Biomedical subjects
Publications and source records attributed to C Dragoncea.
A case of juxtacardial gastric neoplasm, associated with pancreatic cystadenoma is reported. This rare, benign cystic formation of the pancreas is sometimes associated with synchronous or metachronous neoplasia of the gastrointestinal tract. Simple enucleation of the cystadenomas was followed by an uneventful clinical evolution.
In the paper are presented a total of 9 patients with primitive sclerous cholangitis that were hospitalized in the Surgical Department of the "Caritas" Hospital with this rare nosologic entity. The etiology of the disease is neither precise nor incontroversial. Primitive sclerous cholangitis raises particularly difficult problems, because of the high mortality rate (all patients die before the 6-th year after the diagnosis has been established. The ineluctable evolution of the disease toward secondary billiary cirrhosis has generated major difficulties in the choice of the treatment. Corticoid therapy and immunosuppressive drugs have been proven inefficient in improving the prognosis. The classical surgical therapy includes methods that are not followed by stable results since the icteric syndrome will show temporary remission, in spite of the fact that the chronic hepatopathy will continue its independent evolution. The authors have not achieved satisfactory results with the classical surgical techniques, which include external biliary draining and peri-hepatic artery neurectomia (either isolated or combined), not with the internal derivations. Since 1971 the authors have used oddian sphincterectomy in the treatment of sclerous cholangitis. The method was introduced following a long clinical and histopathologic study. The immediate and the late results obtained with this technique recommend it as a choice one because it will lead to disappearence of the jaundice and to stabilization of the hepatic lesions.
The authors present a study preformed on 38 patients with benign gastric tumours, representing 8.4% of the total number of gastric neoformations. Aspects related to the site of the tumours are discussed, as well as data concerning frequency, clinical and radiologic aspects, histologic characteristics, and the possible relationship with gastric cancers. A series of cases are described, the particularities of which may lead to diagnosis errors, and aspects are discussed in relation to surgical treatment of benign gastric tumours. The authors have mostly performed the excision of the tumours or a limited gastric resection, and obtained good results with this conservative attitude.