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Biomedical subjects

A M Farinon

Publications and source records attributed to A M Farinon.

At least 37 records · Page 2Linked to original sources

[Evaluation of long-term results in 254 patients surgically treated by gastric resection for peptic ulcer].

The authors checked 254 patients, operated on with gastric resection according to Billroth II for peptic ulcer, at an interval ranging from 7 up to 20 years from the operation, and, on the basis of the results recorded, these patients were subdivided according to Visick's grading (15,7% in grade 1; 30,6% in grade 2; 26,4% in grade 3 S; 4,7% in grade 3 I; 14,6% in grade 4). On the whole, the remote results were considered satisfactory in 205 patients (80,7%) and unsatisfactory in 49 (19,3%): the latter represent those included in Visick's grades 3 I and 4, wherein the most serious post-resection syndromes had been ascertained; their incidence appeared absolutely higher (91,8%) in the patients subjected to gastric resection for non-complicate peptic ulcer. The Authors therefore conclude the failures of such type of operation are to be ascribed, in high percentage, to uncorrect indications thereto.

Biopsy↗

Endometriosis of the colon and rectum: an indication for peroperative coloscopy.

Endometriosis in women is a frequent disease and not uncommon is the implant of ectopic endometrium in the colon and rectum. In the present study three cases are reported without intestinal symptoms related to endometriosis, in which the intraoperative findings of thickened and stricturing areas of the colon and rectum--generally attached to the posterior portion of the uterus and presenting the aspects of a cancer--caused serious differential diagnostic problems, and made the choice of treatment difficult. These problems were solved by peroperative coloscopy that, revealing an extrinsic compression of the colonic and rectal wall in the presence of an intact mucosa, indicated the conservative treatment of the lesions in all three cases.

Adult↗

[Clinical applications of the carcinoembryonic antigen (CEA) determination in colorectal cancer (observations of 119 cases)].

The AA., on the base of their personal experience and the data of literature, value clinical uses of dosage of carcino-embryonic antigen (CEA), made on the blood of patients who suffered of colon-rectal cancer. Their personal experience is based on 119 patients, 70 who had radical exeresis of neoplasm and 49 the palliative treatment. In the patients who had radical treatment the evolution of disease was overseen with this method for a period from a minimum of 1 year to 3 years and in 10 cases they could put in evidence the restarting of neoplasm too early. In regard to the patients who had a palliative treatment, with the observations of CEA works, they obtained a quantitative valuation of antiblastic chemiotherapy effects and electrocoagulative treatment. The AA. end that, while CEA dosage has not negligible limits for a diagnosis, this method is very useful for the precocious diagnosis of neoplasm restarting. On the contrary the information, that we can obtain about the effects of palliative therapy, is limited.

Adult↗

[Clinical features of 27 cases of ischemic colitis (author's transl)].

The Authors report own experience of ischemic colitis, related to 27 cases, that includes either primitive forms (transient ischemic colitis, ischemic stricture and necrotic-gangrenous ischemic colitis) or secondary (occlusive ischemic colitis, ischemic colitis following abdominoperineal excision of the rectum). Pathogenetic findings, now not completely defined, are discussed with reference to the literature on this subject. The important diagnostic problems are also evaluated, particularly in the evaluation of radiologic and endoscopic findings of spontaneous ischemic colitis; these, altogether, represent an almost specific clinical picture of ischemic colitis. At last are considered the problems related to surgical treatment, overall in the forms in which the irreversibility of the ischemic lesions has been ascertained.

Aged↗

Intraoperative transcystic extraction of common bile duct stones by a Dormia-Pironneau catheter.

During cholecystectomy 21 patients were subjected to transcystic extraction of common bile duct stones by a Dormia-Pironneau catheter; this was the only treatment used for lithiasis of the common bile duct, in the absence of papillary lesions. Of these patients, 14 were followed up from one to three years after surgery. Clinical and radiological controls revealed the patients' complete recovery from the biliary disease. Our late results thus warrant the method. We suggest that is should be employed in all cases in which the presence of minute stones in the gallbladder, a wide cystic duct, and the absence of papillary lesions suggest migration of gallstones from the gallbladder to the common bile duct.

Catheterization↗

[Advantages of the use of medium-length colonoscope in the diagnosis of colonic diseases].

On the basis of their own experience, totaling 540 examinations, the authors explain the advantages offered by the medium-length (100 cm) optical fibroscope in the diagnosis of colonic diseases. They claim that the instrument under discussion is the most complete, being at once sturdy and easy to use and affording, despite its limite length, exploration of the ascending colon in 53.3% of the cases--a procedure for which the indications are on the other hand fairly limited.

Colon↗