RESUMO
Leiomyoma is the most frequent esophageal benign tumor. It represents 70% of these tumors and 1 to 8% of all esophageal tumors. The majority of cases are asymptomatic and are discovered by chance in endoscopic examinations, and a conservative management is adopted. An endoscopic or surgical treatment can be applied in symptomatic cases, basically depending on the size and the underlying layer. OBJECTIVE: To report the endoscopic resection of an esophageal leiomyoma by using an elastic band ligation. Case report: A 55 year-old man complained of prolonged upper dysphagia with solids during three months. An upper gastrointestinal endoscopy was performed and an elevated lesion of 1 cm in diameter was found in the esophagus, at 25 cm from the upper dental arcade, with smooth surface and adjacent areas of normal mucosa. It was interpreted as a submucosal lesion. A hypoechoic mucosal and submucosal formation with well delimited borders was observed in an endoscopic ultrasonography. The lesion was resected by using an endoscopic band ligation and a subsequent section with a polypectomy snare. The patient evolved uneventfully and was discharged in 24 hours. The endoscopic examinations during the follow-up showed the healing of the resulting scar. Pathologists diagnosis was esophageal leiomyoma. CONCLUSION: The elastic band ligation is a simple, safe, effective and cheap method to be taken into account for the treatment of mucosal and submucosal esophageal lesions.(AU)
El leiomioma es el tumor esofágico benigno más frecuente;representa el 70 % de los mismos y el 1 a 8% de todos los tumores del esófago. La mayoría de los casos son asintomáticos y su hallazgo es accidental en estudios endoscópicos, tomándose una conducta conservadora.En los casos sintomáticos se puede decidir un tratamiento quirúrgico o endoscópico, dependiendo fundamentalmente del tamaño y la capa de la pared en la que asienta. Objetivo: Comunicar una resección endoscópicade un leiomioma esofágico mediante el uso de la ligadura con banda elástica. Caso clínico: Se presenta un paciente de 55 años de edad que consultó pordisfagia alta para sólidos, continua y de tres meses de evolución. Se realizó una endoscopía en la que se observóuna lesión elevada de 1 cm de diámetro en esófago, a 25 cm de la arcada dentaria superior, con superficielisa y áreas adyacentes de mucosa sana. Se interpretó la lesión como submucosa. En la ecoendoscopia se apreció una formación hipoecoica de bordes bien delimitados, ubicada en mucosa y submucosa. Se decidió realizar una resección de la lesión utilizando la ligadura endoscópica con banda elástica y posterior sección con asa de polipectomía. El paciente evolucionó favorablemente y fue dado de alta a las 24 horas. Los controles endoscópicos posteriores mostraron una buena cicatrización de la escara resultante. El informe anatomopatológico fue leiomioma esofágico. Conclusión: Laaplicación de la banda elástica es un método simple, seguro, eficaz y de bajo costo para considerar en el manejode las lesiones mucosas y submucosas esofágicas.(AU)
Assuntos
Masculino , Pessoa de Meia-Idade , Humanos , Neoplasias Esofágicas/cirurgia , Esofagoscopia , Leiomioma/cirurgia , LigaduraRESUMO
Leiomyoma is the most frequent esophageal benign tumor. It represents 70% of these tumors and 1 to 8% of all esophageal tumors. The majority of cases are asymptomatic and are discovered by chance in endoscopic examinations, and a conservative management is adopted. An endoscopic or surgical treatment can be applied in symptomatic cases, basically depending on the size and the underlying layer. OBJECTIVE: To report the endoscopic resection of an esophageal leiomyoma by using an elastic band ligation. Case report: A 55 year-old man complained of prolonged upper dysphagia with solids during three months. An upper gastrointestinal endoscopy was performed and an elevated lesion of 1 cm in diameter was found in the esophagus, at 25 cm from the upper dental arcade, with smooth surface and adjacent areas of normal mucosa. It was interpreted as a submucosal lesion. A hypoechoic mucosal and submucosal formation with well delimited borders was observed in an endoscopic ultrasonography. The lesion was resected by using an endoscopic band ligation and a subsequent section with a polypectomy snare. The patient evolved uneventfully and was discharged in 24 hours. The endoscopic examinations during the follow-up showed the healing of the resulting scar. Pathologists diagnosis was esophageal leiomyoma. CONCLUSION: The elastic band ligation is a simple, safe, effective and cheap method to be taken into account for the treatment of mucosal and submucosal esophageal lesions.
El leiomioma es el tumor esofágico benigno más frecuente;representa el 70 % de los mismos y el 1 a 8% de todos los tumores del esófago. La mayoría de los casos son asintomáticos y su hallazgo es accidental en estudios endoscópicos, tomándose una conducta conservadora.En los casos sintomáticos se puede decidir un tratamiento quirúrgico o endoscópico, dependiendo fundamentalmente del tamaño y la capa de la pared en la que asienta. Objetivo: Comunicar una resección endoscópicade un leiomioma esofágico mediante el uso de la ligadura con banda elástica. Caso clínico: Se presenta un paciente de 55 años de edad que consultó pordisfagia alta para sólidos, continua y de tres meses de evolución. Se realizó una endoscopía en la que se observóuna lesión elevada de 1 cm de diámetro en esófago, a 25 cm de la arcada dentaria superior, con superficielisa y áreas adyacentes de mucosa sana. Se interpretó la lesión como submucosa. En la ecoendoscopia se apreció una formación hipoecoica de bordes bien delimitados, ubicada en mucosa y submucosa. Se decidió realizar una resección de la lesión utilizando la ligadura endoscópica con banda elástica y posterior sección con asa de polipectomía. El paciente evolucionó favorablemente y fue dado de alta a las 24 horas. Los controles endoscópicos posteriores mostraron una buena cicatrización de la escara resultante. El informe anatomopatológico fue leiomioma esofágico. Conclusión: Laaplicación de la banda elástica es un método simple, seguro, eficaz y de bajo costo para considerar en el manejode las lesiones mucosas y submucosas esofágicas.
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Esofagoscopia , Leiomioma/cirurgia , Neoplasias Esofágicas/cirurgia , LigaduraRESUMO
INTRODUCTION: Precut papillotomy, has been considered a potentially dangerous procedure. In spite of this, numerous national and foreign referral centers have reported good results with the use of this technique that increases the cannulation rate and permits additional therapeutic procedures. OBJECTIVES: We evaluated the procedure in terms of frequency of use, effectiveness, complications and mortality. PATIENT AND METHODS: Between January 1, 1996 and December 31, 1999, 419 ERCP were performed in our centers. We used precut papillotomy in 51 patients. Inclusion criteria for precut papillotomy protocol were: 1 precut papillotomy indication. 1-1 failure to cannulate the papilla, 1-2 appropriate indication, 1-3 Expert endoscopist, 2 complete follow up, 3 informed consent. The experimental design of the study was prospective. When the patients entered into the protocol, they underwent a needle-knife sphincterotomy according to Huibregise's technique. The follow up was done during 30 days, with a clinical examination, laboratory test and ultrasonography all of them weekly, to determine the possible complications according to Cotton's criteria and the mortality. RESULTS: 4-1) Precut frequency: 51 patients (pts.) (12.1%). 4-2) Follow up: 49 pts. (96.1%) fulfilled the weekly controls; 2 pts. (3.9%) did not come for the controls. 4-3) Sex and Age: Women 29 pts. (56.9%). Age 62.5 +/- 1.74 years. Men: 22 pts. (43.1%) Age +/- 3.35 years. 4-4) INDICATIONS: Jaundice, diagnosis and treatment: 44 pts. (86.3%), post-cholecystectomy pain; 4 pts. (7.8%), and idiopathic abdominal pain: 3 pts. (5.9%). 4-5) Effectiveness: First attempt 35 pts. (71.4%), second attempt: 10 pts (20.4%). Definite effectiveness: 45 pts. (98.1%), failure: 4 pts. (8.1%). 4-6) Complementary treatment: in 43 pts. we performed the following procedures: papillotomy and stone extraction: 26 pts. (53%), papillotomy and prosthesis: 9 pts. (18.4%), Prosthesis: 8 pts. (16.3%, only pre-cut papillotomy: 6 pts. (12.2%). 4-7 Final diagnoses: Coledocholithiasis 41 pts. (83.6%); Malignant obstruction of biliary duct: 4 pts. (8.2%), Pancreatic Cancer: 1 pts. (2%); Ampullary Cancer 1 pts. (2%). Oddi sphyncter dysfunction: 1 pts. (2%). 4-8. COMPLICATIONS: Total 9 pts. (18.4%). mild Haemorrhage: 7 pts. (14.4%). Acute pancreatitis: 2 pts. (4%), mild: 1 pts. (2%), severe: 1 pts. (2%) 4-9-Mortality: not recorded. CONCLUSIONS: 5-1 Precut papillotomy is used by us with the same frequency native authors use it, but less than foreign authors. 5-2 Age, sex, indications, complementary treatment and final diagnoses are similar to those repo. 5-3 reported by other authors. 5-3- High rate of follow up. 5-4- High percentage of effectiveness which coincide with consulted studies. Precut papillotomy was the only therapy in 12.2% of the cases. 5-5 Low percentage of complications and, when present, of minor importance coinciding with other authors. 5-6 No mortality. 5-7 In our experience, precut papillotomy was a safe and effective technique to cannulate the papilla.
Assuntos
Ampola Hepatopancreática/cirurgia , Doenças do Ducto Colédoco/cirurgia , Esfinterotomia Endoscópica , Argentina , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Esfinterotomia Endoscópica/efeitos adversos , Esfinterotomia Endoscópica/mortalidade , Esfinterotomia Endoscópica/estatística & dados numéricosRESUMO
1) INTRODUCTION: Precut papillotomy, has been considered a potentially dangerous procedure. In spite of this, numerous national and foreign referral centers have reported good results with the use of this technique that increases the cannulation rate and permits additional therapeutic procedures. 2) OBJECTIVES: We evaluated the procedure in terms of frequency of use, effectiveness, complications and mortality. 3) PATIENT AND METHODS: Between January 1, 1996 and December 31, 1999, 419 ERCP were performed in our centers. We used precut papillotomy in 51 patients. Inclusion criteria for precut papillotomy protocol were: 1 precut papillotomy indication. 1-1 failure to cannulate the papilla, 1-2 appropriate indication, 1-3 Expert endoscopist, 2 complete follow up, 3 informed consent. The experimental design of the study was prospective. When the patients entered into the protocol, they underwent a needle-knife sphincterotomy according to Huibregises technique. The follow up was done during 30 days, with a clinical examination, laboratory test and ultrasonography all of them weekly, to determine the possible complications according to Cottons criteria and the mortality. 4) RESULTS: 4-1) Precut frequency: 51 patients (pts.) (12.1
). 4-2) Follow up: 49 pts. (96.1
) fulfilled the weekly controls; 2 pts. (3.9
) did not come for the controls. 4-3) Sex and Age: Women 29 pts. (56.9
). Age 62.5 +/- 1.74 years. Men: 22 pts. (43.1
) Age +/- 3.35 years. 4-4) Indications: Jaundice, diagnosis and treatment: 44 pts. (86.3
), post-cholecystectomy pain; 4 pts. (7.8
), and idiopathic abdominal pain: 3 pts. (5.9
). 4-5) Effectiveness: First attempt 35 pts. (71.4
), second attempt: 10 pts (20.4
). Definite effectiveness: 45 pts. (98.1
), failure: 4 pts. (8.1
). 4-6) Complementary treatment: in 43 pts. we performed the following procedures: papillotomy and stone extraction: 26 pts. (53
), papillotomy and prosthesis: 9 pts. (18.4
), Prosthesis: 8 pts. (16.3
, only pre-cut papillotomy: 6 pts. (12.2
). 4-7 Final diagnoses: Coledocholithiasis 41 pts. (83.6
); Malignant obstruction of biliary duct: 4 pts. (8.2
), Pancreatic Cancer: 1 pts. (2
); Ampullary Cancer 1 pts. (2
). Oddi sphyncter dysfunction: 1 pts. (2
). 4-8. Complications: Total 9 pts. (18.4
). mild Haemorrhage: 7 pts. (14.4
). Acute pancreatitis: 2 pts. (4
), mild: 1 pts. (2
), severe: 1 pts. (2
) 4-9-Mortality: not recorded. CONCLUSIONS: 5-1 Precut papillotomy is used by us with the same frequency native authors use it, but less than foreign authors. 5-2 Age, sex, indications, complementary treatment and final diagnoses are similar to those repo. 5-3 reported by other authors. 5-3- High rate of follow up. 5-4- High percentage of effectiveness which coincide with consulted studies. Precut papillotomy was the only therapy in 12.2
of the cases. 5-5 Low percentage of complications and, when present, of minor importance coinciding with other authors. 5-6 No mortality. 5-7 In our experience, precut papillotomy was a safe and effective technique to cannulate the papilla.
RESUMO
1) INTRODUCTION: Precut papillotomy, has been considered a potentially dangerous procedure. In spite of this, numerous national and foreign referral centers have reported good results with the use of this technique that increases the cannulation rate and permits additional therapeutic procedures. 2) OBJECTIVES: We evaluated the procedure in terms of frequency of use, effectiveness, complications and mortality. 3) PATIENT AND METHODS: Between January 1, 1996 and December 31, 1999, 419 ERCP were performed in our centers. We used precut papillotomy in 51 patients. Inclusion criteria for precut papillotomy protocol were: 1 precut papillotomy indication. 1-1 failure to cannulate the papilla, 1-2 appropriate indication, 1-3 Expert endoscopist, 2 complete follow up, 3 informed consent. The experimental design of the study was prospective. When the patients entered into the protocol, they underwent a needle-knife sphincterotomy according to Huibregises technique. The follow up was done during 30 days, with a clinical examination, laboratory test and ultrasonography all of them weekly, to determine the possible complications according to Cottons criteria and the mortality. 4) RESULTS: 4-1) Precut frequency: 51 patients (pts.) (12.1 percent). 4-2) Follow up: 49 pts. (96.1 percent) fulfilled the weekly controls; 2 pts. (3.9 percent) did not come for the controls. 4-3) Sex and Age: Women 29 pts. (56.9 percent). Age 62.5 +/- 1.74 years. Men: 22 pts. (43.1 percent) Age +/- 3.35 years. 4-4) Indications: Jaundice, diagnosis and treatment: 44 pts. (86.3 percent), post-cholecystectomy pain; 4 pts. (7.8 percent), and idiopathic abdominal pain: 3 pts. (5.9 percent). 4-5) Effectiveness: First attempt 35 pts. (71.4 percent), second attempt: 10 pts (20.4 percent). Definite effectiveness: 45 pts. (98.1 percent), failure: 4 pts. (8.1 percent). 4-6) Complementary treatment: in 43 pts. we performed the following procedures: papillotomy and stone extraction: 26 pts. (53 percent), papillotomy and prosthesis: 9 pts. (18.4 percent), Prosthesis: 8 pts. (16.3 percent, only pre-cut papillotomy: 6 pts. (12.2 percent). 4-7 Final diagnoses: Coledocholithiasis 41 pts. (83.6 percent); Malignant obstruction of biliary duct: 4 pts. (8.2 percent), Pancreatic Cancer: 1 pts. (2 percent); Ampullary Cancer 1 pts. (2 percent). Oddi sphyncter dysfunction: 1 pts. (2 percent). 4-8... (Au)
Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Doenças do Ducto Colédoco/cirurgia , Esfinterotomia Endoscópica , Ampola Hepatopancreática/cirurgia , Seguimentos , Esfinterotomia Endoscópica/efeitos adversos , Esfinterotomia Endoscópica/mortalidade , Esfinterotomia Endoscópica/estatística & dados numéricos , Estudos ProspectivosRESUMO
1) INTRODUCTION: Precut papillotomy, has been considered a potentially dangerous procedure. In spite of this, numerous national and foreign referral centers have reported good results with the use of this technique that increases the cannulation rate and permits additional therapeutic procedures. 2) OBJECTIVES: We evaluated the procedure in terms of frequency of use, effectiveness, complications and mortality. 3) PATIENT AND METHODS: Between January 1, 1996 and December 31, 1999, 419 ERCP were performed in our centers. We used precut papillotomy in 51 patients. Inclusion criteria for precut papillotomy protocol were: 1 precut papillotomy indication. 1-1 failure to cannulate the papilla, 1-2 appropriate indication, 1-3 Expert endoscopist, 2 complete follow up, 3 informed consent. The experimental design of the study was prospective. When the patients entered into the protocol, they underwent a needle-knife sphincterotomy according to Huibregise's technique. The follow up was done during 30 days, with a clinical examination, laboratory test and ultrasonography all of them weekly, to determine the possible complications according to Cotton's criteria and the mortality. 4) RESULTS: 4-1) Precut frequency: 51 patients (pts.) (12.1 percent). 4-2) Follow up: 49 pts. (96.1 percent) fulfilled the weekly controls; 2 pts. (3.9 percent) did not come for the controls. 4-3) Sex and Age: Women 29 pts. (56.9 percent). Age 62.5 +/- 1.74 years. Men: 22 pts. (43.1 percent) Age +/- 3.35 years. 4-4) Indications: Jaundice, diagnosis and treatment: 44 pts. (86.3 percent), post-cholecystectomy pain; 4 pts. (7.8 percent), and idiopathic abdominal pain: 3 pts. (5.9 percent). 4-5) Effectiveness: First attempt 35 pts. (71.4 percent), second attempt: 10 pts (20.4 percent). Definite effectiveness: 45 pts. (98.1 percent), failure: 4 pts. (8.1 percent). 4-6) Complementary treatment: in 43 pts. we performed the following procedures: papillotomy and stone extraction: 26 pts. (53 percent), papillotomy and prosthesis: 9 pts. (18.4 percent), Prosthesis: 8 pts. (16.3 percent, only pre-cut papillotomy: 6 pts. (12.2 percent). 4-7 Final diagnoses: Coledocholithiasis 41 pts. (83.6 percent); Malignant obstruction of biliary duct: 4 pts. (8.2 percent), Pancreatic Cancer: 1 pts. (2 percent); Ampullary Cancer 1 pts. (2 percent). Oddi sphyncter dysfunction: 1 pts. (2 percent). 4-8...
Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Ampola Hepatopancreática , Doenças do Ducto Colédoco , Seguimentos , Esfinterotomia Endoscópica , Estudos Prospectivos , Esfinterotomia EndoscópicaRESUMO
We present a young, female patient with clinical and biochemical manifestations of acute cholestasis who had undergone a 10-day course of 1,500 mg/day amoxicillin 3 weeks before the consultation. Diagnosis was based on the absence of alcohol consumption, negative viral markers and antibodies, normal biliary tract, clinical and biochemical improvement when amoxicillin was withdrawn and liver biopsy with histological changes compatible with amoxicillin-induced acute cholestasis. Because hepatotoxicity induced by amoxicillin alone is rare, we believe it important to communicate this new case and to warn of this possible complication. We also stress that simple cholestasis induced by amoxicillin alone, as presented in this case, has been described in only one report, published 10 years ago.
Assuntos
Amoxicilina/efeitos adversos , Colestase Intra-Hepática/induzido quimicamente , Penicilinas/efeitos adversos , Doença Aguda , Adulto , Feminino , HumanosRESUMO
PURPOSE: To show the experience in rigid prosthesis used as a palliative treatment for malignant++ esophageal stenosis. MATERIAL AND METHOD: From November 1995 to January 1997, 14 patients between 51 and 83 years old, were referred for rigid prosthesis in a prospective way (71.5 = 2.3); 11 of them were men and 3 women. The criteria for including them was: 11 (eleven) patients suffering from esophagus cancer stage IV; 2 (two) patients suffering from stomach cancer with esophageal invasion stage IV and 1 (one) patient with mediastinum metastasis of breast cancer. Wilson-Cook rigid prosthesis was used for all these cases. The insertion technique was "the dilator method". RESULTS: Successful method: 14 (100%). Mortality: Not recorded. Disorders: In 6 (six) patients (42.8%); 3 (three) (21.4%) at an early stage: migrations and 3 (21.4%) at a later stage: 2 (two) tamponade because of food and 1 (one) magration. Time in hospital or clinic: 24 hours (100%). Improvement on Dysphagia: 14 (100%). Following: 13 (92.8%). Survivance: 18-266 days (92 = 83.6). CONCLUSIONS: 1. High percentage of success in prosthesis setting. 2. No mortality. 3. Low percentage of complications and if so, of minor importance. 4. Minimal time in hospital or clinic. 5. Quick and effective dysphagia improvement. 6. Appropriate follow up. 7. Survival similar to other palliative methods, less morbimortality and cost and better life conditions.
Assuntos
Neoplasias Esofágicas/cirurgia , Estenose Esofágica/cirurgia , Esôfago/cirurgia , Cuidados Paliativos , Próteses e Implantes , Idoso , Idoso de 80 Anos ou mais , Argentina , Neoplasias Esofágicas/complicações , Estenose Esofágica/etiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos ProspectivosRESUMO
1. PURPOSE: To show the experience in rigid prosthesis used as a palliative treatment for malignant++ esophageal stenosis. 2. MATERIAL AND METHOD: From November 1995 to January 1997, 14 patients between 51 and 83 years old, were referred for rigid prosthesis in a prospective way (71.5 = 2.3); 11 of them were men and 3 women. The criteria for including them was: 11 (eleven) patients suffering from esophagus cancer stage IV; 2 (two) patients suffering from stomach cancer with esophageal invasion stage IV and 1 (one) patient with mediastinum metastasis of breast cancer. Wilson-Cook rigid prosthesis was used for all these cases. The insertion technique was [quot ]the dilator method[quot ]. 3. RESULTS: Successful method: 14 (100
). Mortality: Not recorded. Disorders: In 6 (six) patients (42.8
); 3 (three) (21.4
) at an early stage: migrations and 3 (21.4
) at a later stage: 2 (two) tamponade because of food and 1 (one) magration. Time in hospital or clinic: 24 hours (100
). Improvement on Dysphagia: 14 (100
). Following: 13 (92.8
). Survivance: 18-266 days (92 = 83.6). 4. CONCLUSIONS: 1. High percentage of success in prosthesis setting. 2. No mortality. 3. Low percentage of complications and if so, of minor importance. 4. Minimal time in hospital or clinic. 5. Quick and effective dysphagia improvement. 6. Appropriate follow up. 7. Survival similar to other palliative methods, less morbimortality and cost and better life conditions.
RESUMO
Se comunica un nuevo caso de S.I.C. ocasionado por un divertículo yeyunal, y revisión de la literatura referente a etiopatogenia, clínica, diagnóstico y tratamiento del mismo.
Assuntos
Humanos , Masculino , Adulto , Divertículo/complicações , Pseudo-Obstrução Intestinal/etiologia , Doenças do Jejuno/complicações , Doença CrônicaRESUMO
Se comunica un nuevo caso de S.I.C. ocasionado por un divertículo yeyunal, y revisión de la literatura referente a etiopatogenia, clínica, diagnóstico y tratamiento del mismo. (AU)
Assuntos
Humanos , Masculino , Adulto , Pseudo-Obstrução Intestinal/etiologia , Divertículo/complicações , Doenças do Jejuno/complicações , Doença CrônicaRESUMO
Se comunica una complicación no descripta de la sonda nasoyeyunal, un nudo en la misma. Se analiza la frecuencia, tipos, motivos de esta complicación y sugerencias para evitarla. (AU)
Assuntos
Humanos , Masculino , Idoso , Falha de Equipamento , Nutrição Enteral/efeitos adversos , Intubação Gastrointestinal/efeitos adversos , Jejuno , Intubação Gastrointestinal/instrumentação , Nutrição Enteral/instrumentaçãoRESUMO
Se comunica una complicación no descripta de la sonda nasoyeyunal, un nudo en la misma. Se analiza la frecuencia, tipos, motivos de esta complicación y sugerencias para evitarla.
Assuntos
Humanos , Masculino , Idoso , Falha de Equipamento , Intubação Gastrointestinal/efeitos adversos , Nutrição Enteral/efeitos adversos , Intubação Gastrointestinal/instrumentação , Jejuno , Nutrição Enteral/instrumentaçãoRESUMO
We report a problem not yet described with nasojejunal tube. It got knotted frequency, types and causes are reported as well frequency, types and causes are reported as well as suggestions to prevent it.
Assuntos
Nutrição Enteral/efeitos adversos , Falha de Equipamento , Intubação Gastrointestinal/efeitos adversos , Idoso , Nutrição Enteral/instrumentação , Humanos , Intubação Gastrointestinal/instrumentação , Jejuno , MasculinoRESUMO
A new case of Shigella-caused megacolon is described in detailed form. Some considerations are made about frequency, pathology, clinic and prognostic features (Au)
Assuntos
Humanos , Feminino , Disenteria Bacilar/complicações , Megacolo Tóxico/etiologia , Shigella flexneri , Doença Aguda , Idoso , Terapia Combinada , Disenteria Bacilar/diagnóstico , Disenteria Bacilar/terapia , Resumo em Inglês , Megacolo Tóxico/diagnóstico , Megacolo Tóxico/terapiaRESUMO
A new case of Shigella-caused megacolon is described in detailed form. Some considerations are made about frequency, pathology, clinic and prognostic features
Assuntos
Humanos , Feminino , Disenteria Bacilar/complicações , Megacolo Tóxico/etiologia , Shigella flexneri , Doença Aguda , Idoso , Terapia Combinada , Disenteria Bacilar/diagnóstico , Disenteria Bacilar/terapia , Resumo em Inglês , Megacolo Tóxico/diagnóstico , Megacolo Tóxico/terapiaRESUMO
A new case of Shigella-caused megacolon is described in detailed form. Some considerations are made about frequency, pathology, clinic and prognostic features.
Assuntos
Disenteria Bacilar/complicações , Megacolo Tóxico/etiologia , Shigella flexneri , Doença Aguda , Idoso , Terapia Combinada , Disenteria Bacilar/diagnóstico , Disenteria Bacilar/terapia , Feminino , Humanos , Megacolo Tóxico/diagnóstico , Megacolo Tóxico/terapiaRESUMO
A new case of Shigella-caused megacolon is described in detailed form. Some considerations are made about frequency, pathology, clinic and prognostic features.
RESUMO
A new case of Shigella-caused megacolon is described in detailed form. Some considerations are made about frequency, pathology, clinic and prognostic features.
