ABSTRACT
In the authors opinion in the process of self-regulation the human body creates some biological reservoirs in response to damage (disturbance of homeostasis) for constant internal environment In cases of decompensation and depletion of these pools metabolic correction is necessary. This opinion was based on the results of the endoscopic metabolic hemostasis in ulcer gastroduodenal bleeding in patients with high operational and anesthetic risk.
Subject(s)
Energy Metabolism , Feedback, Physiological , Hemostasis, Endoscopic/methods , Peptic Ulcer Hemorrhage/metabolism , Peptic Ulcer Hemorrhage/surgery , Ascorbic Acid/administration & dosage , Ascorbic Acid/metabolism , Ascorbic Acid/therapeutic use , Energy Metabolism/drug effects , Feedback, Physiological/drug effects , Glucose/administration & dosage , Glucose/metabolism , Glucose/therapeutic use , Humans , Peptic Ulcer Hemorrhage/drug therapy , Treatment OutcomeABSTRACT
Conducted a successful conservative (stationary, and then outpatient) treatment of a patient with a giant gastric ulcer long-term use (5 months) as a basic treatment of capillary gastrointestinal probe.
Subject(s)
Catheterization/methods , Stomach Ulcer/diagnostic imaging , Stomach Ulcer/therapy , Aged , Humans , Male , RadiographyABSTRACT
INTRODUCTION: The aim of this study is to investigate the effectiveness of laparoscopic pancreatic resections for solid pseudopapillary tumors (SPT) in children. PATIENTS AND METHODS: Two 13-year-old girls suffered from recurrent episodes of abdominal pain. Ultrasound and CT revealed a well-circumscribed heterogeneous mass arising from the neck of the pancreas in one and a solid homogeneous tumor with small cystic areas in the pancreatic tail in the other. Both patients underwent laparoscopic procedures. In the first case, after resection of the tumor a two-layer anastomosis between the distal pancreatic body and the posterior gastric wall was performed. In the second case, a spleen-preserving distal pancreatectomy was carried out. Histopathological examinations demonstrated SPT of the pancreas in both cases. RESULTS: Both procedures were completed laparoscopically. The operation times were 240 min and 150 min, respectively. The suction drains were removed on 7th postoperative day. Realimentation was started on day 5. The postoperative course was uneventful. Control CT scans at 6 months and 2 years were normal. CONCLUSIONS: As experience with minimally invasive techniques continues to grow, laparoscopic pancreatic resections appear to be safe and feasible in children with SPT. Laparoscopic central pancreatectomy with distal pancreaticogastrostomy can be used to treat tumors of the middle pancreas. For tumors located in the pancreatic tail, laparoscopic spleen-preserving distal pancreatectomy may well become the approach of choice.
Subject(s)
Carcinoma, Papillary/surgery , Laparoscopy , Pancreatectomy/methods , Pancreatic Neoplasms/surgery , Abdominal Pain/etiology , Adolescent , Carcinoma, Papillary/pathology , Feasibility Studies , Female , Humans , Minimally Invasive Surgical Procedures/methods , Pancreatic Neoplasms/pathology , Treatment OutcomeSubject(s)
Abdominal Pain/therapy , Gastrointestinal Motility/physiology , Gastroscopes , Gastroscopy , Peptic Ulcer/therapy , Pyloric Stenosis/therapy , Abdominal Pain/diagnostic imaging , Abdominal Pain/etiology , Abdominal Pain/physiopathology , Adult , Aged , Duodenum/diagnostic imaging , Duodenum/innervation , Duodenum/physiology , Duodenum/physiopathology , Equipment Design , Female , Gastroscopy/methods , Humans , Male , Middle Aged , Peptic Ulcer/complications , Peptic Ulcer/diagnostic imaging , Peptic Ulcer/physiopathology , Pyloric Stenosis/diagnostic imaging , Pyloric Stenosis/etiology , Pyloric Stenosis/physiopathology , Radionuclide Imaging , Stomach/diagnostic imaging , Stomach/innervation , Stomach/physiology , Stomach/physiopathology , Treatment OutcomeABSTRACT
A new direction with the use of endoscopic hemostasis (EH) was offered in the complex program of metabolic rehabilitation of patients with ulcerous gastroduodenal bleedings (UGDB) and hemorrhagic shock (HS). There was a study of the results of treatment of 44 patients (29 men and 15 women at the age from 61 to 77) with severe concurrent diseases and UGDB complicated with HS. Recurrences of UGDB in case of HS are a factor of high operative-anesthetic risk. Endoscopic preventive metabolic hemostasis is a prospective direction in rehabilitation of patients with UGDB complicated with HS. It is necessary to improve the EH methods for treatment of continued arterial bleedings from giant gastroduodenal ulcers.
