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Revista espanola de las enfermedades del aparato digestivo最新文献

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[Justification for subtotal esophagectomy in late spontaneous esophageal rupture]. 晚期自发性食管破裂行食管次全切除术的理由。
Revista espanola de las enfermedades del aparato digestivo Pub Date : 1989-10-01
J A Ildefonso, J M Bengochea, J M Alcalde, A Molina, R Gallego
{"title":"[Justification for subtotal esophagectomy in late spontaneous esophageal rupture].","authors":"J A Ildefonso,&nbsp;J M Bengochea,&nbsp;J M Alcalde,&nbsp;A Molina,&nbsp;R Gallego","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A patient is presented who was operated for an intestinal obstruction and developed in the immediate postoperative period Boerhaave's syndrome. Subtotal esophagectomy with bipolar exclusion was performed. We discuss the advantages of radical surgery, even in advanced cases, if the size of the lesion justifies it, as compared to more conservative therapeutic attitudes.</p>","PeriodicalId":76457,"journal":{"name":"Revista espanola de las enfermedades del aparato digestivo","volume":"76 4","pages":"393-6"},"PeriodicalIF":0.0,"publicationDate":"1989-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13736648","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 associated with duodenal immunoblastic sarcoma and upper digestive hemorrhage]. [急性胰腺炎合并十二指肠免疫母细胞肉瘤和上消化道出血]。
Revista espanola de las enfermedades del aparato digestivo Pub Date : 1989-10-01
L F Carballo Alvarez, J E Domínguez Muñoz, J García Parreño, J De la Morena Fernández
{"title":"[Acute pancreatitis associated with duodenal immunoblastic sarcoma and upper digestive hemorrhage].","authors":"L F Carballo Alvarez,&nbsp;J E Domínguez Muñoz,&nbsp;J García Parreño,&nbsp;J De la Morena Fernández","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We present a patient with acute pancreatitis that was specially persistent from a biochemical viewpoint, derived from a duodenal sarcomatous tumor of immunoblastic type that narrowed the second duodenal segment for a length of about 8 centimeters. We discuss the possible role of tumoral neoformations in the production of pancreatitis due to increased intraluminal pressure distal to the Vater ampulla, or to occlusion of the Oddi sphincter or the Wirsung duct. We review the existent literature.</p>","PeriodicalId":76457,"journal":{"name":"Revista espanola de las enfermedades del aparato digestivo","volume":"76 4","pages":"389-91"},"PeriodicalIF":0.0,"publicationDate":"1989-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13829999","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
[Schatzki's ring]. [Schatzki的戒指]。
Revista espanola de las enfermedades del aparato digestivo Pub Date : 1989-09-01
L Molins, W Spencer Payne
{"title":"[Schatzki's ring].","authors":"L Molins,&nbsp;W Spencer Payne","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We review the incidence, etiopathogenesis, clinical manifestations and treatment of lower esophageal or Schatzki's rings. In patients with dysphagia caused by this ring, medical and dietetic treatment is the first step, and dilatation should be reserved for cases of failure of this treatment. Surgery is rarely needed, being indicated only in cases of recurrence or failure of dilatation treatment. In these cases, complete excision of the ring and end-to-end anastomosis of the gastric and esophageal mucosa through a gastrostomy is recommended before antireflux surgery is considered.</p>","PeriodicalId":76457,"journal":{"name":"Revista espanola de las enfermedades del aparato digestivo","volume":"76 3","pages":"290-4"},"PeriodicalIF":0.0,"publicationDate":"1989-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13823523","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
[Colorectal cancer: are diagnostic delay, degree of spread and survival related? Clinical analysis of 307 cases followed up for more than 4 years]. 结直肠癌:诊断延迟、扩散程度与生存有关吗?随访4年以上307例临床分析[j]。
Revista espanola de las enfermedades del aparato digestivo Pub Date : 1989-09-01
D García Olmo, E Pellicer Franco, J Cifuentes Tevar, G Morales Cuenca, E Estevan Redondo, M A Ortiz Escandell, P Parrilla Paricio
{"title":"[Colorectal cancer: are diagnostic delay, degree of spread and survival related? Clinical analysis of 307 cases followed up for more than 4 years].","authors":"D García Olmo,&nbsp;E Pellicer Franco,&nbsp;J Cifuentes Tevar,&nbsp;G Morales Cuenca,&nbsp;E Estevan Redondo,&nbsp;M A Ortiz Escandell,&nbsp;P Parrilla Paricio","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>It seems logical to think that the longer the interval between the patient's first symptom of colorrectal cancer and operation, the greater the tumoral extension found by the surgeon will be, and the lower the postoperative survival. Nevertheless, there is much evidence to indicate that this may not always be true. We've analyzed the problem in 307 patients operated of colorectal cancer in our service from January 1979 to December 1984 and followed-up until now. We investigated the time interval from the first clinical symptom until operation, and survival. These variables were related to the Duke grade. As regards the preoperative interval, the average (in months) for Duke's grade A was 7.41 (sigma = 16.88), for D it was 7.41 (sigma = 9.47) and for C, 5.13 (sigma = 8.41). There were no statistically significant differences. As for survival, after four years all the grade A patients, 64% of the grade B patients and 35% of the grade C patients followed-up survived. We've found no relation between diagnostic delay and postoperative survival. These results suggest that it is not true that the longer the symptomatic period, the greater the tumoral spread. As such, diagnostic delay is not a good prognostic indicator for predecting tumoral spread or survival.</p>","PeriodicalId":76457,"journal":{"name":"Revista espanola de las enfermedades del aparato digestivo","volume":"76 3","pages":"239-42"},"PeriodicalIF":0.0,"publicationDate":"1989-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13952213","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
[Leiomyosarcoma of the small intestine]. [小肠平滑肌肉瘤]。
Revista espanola de las enfermedades del aparato digestivo Pub Date : 1989-09-01
J De Castro Gutiérrez, J Fernández-Llamazares Rodríguez, M Piñol Pascual, M Armengol Carrasco, B Oller Sales, A Alastrue Vidal, J A Salvá Lacombe
{"title":"[Leiomyosarcoma of the small intestine].","authors":"J De Castro Gutiérrez,&nbsp;J Fernández-Llamazares Rodríguez,&nbsp;M Piñol Pascual,&nbsp;M Armengol Carrasco,&nbsp;B Oller Sales,&nbsp;A Alastrue Vidal,&nbsp;J A Salvá Lacombe","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Leiomyosarcoma of the small intestine is a rare neoplasm that has a difficult, and normally late, diagnosis. We present two cases operated in our service and discuss the different forms of clinical presentation, the surgical strategy and the controversial aspects of benignity and malignancy aspects. The survival is emphasized.</p>","PeriodicalId":76457,"journal":{"name":"Revista espanola de las enfermedades del aparato digestivo","volume":"76 3","pages":"263-5"},"PeriodicalIF":0.0,"publicationDate":"1989-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13952218","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
[Solitary ulcer of the rectum]. [直肠孤立性溃疡]。
Revista espanola de las enfermedades del aparato digestivo Pub Date : 1989-09-01
J C Erdozaín Sosa, R Bárcena Marugán, F Pérez Hernández, A López San Román, J Sánchez Ruano, L Gil Grande
{"title":"[Solitary ulcer of the rectum].","authors":"J C Erdozaín Sosa,&nbsp;R Bárcena Marugán,&nbsp;F Pérez Hernández,&nbsp;A López San Román,&nbsp;J Sánchez Ruano,&nbsp;L Gil Grande","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In our center solitary ulcer of the rectum has a low incidence. There has been only one case in more than 13,000 distal endoscopic studies performed in the last ten years. Its rarity, and its possible confusion with other pathologies of the distal colon motivated our interest in this disease. The clinical and diagnostic features and therapeutic attitude in solitary rectal ulcer are remarked.</p>","PeriodicalId":76457,"journal":{"name":"Revista espanola de las enfermedades del aparato digestivo","volume":"76 3","pages":"269-71"},"PeriodicalIF":0.0,"publicationDate":"1989-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13952219","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
[Gastric metastasis of renal adenocarcinoma. Presentation of a case and review of the literature]. 肾腺癌的胃转移。一个案例的介绍和文献综述]。
Revista espanola de las enfermedades del aparato digestivo Pub Date : 1989-09-01
J Ibáñez Olcoz, C E Jiménez López, J A Oteo Revuelta, F Cobo Huici, M J Sara Ongay, M García Carasusán, R M Guarsch Troyas
{"title":"[Gastric metastasis of renal adenocarcinoma. Presentation of a case and review of the literature].","authors":"J Ibáñez Olcoz,&nbsp;C E Jiménez López,&nbsp;J A Oteo Revuelta,&nbsp;F Cobo Huici,&nbsp;M J Sara Ongay,&nbsp;M García Carasusán,&nbsp;R M Guarsch Troyas","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A case of gastric metastasis of renal carcinomas is described. The patient had been nephrectomized 22 months ago, and she had yet presented another in appearance solitary metastasis in lung and brain, which had been resected. This is a very unusual localization in the spread of a renal tumor, and two cases alone exist in the literature up to date which had been diagnosed during life. In despite of surgical treatment, a short free interval after nephrectomy and the tumor aggressivity, with three foci of spread at less than a year, have been the pivotal factors determining a relatively short survival of 26 months after resection of primary tumor.</p>","PeriodicalId":76457,"journal":{"name":"Revista espanola de las enfermedades del aparato digestivo","volume":"76 3","pages":"259-61"},"PeriodicalIF":0.0,"publicationDate":"1989-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13825185","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
[Insulinoma. Apropos of a new case]. (胰岛瘤。关于一个新案子]。
Revista espanola de las enfermedades del aparato digestivo Pub Date : 1989-09-01
J R Cotano Urrutikoetxea, M A Madariaga Vidal, C Pérez San José, J A Sabas Olabarría, G Barrallo Villar, C Duque de las Heras
{"title":"[Insulinoma. Apropos of a new case].","authors":"J R Cotano Urrutikoetxea,&nbsp;M A Madariaga Vidal,&nbsp;C Pérez San José,&nbsp;J A Sabas Olabarría,&nbsp;G Barrallo Villar,&nbsp;C Duque de las Heras","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Insulinomas are rare tumors whose difficult diagnosis is usually delayed with respect to appearance of the first symptoms. The Whipple triad (symptoms of hypoglycemia, low blood glucose and rapid alleviation of symptoms after glucose administration) associated with an increase in plasma immunoreactive insulin (IRI) and low blood glucose levels constitute the diagnostic basis of insulinoma as the cause of organic hypoglycemia. Curative treatment entails surgery and its success will depend on the location of the tumor. Selective arteriography and, more recently, percutaneous transhepatic insulin determination (IRI) in the splenoportal axis have a diagnostic rate of 90%. Nevertheless, none of these topographic diagnostic methods replaces meticulous intraoperative exploration of the pancreas, which in our case was definitive for cure.</p>","PeriodicalId":76457,"journal":{"name":"Revista espanola de las enfermedades del aparato digestivo","volume":"76 3","pages":"285-9"},"PeriodicalIF":0.0,"publicationDate":"1989-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13697810","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
[Neoplasm of the colon and Barrett esophagus]. [结肠和巴雷特食道肿瘤]。
Revista espanola de las enfermedades del aparato digestivo Pub Date : 1989-09-01
E De Arzúa Zulaica
{"title":"[Neoplasm of the colon and Barrett esophagus].","authors":"E De Arzúa Zulaica","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76457,"journal":{"name":"Revista espanola de las enfermedades del aparato digestivo","volume":"76 3","pages":"253-4"},"PeriodicalIF":0.0,"publicationDate":"1989-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13952216","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
[Angiodysplasia of the colon: a presentation of 7 cases]. 结肠血管发育不全(附7例报告)
Revista espanola de las enfermedades del aparato digestivo Pub Date : 1989-09-01
A Beguiristain Gómez, A Elbusto Cabello, J A Rodríguez Andrés, E Cormenzana Lizarribar, L Del Campo Senosiain, R Orcolaga Alba
{"title":"[Angiodysplasia of the colon: a presentation of 7 cases].","authors":"A Beguiristain Gómez,&nbsp;A Elbusto Cabello,&nbsp;J A Rodríguez Andrés,&nbsp;E Cormenzana Lizarribar,&nbsp;L Del Campo Senosiain,&nbsp;R Orcolaga Alba","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Angiodysplasias of the colon are small vascular lesions that probably affect 25% of the population over 50 years. As a result of selective arteriography the number of diagnoses of lower gastrointestinal hemorrhage (HDB) caused by a colonic angiodysplasia (CA) has increased considerably. Seven new cases of colonic angiodysplasia (6 cecal and 1 rectal) are presented, all diagnosed by arteriography. In 6, treatment was surgical and in one, medical. The postoperative bleeding recurrence was 33.3%.</p>","PeriodicalId":76457,"journal":{"name":"Revista espanola de las enfermedades del aparato digestivo","volume":"76 3","pages":"233-7"},"PeriodicalIF":0.0,"publicationDate":"1989-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13952212","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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