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Revista espanola de las enfermedades del aparato digestivo最新文献

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[Morphology of chronic gastritis associated with Campylobacter pylori infection]. [幽门弯曲杆菌感染相关慢性胃炎的形态学研究]。
Revista espanola de las enfermedades del aparato digestivo Pub Date : 1989-12-01
F J Sancho Poch, S Sainz Sáenz-Torre, J Monés Xiol, D González Juan, B Mirelis, F Vilardell Viñas
{"title":"[Morphology of chronic gastritis associated with Campylobacter pylori infection].","authors":"F J Sancho Poch,&nbsp;S Sainz Sáenz-Torre,&nbsp;J Monés Xiol,&nbsp;D González Juan,&nbsp;B Mirelis,&nbsp;F Vilardell Viñas","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Recently, a close relation has been found between infection of the gastric mucosa by Campylobacter pylori and chronic gastritis. To establish the possible existence of characteristic morphologic changes in this disease, which can be differentiated from other unrelated forms of gastritis, we analyzed the antral biopsies obtained from 75 patients, 35 with duodenal peptic ulcer and 40 with nonulcerous dyspepsia. The diagnosis of C. pylori infection is based on positive biopsy culture or, if not, when following three requirements are met: positive urease test before 24 hours, identification of the germ by Gram stain and visualization in the tissue of microorganisms with morphology similar to that of C. pylori. We found that 85.5% of the 55 patients with C. pylori infection present active chronic gastritis with lymphoid nodes (GCA + NL), while this morphology is only found in 5 of the 20 uninfected patients. The association of GCA + NL with C. pylori infection is highly significant (p less than 0.0001). We think that it could be a local immunologic response to the stimulus of the bacterial antigen, and that it has sufficient morphologic entity to differentiate it from other inflammatory processes of the gastric mucosa of still unknown etiology.</p>","PeriodicalId":76457,"journal":{"name":"Revista espanola de las enfermedades del aparato digestivo","volume":"76 6 Pt 1","pages":"551-4"},"PeriodicalIF":0.0,"publicationDate":"1989-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13764426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Dieulafoy's vascular disease]. [Dieulafoy血管病]。
Revista espanola de las enfermedades del aparato digestivo Pub Date : 1989-12-01
J F Ponce González, R Barriga Beltrán, E Prendes Sillero, M A Japón Rodríguez, S Morales Méndez
{"title":"[Dieulafoy's vascular disease].","authors":"J F Ponce González,&nbsp;R Barriga Beltrán,&nbsp;E Prendes Sillero,&nbsp;M A Japón Rodríguez,&nbsp;S Morales Méndez","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Four cases are reported of upper gastrointestinal hemorrhage caused by Dieulafoy's vascular disease treated in our service over the last 15 years. In all these patients bleeding was from an unusually long artery with a tortuous trajectory through the gastric submucosa that eroded the mucosa and caused blood loss. In 75% of the cases it was located 6 cm below the gastroesophageal junction, near the small curvature. The diagnosis is usually made by endoscopy or during emergency gastrostomy. The most effective therapeutic measure is surgical resection.</p>","PeriodicalId":76457,"journal":{"name":"Revista espanola de las enfermedades del aparato digestivo","volume":"76 6 Pt 1","pages":"563-6"},"PeriodicalIF":0.0,"publicationDate":"1989-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13764429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Cancer of the surgically treated stomach: 46 cases. II: Therapeutic and survival aspects]. 手术治疗的胃癌46例。II:治疗和生存方面]。
Revista espanola de las enfermedades del aparato digestivo Pub Date : 1989-12-01
J M Del Val Gil, F A García Gil, F Lamata Hernández, I Gallego Castaño, J J Calvo Sancho, M González González
{"title":"[Cancer of the surgically treated stomach: 46 cases. II: Therapeutic and survival aspects].","authors":"J M Del Val Gil,&nbsp;F A García Gil,&nbsp;F Lamata Hernández,&nbsp;I Gallego Castaño,&nbsp;J J Calvo Sancho,&nbsp;M González González","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We made a retrospective study of stomach cancer operated in 46 cases between 1971 and 1988, based on therapeutic aspects and survival, observing that due to the generally late diagnosis of this neoplasm, the treatment, which is mainly surgical, produces a low 5-year survival rate in the majority of patients. In our series, partial gastrectomy was more predominant than total gastrectomy, and the overall 5-year survival is 11% and 13%, depending on whether postoperative mortality is included or not. We recommend the follow-up of all patients operated for benign gastric pathology, basically by endoscopy five years after the operation and throughout life, for the early diagnosis and improved prognosis of this neoplasm.</p>","PeriodicalId":76457,"journal":{"name":"Revista espanola de las enfermedades del aparato digestivo","volume":"76 6 Pt 1","pages":"540-4"},"PeriodicalIF":0.0,"publicationDate":"1989-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13766201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Diagnosis of choledocholithiasis and residual lithiasis. Ultrasonic postcholecystectomy]. 胆总管结石和残余结石的诊断。超声波postcholecystectomy]。
Revista espanola de las enfermedades del aparato digestivo Pub Date : 1989-12-01
J M Segura, P Conthe, R Martín, P Mora, E Villeta
{"title":"[Diagnosis of choledocholithiasis and residual lithiasis. Ultrasonic postcholecystectomy].","authors":"J M Segura,&nbsp;P Conthe,&nbsp;R Martín,&nbsp;P Mora,&nbsp;E Villeta","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>246 patients with proven common bile duct stones at surgery were studied in order to establish the accuracy of ultrasound scanning in detecting choledocholithiasis and to compare the sensitivity of real-time examinations with those performed by a static scanner. The detection of choledocholithiasis by real-time ultrasound was 45.6% compared to 26.3% for the examinations performed with a static scanner. A dilated common bile duct was detected in 83.6% using real-time scanning compared to 70.3% using a static scanner. When the common bile duct was not dilated ultrasound was unable to detect the stones. Real-time ultrasound detected 66.6% of the patients with residual choledocholithiasis compared to 23.5% of patients examined by a static scanner. Our results show that real-time ultrasound scanning is a very useful screening method in detecting choledocholithiasis and residual lithiasis.</p>","PeriodicalId":76457,"journal":{"name":"Revista espanola de las enfermedades del aparato digestivo","volume":"76 6 Pt 2","pages":"627-30"},"PeriodicalIF":0.0,"publicationDate":"1989-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13841594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Acute pancreatitis: etiopathogenesis, physiopathology and clinical aspects]. 【急性胰腺炎:发病机制、生理病理及临床】。
Revista espanola de las enfermedades del aparato digestivo Pub Date : 1989-12-01
C González Padrón, C E González Reimers, F J Santolaria Fernández
{"title":"[Acute pancreatitis: etiopathogenesis, physiopathology and clinical aspects].","authors":"C González Padrón,&nbsp;C E González Reimers,&nbsp;F J Santolaria Fernández","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Acute pancreatitis is a serious clinical problem. Many of the etiopathogenic mechanisms are not clear and its pathophysiology is very complex, with multisystemic implications. The outcome may be severe, and there is no general agreement on the therapeutic approach. In the present paper we review the newest etiopathogenic and physiopathologic concepts on acute pancreatitis as well as the diagnostic criteria on this condition.</p>","PeriodicalId":76457,"journal":{"name":"Revista espanola de las enfermedades del aparato digestivo","volume":"76 6 Pt 2","pages":"631-9"},"PeriodicalIF":0.0,"publicationDate":"1989-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13841595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Diagnostic imaging in digestive pathology]. [消化病理诊断影像学]。
Revista espanola de las enfermedades del aparato digestivo Pub Date : 1989-12-01
M J Varas Lorenzo
{"title":"[Diagnostic imaging in digestive pathology].","authors":"M J Varas Lorenzo","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76457,"journal":{"name":"Revista espanola de las enfermedades del aparato digestivo","volume":"76 6 Pt 1","pages":"593-4"},"PeriodicalIF":0.0,"publicationDate":"1989-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13764433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Perforated sigmoiditis. Experiences with 805 cases. A multicenter study]. (穿孔乙状结肠炎。805例经验。多中心研究]。
Revista espanola de las enfermedades del aparato digestivo Pub Date : 1989-12-01
M González González, F Lamata Hernández, A Jiménez Bernadó, M Martínez Díez, A García Gil
{"title":"[Perforated sigmoiditis. Experiences with 805 cases. A multicenter study].","authors":"M González González,&nbsp;F Lamata Hernández,&nbsp;A Jiménez Bernadó,&nbsp;M Martínez Díez,&nbsp;A García Gil","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This was a multicenter study corresponding to 40 services. For each patient, a card containing 90 questions was filled out. At the same time we sent a personal survey card with 11 criteria questions. Our cases corresponded to 805 patients, 457 males and 348 females. The highest frequency was between 50-80 years. The therapeutic methods most often used were: drainage plus Hartmann, 37.1%; drainage plus colostomy, 24.9%; resection and anastomosis without colostomy, 12.45%, and with colostomy, 5.11%; drainage plus exteriorization, 5.98%, and conservative, 4.6%. We studied the morbimortality correlation according to different anatomoclinical groups and techniques used. The results were nonsignificant for mortality and statistically significant for evisceration, eventration, diffuse peritonitis, upper gastrointestinal bleeding, anastomotic dehiscence and type of anastomosis, manual or instrumental.</p>","PeriodicalId":76457,"journal":{"name":"Revista espanola de las enfermedades del aparato digestivo","volume":"76 6 Pt 1","pages":"574-83"},"PeriodicalIF":0.0,"publicationDate":"1989-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13838130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Surgery of cancer of the rectum]. [直肠癌的外科手术]。
Revista espanola de las enfermedades del aparato digestivo Pub Date : 1989-12-01
M Hidalgo Pascual, E Moreno González, J M Figueroa Andollo, I García García, J Ibáñez Aguirre, F Palma Carazo
{"title":"[Surgery of cancer of the rectum].","authors":"M Hidalgo Pascual,&nbsp;E Moreno González,&nbsp;J M Figueroa Andollo,&nbsp;I García García,&nbsp;J Ibáñez Aguirre,&nbsp;F Palma Carazo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Surgery of the distal half of the rectum has changed considerably in the last decades; new technical procedures have made possible the conservation of the sphincters in a considerable number of patients. We present the most significant factors of this change in surgical approach. The supporting pilars of the change have been the possibility of automatic sutures (staplers), the reduction of the distal margin and the fact that the rate of complications is similar to that of the abdomino-perineal resection. We review the complications of the surgical treatment (stenosis and fistulas) and the advantages and disadvantages of the instrumental sutures and new surgical procedures.</p>","PeriodicalId":76457,"journal":{"name":"Revista espanola de las enfermedades del aparato digestivo","volume":"76 6 Pt 2","pages":"670-6"},"PeriodicalIF":0.0,"publicationDate":"1989-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13841596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Non-specific chronic gastritis and gastric dysplasia, what is their clinical values?]. 【非特异性慢性胃炎和胃发育不良，它们的临床价值是什么?】
Revista espanola de las enfermedades del aparato digestivo Pub Date : 1989-12-01
F Martínez Alcalá, F Rivera Hueto, H Galera Davidson, F Martínez Pérez
{"title":"[Non-specific chronic gastritis and gastric dysplasia, what is their clinical values?].","authors":"F Martínez Alcalá,&nbsp;F Rivera Hueto,&nbsp;H Galera Davidson,&nbsp;F Martínez Pérez","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Although nonspecific chronic gastritis and gastric dysplasia are considered as risk factors in the development of gastric cancer, the magnitude of this risk has not been well established. We made an endoscopic and histologic follow-up of 24 patients with an initial diagnosis of atrophic chronic gastritis and some degree of dysplasia over a period of 8 years. The first study revealed slight dysplasia in 8 patients, moderate dysplasia in 13 and severe dysplasia in 3. In our observation, dysplasia considered overall shows a probability of almost 54% of evolution to regression. In our study, the association of atrophic chronic gastritis and severe dysplasia is a reliable marker of gastric cancer. We think it is opportune to carry out periodic follow-ups by endoscopy and biopsy of patients with chronic gastritis and dysplasia.</p>","PeriodicalId":76457,"journal":{"name":"Revista espanola de las enfermedades del aparato digestivo","volume":"76 6 Pt 1","pages":"545-50"},"PeriodicalIF":0.0,"publicationDate":"1989-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13766202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Reye's syndrome in adults. Presentation of a new case and review of the literature]. 成人雷氏综合症。一个新病例的报告和文献综述]。
Revista espanola de las enfermedades del aparato digestivo Pub Date : 1989-12-01
F Carnicer, J M Palazón, E Griño, J Sánchez, J A Casellas, B Alvarez, M J Jiménez, A Gómez
{"title":"[Reye's syndrome in adults. Presentation of a new case and review of the literature].","authors":"F Carnicer,&nbsp;J M Palazón,&nbsp;E Griño,&nbsp;J Sánchez,&nbsp;J A Casellas,&nbsp;B Alvarez,&nbsp;M J Jiménez,&nbsp;A Gómez","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This is the case of a 29 year-old woman, admitted because of diarrhea and incoercible vomiting; later in the course of the disease she developed signs and symptoms of encephalopathy. The diagnosis of Reye's syndrome was made after death.</p>","PeriodicalId":76457,"journal":{"name":"Revista espanola de las enfermedades del aparato digestivo","volume":"76 6 Pt 2","pages":"689-92"},"PeriodicalIF":0.0,"publicationDate":"1989-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13839438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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