The authors present a statistics covering 401 cases in whom sphincterotomy of the Oddi sphincter was performed, in most of them for treating stenosing inflammations (papillo-odditis). Indications of this method are analized, for the surgical treatment of hydatic cysts opening in the biliary pathways, and of cholestatic hepatitis. Considerations are made on the place of sphincterotomy in the treatment of the main biliary pathway and the results are analized obtained with this method, as well as re-interventions after sphincterotomy. Some conclusions can be made on the indications and the contraindications of the method in the surgery of the hepato-choledocus.

Ampulla of Vater↗

PubMedDate not supplied

[Splenectomy in chronic hepatitis with an autoimmune component].

The authors present a synthesis of studies performed on the role of the spleen in chronic active-digestive hepatitis with auto-immune participation. The study was based on a group of 48 patients out of which a lot of 20 patients was selected, with histological diagnosis of chronic active and aggressive hepatitis, in whom the presence of AgAu was ascertained, as well as of antiliver antibodies. From the immunological viewpoint, the effect of splenectomy was manifested, by a rapid and significant decrease of anti-liver antibodies mainly produced by the spleen, immediately following the intervention. In most of the patients the IgM antibodies disappeared somewhat later. At the same time the chronic hepatitis lesions were stabilized, the biological signs were improved and the clinical evolution of the patients was good. The authors consider that splenectomy in this category of hepatopathies is an immuno-suppressive therapy that may arrest the evolution towards cirrhosis.

Adult↗

PubMedDate not supplied

[Gastric resection with preservation of the pylorus with a variant of pyloroplasty].

The authors present the case of a female patient with gastric ulcer of the small curvature of the stomach who showed a particular neuropsychical lability, in whom emergency surgery was performed before it was possible to obtain data concerning the behaviour of the gastric acidity. In an attempt to avoid the postoperative dumping syndrome the authors performed a medio-fastric resection, removing the area with the ulcer and maintaining the antro-pylorus. For the obtention of a good drainage of the remaining stomach a variant of the pyloroplastia technique was associated.

Female↗

PubMedDate not supplied

Reinterventions in residual biliary lithiasis.

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Adult↗

PubMedDate not supplied

[Direct cysto-gastric and cysto-duodenal anastomosis in the treatment of hydatid cyst of the liver].

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Duodenum↗

PubMedDate not supplied

[Value of manometry in establishing the developmental stage of portal hypertension and the effectiveness of therapeutic portacaval shunt].

A total of 105 patients have been studied, operated for portal hypertension, that underwent porto-manometric investigations by various methods, before and during surgery. The study was aimed at establishing indications that can be provided by portal manometry on the evolutive stage of portal hypertension. Correlations have been established between ascitic decompensation, the frequency of superior digestive hemorrhages and the portal pressure. The efficiency of the post-systemic derivation was evaluated manometrically, depending on the type of the anastomosis. Conclusions are presented, on the particular value of the manometric investigation for the correct choice of the porto-caval shunt.

Humans↗