RESUMO
Pathological involvement of the colon secondary to acute and chronic pancreatitis is a rare complication of major clinical interest. Contiguity with the tail of the pancreas and certain anatomical relationships, particularly at the level of the peritoneal reflections, explain the involvement of, particularly, the left corner of the colon and the adjacent part of the transverse colon. The clinical forms may be listed as follows: 1) Adynamic ileus of the transverse colon associated, on direct radiological examination, with the picture of proximal colon distension with clear-cut interruption at the level of the transverse colon or left flexure. 2) Stenosis of the left flexure due to pericolitis and to the fibrosclerosing process that may take in other contiguous organs also. 3) Fistula of the left flexure or of the adjacent part of the transverse colon due to parietal necrosis and vascular impairment. Also described is an association of fistula and massive haemorrhage for erosion of the colon and of the splenic artery by pancreatic pseudocyst. Two clinical cases are presented along with the basic elements of pathology, diagnosis and therapy.
Assuntos
Doenças do Colo/etiologia , Pancreatite/complicações , Idoso , Colite/etiologia , Hemorragia Gastrointestinal/etiologia , Humanos , Fístula Intestinal/etiologia , Obstrução Intestinal/etiologia , Masculino , Pessoa de Meia-Idade , Pseudocisto Pancreático/complicações , EscleroseRESUMO
Two cases of Ménétrier's disease are presented. Gastric resection was adopted due to necessity in one case, and total gastrectomy in the other. Gastric and digestive exploration, particularly gastroscopy, are regarded as indispensable diagnostic steps. Total gastrectomy is the treatment of choice. This prevents further protein loss and possible malignant degeneration.
Assuntos
Gastrite Hipertrófica/patologia , Gastrite/patologia , Feminino , Gastrectomia , Gastrite Hipertrófica/diagnóstico , Gastrite Hipertrófica/cirurgia , Gastroscopia , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
6 cases of upper extremity embolism observed over the past three years are reported. Fogarty embolectomy was carried out in all patients, favourable revascularization results being obtained in 5. Forearm amputations was necessary in 1 case owing to the presence of ischaemic lesions that were already advanced at admittance, further proof that results depend above all on the vitality of the extremity rather than on the duration of the arterial occlusion.
Assuntos
Braço/irrigação sanguínea , Embolia , Adulto , Idoso , Angiografia , Embolia/diagnóstico por imagem , Embolia/cirurgia , Feminino , HumanosRESUMO
Endoscopy following operations on the stomach showed inflammation or ulceration attributable to no-absorbable suture threads in a number of cases. The pathogenetic and clinical features of this picture are described. Complete remission was obtained after endoscopic removal of the foreign body.
Assuntos
Gastrectomia/efeitos adversos , Gastropatias/etiologia , Suturas/efeitos adversos , Dispepsia/etiologia , Reação a Corpo Estranho , Gastroenterite/etiologia , Gastroenterostomia/efeitos adversos , Hemorragia Gastrointestinal/etiologia , Granuloma/etiologia , Humanos , Complicações Pós-Operatórias , Piloro/cirurgia , Úlcera Gástrica/etiologiaAssuntos
Colite/etiologia , Colo/irrigação sanguínea , Isquemia , Proctocolite/etiologia , Reto/irrigação sanguínea , Doença Aguda , Idoso , Humanos , Isquemia/complicações , Masculino , Oclusão Vascular Mesentérica/complicações , Pessoa de Meia-Idade , Necrose , Proctocolite/cirurgia , Trombose/etiologiaRESUMO
Personal experience in cases of benign tumour of the stomach is presented. Diagnosis cannot be based on the clinical evidence alone, but must be supported by radiological examination and, more particularly, by endoscopic biopsy. Endoscopic resection and continuous follow-up examinations provide an alternative to radical surgery and gastrotomic resection.
Assuntos
Neoplasias Gástricas , Endoscopia , Humanos , Radiografia , Neoplasias Gástricas/classificação , Neoplasias Gástricas/diagnóstico , Neoplasias Gástricas/diagnóstico por imagemRESUMO
Personal experience with glucagon in 15 cases of acute pancreatitis is reported. Complete remission of pain within 2-3 hr after infusion of the drug was noted in 85% of the series, together with normalisation of blood amylase within 48-72 hr. Glucagon inhibits pancreatic secretio&n. Vairous theories concerning its mechanism of action are examined.