[Peritoneal adhesions. Causes and prevention. II].
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Biomedical subjects
Publications and source records attributed to F Peradotto.
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Pancreatic complications arising after 117 Billroth II gastric resections carried out between 1976 and 1980 are evaluated. Changes in blood and urinary amylase were noted in 35% of cases. A distinction is drawn between minor forms (MPOP), and major forms (APOP), with an incidence of 34% and 1% respectively. Lastly, the question of aetiopathogenesis is discussed, with particular reference to the causal factors observed on each occasion.
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The extreme rarity of this condition is shown and its anatomopathological and clinical features described. Conclusive diagnosis is impossible to formulate preoperatively and emergency surgery is necessary to avoid complications which are always serious in biliary peritonitis. Finally the observed clinical case is described.
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The phenomenon of post-operative pneumoperitoneum is considered and its formation modalities, incidence, site and duration evaluated. The phenomenon is related to the constitution of the patient and the extent of the operation performed. Differences between post-operative and perforation forms are pointed out.