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Biomedical subjects

J Loygue

Publications and source records attributed to J Loygue.

At least 55 records · Page 3Linked to original sources
PubMed1983

[Colovesical fistula of diverticular origin. Diagnostic and therapeutic aspects. 17 cases].

Seventeen patients presenting with diverticular colovesical fistula were treated surgically between 1975 and 1979. Any treatment of the fistula must aim at the cause--colonic diverticulitis--by resection of the colon and colorectal anastomosis. Colostomy was performed in two cases. The bladder was closed by simple suture and a urethral catheter was left in place for ten days. There were few complications, though one patient died. Pneumaturia and fecaluria are specific symptoms. Intravenous pyelography and cystoscopy are of little assistance and only a barium enema should be performed for preoperative diagnosis.

Aged↗
PubMed1983

Inhibition of upper gastrointestinal secretions by reinfusion of succus entericus into the distal small bowel. A clinical study of 30 patients with peritonitis and temporary enterostomy.

We prospectively studied peritonitis secondary to small bowel leakage in 30 critically ill patients, each of whom had complete diversion of intestinal continuity by stoma, fistula, or both. All patients received total parenteral nutrition during implementation of the protocol. The proximal intestinal effluent was collected and recycled into the distal small bowel. During reinfusion of succus entericus, a significant reduction in the output of the proximal stoma was observed (mean 30.2%, p less than 0.001). The reinfusion also significantly reduced the volume from isolated small bowel loops in six patients (32.6%, p less than 0.001). When isotonic dialysate solution was infused into the distal intestine, a lesser though significant reduction in stoma output occurred (mean 20.3%, p less than 0.001). These findings demonstrate a consistent inhibitory effect upon upper gastrointestinal secretions by reinfusion of succus entericus. Clinical benefits of this technique include simplified control of fluid and electrolyte balance in patients with high output stomas and optimal utilization of remaining absorptive capacity for enteral nutrition.

Colostomy↗
PubMed1982

[Palliative treatment of carcinoma of the hepatic duct junction. Intra-hepatic derivation or trans-tumoral intubation? (author's transl)].

Intra-hepatic cholangiojejunostomy (group I patients) and simple trans-tumoral intubation (group II patients) were retrospectively compared in a series of 44 patients with primary carcinoma of the hepatic duct junction. Hospital mortality was 30% in the 13 group I patients and 9.5% in the 21 group II patients. Jaundice and pruritus were equally relieved in both groups. The mean survival time (hospital deaths excluded) was 16 months in group I and 12 months in group II patients. It is concluded that the decision as to which of these two palliative surgical procedures should be performed must rest on the degree of biliary duct distension as well as on the patient's age and general condition.

Adult↗
PubMed1981

[Rupture of the liver secondary to external cardiac massage in a patient with coronary disease : recovery after partial hepatectomy and aortocoronary by-pass (author's transl)].

A 55-year-old man developed ventricular fibrillation during an attack of acute Prinzmetal-type angina, and was treated by external cardiac massage and a defibrillator. Hemorrhagic shock due to laceration of the left side of the liver developed 48 hours later. A liver lobectomy was performed. The postoperative course was uneventful enabling a coronarography examination to be followed by an aortocoronary by-pass, good results being still present after one year. Complications of cardiac massage, especially those involving the liver, are discussed, as well as the treatment of traumatic liver lesions.

Coronary Artery Bypass↗
PubMed1981

[Sphincterial conservation in surgery of carcinoma of the rectum (author's transl)].

The present study reports the results of several methods used to perform abdominal resection (with anastomosis fastened by means of sutures and clip-gun) abdomino-transanal method designed to preserve sphincter function (Babcok,, Toupet, Duhamel), anterior abdomino-perineal resection and tumorectomy. The indications of these different surgical techniques are discussed and the authors point out the necessity to do not give up the carcinologic needs to the sphincteral preservation.

Anal Canal↗
PubMed1981

[Contribution of Babcock's operation to the treatment of rectal cancer. Results in 170 cases (author's transl)].

When conducted as a curative procedure, for tumors with a lower pole at least 7 cm from the anal margin, Babcock's operation can avoid the need for a definitive abdominal colostomy in some patients, without compromising the chances of survival. Postoperative care is often longer and more difficult than after abdomino-perineal amputation, but immediate mortality and long-term survival appear to be totally comparable. Functional results are good in most cases, and though some hygienic and dietary restrictions are often necessary, these constitute a more minor handicap than that of an abdominal colostomy. On the contrary, Babcocks operation should not be used as a palliative measure, as important restrictive postoperative conditions on a patient with a short survival prognosis, to obtain a functional result after several months when he will not be able to benefit from it, appears to be unwarranted.

Adult↗