[Raised sedimentation rate, hyperfibrinogenemia and liver adenoma].
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Biomedical subjects
Publications and source records attributed to F Gayral.
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This particular location is rare but should be more frequently detected with the help of ultrasonography, CT and serological tests. The surgical indications, which depend upon the effects of the cyst on pancreatic ducts and vessels, are discussed.
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One hundred patients with gastric ulcer underwent surgery without gastric mutilation by a technique initially directed against stasis by pyloroplasty, vagotomy and, according to the site of the ulcer, its limited resection or biopsy. In half of the cases, the indication was that of the development of a complication. Eight patients died, 6 of them from amongst the 44 haemorrhagic ulcers. Two deaths were favourised by a complication specific to the procedure used. 86% of the patients followed up had an excellent or good result. Six recurrences of ulcers were seen, including two which again recurred after gastrectomy. Morbidity and mortality, in particular in the case of bleeding, appear to be less after vagotomy than after gastrectomy. The long term results in terms of ulcer disease of the two methods are similar.
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11 complications were observed in 2,346 cases of needle biopsy (frequency 0.47%) carried out in 1,529 cases under laparoscopy, 527 cases by the intercostal route, and in 290 cases during operation. The symptoms usually appeared early, indicating bleeding. The lesions, isolated or associated were six hemoperitoneums, and 9 hematomas (including 2 subcapsular), 3 intrahepatic (1 FAV), one of the gall bladder, 3 undetermined; 5 patients out of 11 were operated on, 4 out of 11 died. The place of surgical treatment is discussed: one hemoperitoneum led to early surgical operation. An intrahepatic or subscapular hematoma may regress without sequelae. An arteriography after a liver scan should eliminate a major vascular lesion which may eventually require surgery.
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