturation large intestine ileus was confirmed. These patients were subjected to urgent operations. In another group of patients (64) with an obscure clinical picture urgent rectoromanoscopy was fulfilled after rentgenography. Five patients were found to have stenozing tumours of the distal part of the sigmoid intestine. Urgent irrigoscopy was performed in all the 64 patients of this group after rectoromanoscopy. A mechanical obstacle was revealed in the large intestine of 34 patients. In 28 patients the suspicion of a mechanical large-intestine ileus was rejected which prevented unnecessary laparotomy.
Subject(s)
Intestinal Obstruction/diagnosis , Intestine, Large , Colostomy , Diagnosis, Differential , Humans , Intestinal Obstruction/surgery , Intestine, Large/diagnostic imaging , Intestine, Large/surgery , Radiography , Sigmoidoscopy , Therapeutic IrrigationSubject(s)
Bile Reflux/diagnostic imaging , Biliary Tract Diseases/diagnostic imaging , Duodenal Diseases/diagnostic imaging , Pancreatic Diseases/diagnostic imaging , Bile Reflux/physiopathology , Cholangiography , Duodenal Diseases/physiopathology , Duodenum/diagnostic imaging , Female , Humans , Male , Middle Aged , Pancreatic Diseases/physiopathology , Sphincter of Oddi/physiopathologySubject(s)
Cholangiography/methods , Cholecystography/methods , Duodenum/diagnostic imaging , Laparoscopy/methods , Adult , Aged , Cholelithiasis/diagnostic imaging , Cholestasis/diagnostic imaging , Cholestasis, Intrahepatic/diagnostic imaging , Duodenum/drug effects , Gallbladder Neoplasms/diagnostic imaging , Humans , Middle AgedABSTRACT
The authors have analysed 64 observations of suture incompetency of esophageal anastomosis after resection for cancer of the gastric cardiac portion. Three pathogenic phases and three variants of the clinical course are distinguished in the development of the complication. The successful treatment of the complication largely depends on its recognition and properly selected method of treatment with relation to a variant of the course, a phase of the process and terms of its diagnosis.
Subject(s)
Cardia/surgery , Esophagus/surgery , Stomach Neoplasms/surgery , Surgical Wound Dehiscence/etiology , Esophageal Fistula/etiology , Humans , Mediastinitis/etiology , Radiography , Subphrenic Abscess/etiology , Surgical Wound Dehiscence/complications , Surgical Wound Dehiscence/diagnostic imagingABSTRACT
The authors have analysed the results of 120 laparoscopic cholecystographies and cholecystocholangiographies. In 48 patients laparoscopic cholecystocholangiography was terminated by laparoscopic cholecystostomy. This enabled the authors to eliminate jaundice in all 48-patients, while in 43 of them also to perform in later terms radical or palliative operation.
