Revista espanola de las enfermedades del aparato digestivo最新文献

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[Biliary lithiasis]. 胆道结石病。
L González, J A Alvarez Pérez, J Aza González, R Baldonedo Cernuda, J González, J González Martínez, A Miyar González, A Pérez Suárez, L Vázquez Velasco
{"title":"[Biliary lithiasis].","authors":"L González,&nbsp;J A Alvarez Pérez,&nbsp;J Aza González,&nbsp;R Baldonedo Cernuda,&nbsp;J González,&nbsp;J González Martínez,&nbsp;A Miyar González,&nbsp;A Pérez Suárez,&nbsp;L Vázquez Velasco","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We have reviewed our experience with 2,430 cases of lithiasis of the biliary tract, 500 of them located in the common bile duct and 104 corresponding to residual lithiasis. We have made a general reflexion on the problems aroused by this very common al condition, which has an imprevisible, some times severe, outcome. The recent acquisition of new conservative methods, as disolvents and lithotrix, and the diagnostic and therapeutic role of endoscopy have revolutionated the state of the art and have introduced controversial points still unsolved. As it is common in clinical practice, biliary lithiasis should be approached in a multidisciplinary fashion, employing the most convenient diagnostic procedure for the clinical situation of the patient; a priori no accredited procedure should be disregarded.</p>","PeriodicalId":76457,"journal":{"name":"Revista espanola de las enfermedades del aparato digestivo","volume":"76 6 Pt 2","pages":"622-6"},"PeriodicalIF":0.0,"publicationDate":"1989-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13841593","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
[Clinical aspects of stasis hepatomegaly]. [瘀血肝肿大的临床特点]。
M Ortega Calvo, Y Corchado Albalat, M Fuentes Verdera, J L Griera Borrás, C Martínez Manzanares
{"title":"[Clinical aspects of stasis hepatomegaly].","authors":"M Ortega Calvo,&nbsp;Y Corchado Albalat,&nbsp;M Fuentes Verdera,&nbsp;J L Griera Borrás,&nbsp;C Martínez Manzanares","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The clinical characteristics of 100 patients diagnosed of congestive hepatomegaly have been reviewed in order to analyze some of the clinical and analytical parameters. The protocol for the study consisted of ten variables: sex, age, quality and size of the hepatomegaly, presence of hepatojugular reflux, jugular engorgement, ankle edema, abdominal ultrasonography, laboratory data and any other pertinent exploration. The mean age of the patients was 69 (31%). 65% of the cases had ankle edema. Prothrombin time was abnormal in 12% of the total series and in 27.9% of those with abnormal laboratory data. The most common ECG finding was atrial fibrillation (26%). The second most common was complete bundle block (21%).</p>","PeriodicalId":76457,"journal":{"name":"Revista espanola de las enfermedades del aparato digestivo","volume":"76 6 Pt 2","pages":"612-6"},"PeriodicalIF":0.0,"publicationDate":"1989-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13774927","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
[Vagotomy of the oxyntic cells associated with simple closing as surgical treatment of perforated duodenal ulcer. A comparative study with simple closing alone]. 迷走神经合氧细胞切开术联合单纯闭合术治疗十二指肠溃疡穿孔。一个简单闭合的比较研究]。
M Fernández Dovale, F Docobo Durántez, M Lozano Crivell, C Del Alamo Juzgado, M Fernández Martín
{"title":"[Vagotomy of the oxyntic cells associated with simple closing as surgical treatment of perforated duodenal ulcer. A comparative study with simple closing alone].","authors":"M Fernández Dovale,&nbsp;F Docobo Durántez,&nbsp;M Lozano Crivell,&nbsp;C Del Alamo Juzgado,&nbsp;M Fernández Martín","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>To evaluate the incidence of ulcer recurrence, mortality and morbidity derived from the surgical technique, we made a prospective and randomized study in patients with perforated duodenal peptic ulcer, within 10 hours after the acute episode and without intercurrent serious diseases. In a total of 180 patients, oxyntic cell vagotomy (VCO) with simple closure or simple closure alone were performed alternatively in the period from 1971 to 1977. Periodic controls were established that included clinical, radiographic and gastroduodenoscopic evaluation. Twelve years after operation, 115 of the patients could be evaluated. Recurrence was defined as endoscopic or surgical evidence of the ulcerous lesion. The endoscopic results after 12 years showed 1.56% of relapses in the group that underwent oxyntic cell vagotomy with simple closure, and 54.9% in the group that only had simple closure (p less than 0.0005). There were also significant differences in the clinical and radiographic controls, and in the degree of comfort achieved with the technique. Mortality was null in both groups and there were no differences between the two techniques as regards morbidity. The results obtained in this study show that oxyntic cell vagotomy with simple closure of the perforation may be the technique of choice in the treatment of perforated duodenal peptic ulcer, which is why we think is should be more extensively used in emergency services.</p>","PeriodicalId":76457,"journal":{"name":"Revista espanola de las enfermedades del aparato digestivo","volume":"76 6 Pt 1","pages":"529-34"},"PeriodicalIF":0.0,"publicationDate":"1989-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13766199","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
[A comparative cross-over study of pellet pancreatin and tablet pancreatin in chronic pancreatitis]. [慢性胰腺炎中颗粒胰酶与片剂胰酶的交叉对比研究]。
J M Herrerías, M Gómez Parra, J M García Montes, M A Petit, J M Valladolid León
{"title":"[A comparative cross-over study of pellet pancreatin and tablet pancreatin in chronic pancreatitis].","authors":"J M Herrerías,&nbsp;M Gómez Parra,&nbsp;J M García Montes,&nbsp;M A Petit,&nbsp;J M Valladolid León","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We have made a comparative cross study of 30 patients with chronic pancreatitis and steatorrhea. The aim of the study has been to compare the effectiveness of a new galenic form of pancreatin, in pellets, with the common galenic presentation, in tablets. In all the cases the cause of pancreatic failure was alcoholism. In both groups the treatment was administered during seven days, after a period of wash out. We evaluated steatorrhea and clinical symptoms, including the typical abdominal pain. (The doses administrated were 12 tablets/day or 9 pellets/day.) Statistically there was a significant decrease of steatorrhea p less than 0.01.</p>","PeriodicalId":76457,"journal":{"name":"Revista espanola de las enfermedades del aparato digestivo","volume":"76 6 Pt 2","pages":"651-3"},"PeriodicalIF":0.0,"publicationDate":"1989-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13774128","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
[Pancreatoduodenal traumatism. Apropos of 18 cases]. [Pancreatoduodenal外伤。[约18例]。
A Alarcó Hernández, J Pérez Palma, A Herrero Segura, A Minguillón Serrano, A Bordallo Cortina, F González Hermoso
{"title":"[Pancreatoduodenal traumatism. Apropos of 18 cases].","authors":"A Alarcó Hernández,&nbsp;J Pérez Palma,&nbsp;A Herrero Segura,&nbsp;A Minguillón Serrano,&nbsp;A Bordallo Cortina,&nbsp;F González Hermoso","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We present our experience on pancreato-duodenal trauma surgically treated; we have studied the etiopathogenesis of the lesions and the severity of the condition, which is related to their anatomical relationships and to the difficulties of the early diagnosis. We emphasize the value of non invasive diagnostic methods, particularly immediate ultrasonography, CAT and exceptionally RECP. Abdominocentesis with peritoneal lavage and the insertion of a catheter through a minimal jejunostomy, for the nutritional support of the patient and to prevent complications merits special mention.</p>","PeriodicalId":76457,"journal":{"name":"Revista espanola de las enfermedades del aparato digestivo","volume":"76 6 Pt 2","pages":"645-50"},"PeriodicalIF":0.0,"publicationDate":"1989-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13774127","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
[Benignancy of the Delorme operation in the treatment of rectal prolapse. Indications and results]. Delorme手术治疗直肠脱垂的疗效分析。适应症和结果]。
F Palma
{"title":"[Benignancy of the Delorme operation in the treatment of rectal prolapse. Indications and results].","authors":"F Palma","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In five patients, three male and two female (average age 74 years), with complete rectal prolapse, Delorme's operation was performed, realizing resection of the entire prolapsed rectal mucosa and the suturing the plicature of the rectal muscular layer, which permits its invagination into the muscular funnel formed by the outer sphincter. This technique, which also tenses the longitudinal muscle of the rectum that is lax in every total prolapse, partially remedies the dislocation of the hiatal ligament and improves the function of the elevator muscle, which is disordered in these patients. The five patients were followed-up for 3 to 36 months. There was no postoperative morbi-mortality in patients of advanced age or high risk had to be operated for rectal prolapse.</p>","PeriodicalId":76457,"journal":{"name":"Revista espanola de las enfermedades del aparato digestivo","volume":"76 6 Pt 1","pages":"585-8"},"PeriodicalIF":0.0,"publicationDate":"1989-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13838131","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
[Glomus tumor of the stomach. Optic and immunohistochemical study. Apropos of a case]. 胃球囊瘤。光学和免疫组织化学研究。关于一个案例]。
M Fresno, J A Onrubia, F Navarrete
{"title":"[Glomus tumor of the stomach. Optic and immunohistochemical study. Apropos of a case].","authors":"M Fresno,&nbsp;J A Onrubia,&nbsp;F Navarrete","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A case of glomus tumor of the stomach occurring in a patient of 59 year old founded during a cholecystectomy is described. Clinicopathological and immunohistochemical findings are commented.</p>","PeriodicalId":76457,"journal":{"name":"Revista espanola de las enfermedades del aparato digestivo","volume":"76 5","pages":"479-81"},"PeriodicalIF":0.0,"publicationDate":"1989-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13702483","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
[Copper in hepatocytes as a prognostic factor]. [肝细胞中的铜作为预后因素]。
E Arias Vallejo
{"title":"[Copper in hepatocytes as a prognostic factor].","authors":"E Arias Vallejo","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76457,"journal":{"name":"Revista espanola de las enfermedades del aparato digestivo","volume":"76 5","pages":"474"},"PeriodicalIF":0.0,"publicationDate":"1989-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13759631","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
[Determination of HBV DNA in the serum and saliva of subjects with acute hepatitis caused by HBV]. 乙型肝炎急性肝炎患者血清和唾液中HBV DNA的测定
J H Vilar, R Tejada, J Costa
{"title":"[Determination of HBV DNA in the serum and saliva of subjects with acute hepatitis caused by HBV].","authors":"J H Vilar,&nbsp;R Tejada,&nbsp;J Costa","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A study performed on acute hepatitis affected subjects (patients) caused by virus B, is presented. Seventeen patients separated in two groups were treated for same: A) (10) positiveness of reply marker in serum, and negative for spittle. B) (7) positiveness of reply marker in serum and spittle. Above said was determined throughout DNA molecular hybrid of VHB in serum and spittle. For group B patients, detecting this marker positiveness of 71.5% patients in serum and none in spittle.</p>","PeriodicalId":76457,"journal":{"name":"Revista espanola de las enfermedades del aparato digestivo","volume":"76 5","pages":"456-60"},"PeriodicalIF":0.0,"publicationDate":"1989-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13759628","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 duodenal ulcer in children]. [儿童十二指肠溃疡穿孔]。
M A Rodríguez Gaspar, J R Ortiz Suárez, A Bordallo, M Meneses, A Alarco Hernández, A Hage Made
{"title":"[Perforated duodenal ulcer in children].","authors":"M A Rodríguez Gaspar,&nbsp;J R Ortiz Suárez,&nbsp;A Bordallo,&nbsp;M Meneses,&nbsp;A Alarco Hernández,&nbsp;A Hage Made","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We face a case of duodenal ulcer perforation a nine year old child who's diagnosis was not detected before operating. This is an unusual case and it is not normally observed in the differential diagnosis of the acute abdominal pain in the infancy. The lack of the radiological signs of perforation contributed to the diagnosis mistake before operating.</p>","PeriodicalId":76457,"journal":{"name":"Revista espanola de las enfermedades del aparato digestivo","volume":"76 5","pages":"485-6"},"PeriodicalIF":0.0,"publicationDate":"1989-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13759632","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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