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Biomedical subjects

H Joyeux

Publications and source records attributed to H Joyeux.

At least 91 records · Page 5Linked to original sources
PubMed1982

[Contribution of artificial feeding to the prevention of fistulae, anastomotic breakdowns, and eviscerations. Applications to diffuse postoperative peritonitis in eight cases (author's transl)].

Based on the study of 8 cases diffuse post-operative peritonitis, the authors demonstrate in an exemplary manner the benefit derived through artificial nutritive support which permits, in certain well-defined cases, one-step digestive sutures and allows high-quality anastomotic and parietal healing. This new therapeutic attitude should not be generalized; it remains as yet very special, requiring specific metabolic safety measures. Only surgical teams in total control of the metabolic and nutritive problems accompanying heavy visceral surgery are in a position to apply this new concept.

Adult↗
PubMed1980

Complete nutrients mixtures with lipids for total parenteral nutrition in cancer patients.

Total parenteral nutrition with complete nutritive mixtures is a new adjunct therapy in cancer treatment, it must be the first and foremost type of nutritional support for many patients because it allows regional surgery in digestive cancer, abdominal radiotherapy without therapeutic interruption and sequential chemotherapy which is well tolerated. The patients may be maintained either on ambulatory or "home" parenteral nutrition.

Fat Emulsions, Intravenous↗
PubMed1980

[The hemostatic assistance after sub-total or total hepatectomy in the dog (author's transl)].

After subtotal (90%) or total hepatectomy in the dog, coagulation disturbances appear early and exclude survival beyond 40 hours. These disturbances are the result of a fall in the synthesis of coagulation factors, but may also reflect a consumption syndrome. The ensuing clinical finding is an intravascular coagulation which can give way to fibrinolysis. A substitutive therapy aiming to replace the missing factors and avoid or prevent an eventual consumption thus appears necessary. The hemostatic disturbances after subtotal or total hepatectomy in the dog can be totally corrected by a substitutive therapy based on fresh frozen plasma. The first hepatic segment (caudate lobe) cannot insure by itself the coagulation functions during the first 4 post-op days. The hemostatic assistance is an other step towards the treatment of hepatic insufficiency. It must become an integral part of existing artificial liver support.

Animals↗
PubMed1978

[Catheterisation of the internal jugular vein for parenteral nutrition (author's transl)].

The technique consists of surgical exposure of the vein, its isolation by two threads and the introduction of a soft prethoracic exit. This technique avoids the complications inherent in any blind puncture of a large vessel. By virtue of the type of catheter (soft silicone) and the long subcutaneous course. It may be left in place for more than a month.

Catheterization↗
PubMed1978

[Artificial gastrointestinal tract in gastrointestinal neoplasms].

From 1970 to 1977 an artificial gut was used in 1350 patients suffering from gastrointestinal cancer. This type of prolonged intestinal assistance was recognized to be an important adjuvant in anticancer therapy with indications prior to, during and following the traditional course of treatment. Prolonged intestinal assistance makes it possible to reestablish or maintain a biological and clinical status in patients who must undergo aggressive anticancer therapy. The indications for its use are multiplying. In 54% of the cases parenteral nutrition is associated with therapy of the curative type and this percentage is continuously increasing.

Ambulatory Care↗
PubMed1978

[Parenteral nutrition and concentrated amino acid solution].

The authors report on their experience with a solution of amino acids concentrated at 25 gomegaN/liter in eighty patients on exclusive and total parenteral nutrition (TPN). The average duration of the TPN is 35.08 days. Azonutril 25 was given as nutritive melange, maintaining a calorie-nitrogen ratio of 150 to 200 calories for every added gram of nitrogen. The clinical and biological studies provide a series of arguments in favor of such an amino acid solution in total parental nutrition in patients with acute or chronic digestive insufficiency. No signs of renal or hepatic intolerance have appeared during this study. The improvement in nitrogen balance in fifteen patients is strongly significant (P less than 0.001) and can be correlated with weight gain and with the classic immunological tests.

Adolescent↗