Biomedical subjects
Publications and source records attributed to I Mályi.
56 years old patient was operated (Billroth II) with gastric carcinoma. Two and half years after was diagnosed an inoperable recidive local tumor. Because of stomal outlet disturbances a tantalum endoprosthesis was implanted. The tumor grew through the Strecker-net. For desobliteration of stent we applied laser therapy, the gastric passage was free.
The authors were the first to gain experiences with gastroenterological endoscopic ultrasonography (EUS) in Hungary. Their examinations included the study of the esophageal wall and its environment as well as that of the stomach wall and the neighbouring organs. The construction of the instrument, the technique of the method and the indication for EUS are described on the basis of the authors' experiences and the literary data. They were the first to demonstrate perigastric effusion with EUS. On the basis of the observations it is stated that EUS is more reliable than other methods for the determination of the patency of varices following sclerotherapy. Thus this technique may improve the control of the efficacy of sclerotherapy in patients with portal hypertension. The authors wish to support their observation with prospective examination series carried out with high number of patients.
It is pointed out that some cases of chronic pancreatitis causing severe obstruction may clinically simulate tumour. This can occasionally be confirmed by other examinations (e.g. ERCP) or by macroscopic inspection at surgery, and palpation. With the passive symptomatological treatment applied in these cases, the patients' condition keeps on deteriorating, reinforcing the suspicion of tumour. Sonography performed by a high-resolution equipment may raise, as an alternative to the tumour, the prevalence of chronic pancreatitis. Of 169 documented cases 7 were found to be of this condition. The strict criteria of establishing diagnosis are reviewed, supported by figures and case reports.
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