Surgical gastroenterology最新文献

Hormonal contributions to biliary secretion. 荷尔蒙对胆道分泌的贡献。

Surgical gastroenterology Pub Date : 1984-01-01

P Calhoun, J B Hanks

引用次数: 0

Surgical management of cysts of the head of the pancreas. 胰头囊肿的外科治疗。

Surgical gastroenterology Pub Date : 1984-01-01

J W Braasch, J M Gubern, R L Rossi

{"title":"Surgical management of cysts of the head of the pancreas.","authors":"J W Braasch, J M Gubern, R L Rossi","doi":"","DOIUrl":"","url":null,"abstract":"Thirty patients with cysts of the cephalic portion of the pancreas treated by operation between 1966 and 1980 were reviewed to determine whether any variation existed from the usual treatment of cysts of the body and tail of the gland. Sixteen patients had chronic pancreatitis, six had acute pancreatitis, four had cysts of indeterminate causes, three had adenocarcinoma of the pancreas, and in one patient a cyst developed after external trauma. External drainage was used in 14 patients, internal drainage in ten patients, and combinations of cyst drainage and anastomosis of Wirsung's duct or resection were performed in six patients. No operative deaths occurred, and the rate of cyst recurrence was minimal. Diabetes mellitus developed in 40% of patients with chronic pancreatitis despite conservative management. Recurrent pain in 13 patients and the discovery of associated carcinoma in one patient at initial treatment and later in two others cast doubt on the usefulness of simple internal or external drainage of cysts for pain except in a setting of acute pancreatitis. Resection of the pancreatic head or drainage of dilated pancreatic ducts should more often be carried out in the primary treatment of cephalic cysts with pain due to chronic pancreatitis.","PeriodicalId":79268,"journal":{"name":"Surgical gastroenterology","volume":"3 2","pages":"17-22"},"PeriodicalIF":0.0,"publicationDate":"1984-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17602020","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

Cholelithiasis in children in a Chinese hospital: report of 52 cases. 某医院儿童胆石症52例报告

Surgical gastroenterology Pub Date : 1984-01-01

C S Chu

引用次数: 0

Hydrostatic balloon dilatation for stomal stenosis after gastric partitioning. 胃分流术后胃口狭窄的静压球囊扩张治疗。

Surgical gastroenterology Pub Date : 1984-01-01

F E Eckhauser, J A Knol, W E Strodel, K Cho

{"title":"Hydrostatic balloon dilatation for stomal stenosis after gastric partitioning.","authors":"F E Eckhauser, J A Knol, W E Strodel, K Cho","doi":"","DOIUrl":"","url":null,"abstract":"Hydrostatic balloon dilatation has been used successfully to treat several patients with stomal stenosis occurring as a late complication of gastroplasty. The technique of hydrostatic balloon dilatation practiced in this institution is reviewed in detail. This technique appears to offer several advantages over previous techniques: 1) the procedure can be accomplished with intravenous sedation eliminating the need for general anesthesia; 2) trauma to the gastric channel is minimized because no attempt is made to manipulate the endoscope through the stoma into the distal stomach; 3) radiopaque markers on the polyethylene balloon catheter permit easy and accurate positioning of the balloon within the gastric channel; 4) the low compliance characteristics of the polyethylene balloon used permit inflation to a predetermined outer diameter with minimum risk of balloon deformity or overdistention and rupture; and 5) the procedure is easily standardized and can therefore be expected to yield reproducible results. Late stomal stenosis after gastric partitioning may respond to conservative therapy including nutritional support and dietary counselling. Hydrostatic balloon dilatation should be considered as the preferred method of stomal dilatation in patients refractory to alternative forms of management.","PeriodicalId":79268,"journal":{"name":"Surgical gastroenterology","volume":"3 1","pages":"43-50"},"PeriodicalIF":0.0,"publicationDate":"1984-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17579268","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

Role of the autonomic nervous system in the rabbit sphincter of Oddi. 自主神经系统在兔Oddi括约肌中的作用。

Surgical gastroenterology Pub Date : 1984-01-01

J C Sarles, R Awad

引用次数: 0

Endoscopic removal of squamous cell papilloma of esophagus: a case report and review of literature. 内镜下食管鳞状细胞乳头状瘤切除1例并文献复习。

Surgical gastroenterology Pub Date : 1984-01-01

A N Shah

引用次数: 0

Control of bleeding esophageal varices by transabdominal esophageal transection, gastric devascularization, and splenectomy. 经腹食管切断术、胃断流术及脾切除术对食管静脉曲张出血的控制。

Surgical gastroenterology Pub Date : 1984-01-01

J L Weese, J R Starling, C E Yale

引用次数: 0

Nationwide survey of cases of choledochal cyst. Analysis of coexistent anomalies, complications and surgical treatment in 645 cases. 全国胆总管囊肿病例调查。645例合并畸形、并发症及手术治疗分析。

Surgical gastroenterology Pub Date : 1984-01-01

N Komi, T Tamura, Y Miyoshi, K Kunitomo, H Udaka, H Takehara

{"title":"Nationwide survey of cases of choledochal cyst. Analysis of coexistent anomalies, complications and surgical treatment in 645 cases.","authors":"N Komi, T Tamura, Y Miyoshi, K Kunitomo, H Udaka, H Takehara","doi":"","DOIUrl":"","url":null,"abstract":"A nationwide survey of cases of choledochal cyst was conducted to obtain the data on cases of choledochal cyst in Japan between 1972 and 1982. A total of 645 cases in 73 institutions, including 52 cases from this hospital, were surveyed. Choledochal cyst was associated with an anomalous arrangement of the pancreaticobiliary ductal system in 90.2% of the cases which were examined extensively. The serum amylase level was elevated in 26.6% of the cases. Calculus disease of the biliary duct was recognized in 28.5% of the cases. Biliary carcinoma developed in 54 (8.4%) of 645 cases. The incidences of biliary carcinoma were 0.3% (1/306) in cases in children and 15.6% (53/339) in adult cases; carcinoma was found in the wall of the choledochus in 30, and in the gallbladder in 16 of these 54 cases. The nationwide survey showed that an anomalous arrangement of the pancreaticobiliary ductal system was closely associated with choledochal cyst and that cases of biliary carcinoma developed with the advance of age. Therefore, early resection of the cyst wall and reconstruction of the biliary duct is proposed as suitable surgical treatment for stopping reflux of pancreatic juice into the biliary duct.","PeriodicalId":79268,"journal":{"name":"Surgical gastroenterology","volume":"3 2","pages":"69-73"},"PeriodicalIF":0.0,"publicationDate":"1984-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17152540","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 prospective randomized study of effect of proximal gastric vagotomy and vagotomy and antrectomy on bile reflux, endoscopic mucosal abnormalities and gastritis. 胃近端迷走神经切开术与迷走神经切开术联合前切开术对胆汁反流、内镜下粘膜异常和胃炎影响的前瞻性随机研究。

Surgical gastroenterology Pub Date : 1984-01-01

A M Hoare, I A Donovan, M R Keighley, H Thompson, N J Dorricott, J Alexander-Williams

{"title":"A prospective randomized study of effect of proximal gastric vagotomy and vagotomy and antrectomy on bile reflux, endoscopic mucosal abnormalities and gastritis.","authors":"A M Hoare, I A Donovan, M R Keighley, H Thompson, N J Dorricott, J Alexander-Williams","doi":"","DOIUrl":"","url":null,"abstract":"71 patients participated in a double-blind trial which compared proximal gastric vagotomy (PVG) with vagotomy and antrectomy (V & A). 82 percent of the patients subsequently volunteered for endoscopy 6 to 12 months after operation and 65 percent for measurement of fasting bile reflux (FBR) and peak acid output (PAO). The results of these follow-up assessments are given in this paper. None of the 36 patients who had undergone V & A had a recurrent ulcer; in contrast ulcers or fresh scars were found in 5 of 35 patients after PGV, even in 2 who had no symptoms. Erythema of the gastric mucosa was seen more commonly after V & A than PGV. Such erythema was associated with high levels of fasting bile reflux (an objective measure of reflux of bile into the stomach) and with symptoms of bile vomiting and mild epigastric pain. High levels of fasting bile reflux were not found after PGV. Histological gastritis of the proximal stomach was equally common after both operations in patients without a recurrent ulcer. Gastritis was not related to endoscopic mucosal erythema or fasting bile reflux, but did correlate with peak acid output. These results confirm that bile reflux is associated with mucosal erythema and symptoms after V & A but that significant bile reflux does not occur after PGV. However, bile reflux is not related to gastritis, which appears to be the result of an operation (either PGV or V & A) which successfully reduces peak acid output.","PeriodicalId":79268,"journal":{"name":"Surgical gastroenterology","volume":"3 2","pages":"54-9"},"PeriodicalIF":0.0,"publicationDate":"1984-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17460723","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

The importance of the distal stomach in gastric emptying of liquids in man. 远端胃在人体胃排空液体中的重要性。

Surgical gastroenterology Pub Date : 1984-01-01

C M White, V Poxon, J Alexander-Williams

{"title":"The importance of the distal stomach in gastric emptying of liquids in man.","authors":"C M White, V Poxon, J Alexander-Williams","doi":"","DOIUrl":"","url":null,"abstract":"The effects of pyloroplasty and vagal denervation of the distal stomach on gastric emptying of 10% dextrose have been compared. In a randomized trial, 38 male patients having elective surgery were treated by proximal gastric vagotomy (PGV, N = 10), proximal gastric vagotomy and pyloroplasty (PGV + P, N = 9), total gastric vagotomy (TGV, N = 9), and total gastric vagotomy and pyloroplasty (TGV + P, N = 10). Gastric emptying was recorded using an external scanning technique before and after operation. Compared with before operation, all four procedures resulted in significantly faster emptying during ingestion of the meal (the filling phase). This is attributable to failure of receptive relaxation of the proximal stomach. The emptying phase (after ingestion of the meal) was unchanged by PGV, but was significantly altered by PGV + P, TGV, and TGV + P (Principal Component Analysis). Before operation and after PGV, emptying fitted a monoexponential curve. In contrast, after PGV + P, TGV, and TGV + P, the emptying phase fitted a double exponential curve. Emptying was precipitate initially, but slowed later, leaving a large residual volume. We conclude that, when the proximal stomach is denervated, the intact, innervated distal stomach can restore the emptying of hypertonic dextrose to normal; however, when the distal stomach is denervated or pyloroplasty has been performed emptying remains uncontrolled. Since pyloroplasty and vagal denervation have the same effect, it is concluded that the mechanism retarding the emptying of hypertonic dextrose is an active mechanism that resides in the terminal antrum or pylorus.","PeriodicalId":79268,"journal":{"name":"Surgical gastroenterology","volume":"3 1","pages":"13-20"},"PeriodicalIF":0.0,"publicationDate":"1984-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17579265","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