[Leiomyosarcoma of the jejunum. Case report].
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Biomedical subjects
Publications and source records attributed to D Clerico.
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Twenty patients were operated on for pancreatic trauma from 1960 to 1980. 8 (40%), without ductal lesions, were treated by drainage alone; 4 (20%) by distal resection; 3 (15%) by duodenal diversion; 1 by pancreatoduodenectomy and 1 by an anterior Roux-en-Y pancreatojejunostomy. Penrose and sump drains was used in all patients. Mortality rate was 20% (4 p.). Pancreas related complications occurred in 7 p. (35%). Particular emphasis is placed on general principles of management of pancreatic injuries to decrease mortality and morbidity.
The authors report their experience in the urgency surgery of oesophageal varices on a range of 24 patients operated in the years 1979 and 1980. In consideration of the utter seriousness of this pathology, they consider the direct operations of resection-anastomosis and devascularization of thoracic oesophagus and gastric bottom the most suitable to face the problem. Such operations, burdened by a relatively low mortality (12.5%), get the immediate step of hemorrhage and, 3 years after the first operations performed, gave good remote results. Such assertion expects a further confirmation from a longer follow-up.
The Authors report a personal series of 42 cases of Ulcerative colitis seen over a 12 year period. (1969-1980). These patients underwent total colectomy with preservation of the rectum. Intestinal canalization was restored by means of an ileo-rectal anastomosis performed either with colectomy or at a later stage. Results are satisfactory as an improvement of general conditions occurred. Normalization of the intestinal function was observed in 85% of cases. Rectal lesions, periodically kept under control with endoscopy and hystologic examination, improved noticeably. In a few cases a total recovery was attained with an adequate, postsurgical, topic therapy. No cancer onset in the rectal stump had been recorded thus far among these patients. In the light of the Author's experience, total colectomy with rectal preservation represents a sensible solution for the surgical treatment of Ulcerative colitis.