RESUMEN
Twenty-one patients with carcinoid tumors have been analysed. Out of 18 patients the diagnostic was made at operation and out of 3 by autopsy. The most frequent sites of the primary tumors were the appendix (38.1%), ileum (23.8%) and colon (19.9%). Asymptomatic tumors were found incidentally in 10 patients (55.5%). The symptomatic neoplasms were more common in the ileum. No one patients in this series obtained the diagnostic of carcinoid tumors before operation or autopsy. It was not observed the malignant carcinoid syndrome. Sixteen patients (88.8%) were submitted to resection and the mean survival was 10.7 years. Two patients (11.1%) were submitted to palliative operations and the mean survival was 3.5 months. The incidence of metastases in cases with carcinoid greater than 2.0 cm in diameter was 71.4%; on the other hand, the patients with carcinoids 2.0 cm in diameter or smaller than this size disclosed metastases in 7.6%. No patients with appendix carcinoid showed metastases and all patients with metastases presented ileum or colon carcinoids. In this series, the prognostic was related with the lesion's size, the localization of the tumor in the gastrointestinal tract and with the resection or not of the primary neoplasm.
Asunto(s)
Tumor Carcinoide/patología , Neoplasias Gastrointestinales/patología , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Tumor Carcinoide/cirugía , Niño , Femenino , Neoplasias Gastrointestinales/cirugía , Humanos , Masculino , Persona de Mediana Edad , Metástasis de la Neoplasia/patologíaAsunto(s)
Gastrectomía , Úlcera Péptica/cirugía , Vagotomía , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Complicaciones Posoperatorias , Recurrencia , Estudios RetrospectivosRESUMEN
Foram estudados 24 pacientes portadores de ulcera peptica pos-gastrectomia parcial tratados exclusivamente pela vagotomia troncular, usando-se preferencialmente a via toracica como acesso. Os resultados precoces demonstraram ausencia de mortalidade pos-operatoria e morbidade muito reduzida. Os resultados tardios apresentam baixos indices de recidiva ulcerosa e nao exibiram quadros importantes de diarreia, demonstrando, portanto, ser um metodo bastante eficiente e com amplas possibilidades de emprego no tratamento das ulceras pepticas pos-gastrectomias
Asunto(s)
Adulto , Persona de Mediana Edad , Humanos , Masculino , Femenino , Vagotomía , Úlcera PépticaRESUMEN
Sao revistas 35 observacoes de anastomose bilio-digestiva em doentes portadores de afeccoes nao malignas das vias biliares. Foram realizadas 30 anastomoses hepatico-jejunais com alca excluida e 5 anastomoses hepatico-duodenais em pacientes previamente gastrectomizados com exclusao do duodeno. Os resultados imediatos e tardios foram analisados e 80% dos doentes observados a longo prazo evoluiam bem, demonstrando desaparecimento da ictericia e do quadro infeccioso