[Esophago-gastric leiomyoma in a 16-year-old patient].
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Biomedical subjects
Publications and source records attributed to J Grosdidier.
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The authors report two cases of bronchogenic cysts of the esophagus. The first description of an intramural double bronchogenic cyst of this organ is published. These cysts are uncommon and result from an aberrant cleavage of the primitive gut. They are characterized by the presence of a ciliated cylindric epithelium of the respiratory type, bordering the intern side of the tumor. The symptomatology is not specific. The diagnosis of benign tumor is based on the roentgenologic picture. The thoracotomy is necessary and the best treatment is enucleation of the tumor.
The authors relate a series concerning 123 cephalic pancreatico-duodenectomy cases for chronic pancreatitis and pancreatic tumors. Post surgical complications due to pancreatico jejunal anastomosis and those appearing later on in relation with residual parenchyma have been studied; so were described the different therapeutic proceedings remedying to them. The obstruction of Wirsung's duct in the tall of Pancreas with some acrylate glue seems interesting in limiting the post surgical complications if the risk of pancreatic fistula can be prevented while preserving the endocrine function.
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Three cases of surgically treated para-duodenal hernia are presented. The literature is reviewed. Several modalities of this entity are described as well as the embryological hypotheses to explain their genesis. The diagnosis is usually made at the time of a laparotomy for bowel obstruction. The surgical manipulations to reduce the hernia content (one or several loops of small bowel) are discussed.
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Surgical treatment of rectocele causing outlet blockage is still a subject of controversy. A retrospective study of eight rectocele repairs endorectally using a surgical stapling device done over a two years period was performed. The most common indication was constipation. All patients underwent in the preoperative period complete physiologic examination including defecography, anorectal manometry, electromyography and colonic transit studies. All patients underwent colonoscopy to exclude an obvious physical disorder. There was no postoperative morbidity and the mean hospital stay was four days. Good functional results were obtained in seven patients with a one year follow-up. Endorectal resection using a stapling device is both a simple and effective technique to treat rectocele associated with difficulty in evacuation.