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Biomedical subjects

M Celerier

Publications and source records attributed to M Celerier.

At least 55 records · Page 3Linked to original sources
PubMed1986

[Retrosternal esophagoplasties by gastric upturn. Functional value].

The functional results in 13 cases of retrosternal oesophagoplasty by gastric upturn were compared with those obtained in 20 retrosternal oesophagoplasties by interposed colon and with published data concerning intrathoracic isoperistaltic reconstructions. Nine patients were examined by radiocinematography and 6 by radioisotope scanning to evaluate the speed of passage through the neo-oesophagus and the quality of gastric emptying. It appeared that gastric emptying took place within normal delays. Signs of reflux were observed in 9 of the 13 patients, but the problem did not seem to be worse than with isoperistaltic reconstructions.

Esophagoplasty↗
PubMed1986

[Perforations of the thoracic esophagus. Apropos of 14 surgical cases].

The authors report the datas of 14 patients with perforation of the esophagus who underwent surgical treatments. Three patients died (21%). Various technics have been used, but a new personal one consisting in stappling the cervical esophagus--and sometimes the lower end in the chest-is brought forward. The last six patients who underwent this technic healed. Five out five have got a spontaneous repermeation of the esophagus. The sixth healed after fiberendoscopic dilatation.

Adolescent↗
PubMed1986

[Gastropericardial fistula. Late complication of the treatment of hiatal hernia].

An exceptional case of gastropericardial fistula is reported, the lesion developing from a gastric ulcer on an antireflux valve instituted ten years previously. A literature review showed 31 similar cases: 14 gastropericardial fistulae, 16 esophagopericardial fistulae and one jejunopericardial fistula. Three features common to all these fistulae were determined: the frequency of hiatus hernia in the genesis of these lesions, either from an ulcer on esophagitis or herniated stomach or from surgical complication; the extremely high mortality of these fistulae (68% mortality); the need for aggressive treatment.

Aged↗
PubMed1986

[Evaluation of 16 severe pharyngo-esophageal caustic stenoses. Value of the anterior approach in an ileo-colic transplant].

Results of treatment of 16 cases of severe pharyngo-esophageal stenosis of caustic origin are reviewed. Emergency treatment is described, the place of otorhinolaryngology in investigation of lesions of upper respiratory and digestive tract discussed, and a description given of a technique of esophagopharyngoplasty by right ileocolic transplant with a suprahyoidal or supraglottic anterior cervical approach with epiglottectomy. Strict selection of patients is essential, taking into account their psychiatric profile. The functional result of this operation, with its long and difficult postoperative course, was inconstant (11 of the 16 cases could be fed liquids and solids by mouth exclusively, ensuring maintenance of body weight, although endoscopic dilatation might be necessary in one or two cases), and appears to depend on the outcome of corrosive lesions and psychologic behavior of patients.

Adolescent↗
PubMed1984

[Uni- or bipolar temporary exclusion of the esophagus by stapling. A simple technic, not damaging to the esophagus].

Many surgical procedures have been put forward to treat perforations of the thoracic oesophagus seen late. The authors propose a simple stapling technique which can be applied in the cervical segment or below the lesion if required, and report the results obtained in 4 cases. The spontaneously reversible temporary derivation obtained ensures better healing of the lesion and avoids the need for subsequent reconstructive surgery.

Aged↗
PubMed1984

Serotonin-secreting and insulin-secreting ileal carcinoid tumor and the use of in vitro culture of tumoral cells.

The authors report the case of a patient with a typical carcinoid syndrome and a severe hypoglycemia due to hyperinsulinism. He was found to have an ileal carcinoid tumor with hepatic metastasis and no evidence of pancreatic insulinoma at surgery and autopsy. By assaying serotonin and insulin in the tumor and in the supernatants of the culture derived from hepatic metastasis, the authors have been able to show that both hormones were produced by the carcinoid tissue. Cultured cells also synthesized minute amounts of gastrin and thyrocalcitonin.

Blood Glucose↗
PubMed1984

Blunt thorax oesophageal stripping: an emergency procedure for caustic ingestion.

We report our experience with an original procedure which we have applied to the management of acute necrotic caustic burns of the upper gastro-intestinal tract. Blunt thorax oesophageal stripping is performed through a cervicotomy and a laparotomy, thus avoiding a wide pleural exposure and the frequent and often fatal respiratory complications of a thoracotomy. The stripping method permitted survival of 13 of 17 patients and is thus considered to be a safer and more successful technique than open thoracic oesophagectomy.

Adult↗
PubMed1984

[Palliative retrosternal reconstruction in cancer of the esophagus].

Among patients presenting with a cancer of the esophagus, only a third will have a theoretical radical resection. Out of our management: 1 - By pass with operatory abdominal and cervical check up--2 - Chemotherapy--3 - Total esophageal resection by thoracotomy, 29 patients get through the first stage only, which is then considered as a palliation method. Results obtained about the degree of palliation, i.e. quality of life, pathologic incidences, mortality rates are compared with other methods.

Adult↗
PubMed1984

[Severe tracheobronchial complications of the ingestion of caustics in adults. A case of perforation healed with a pulmonary patch].

Since 1969, in a study of 100 patients hospitalized for severe caustic ingestion meeding intensive surgery, the authors have found 9 cases of critical tracheo-bronchic burns characterized by necrotic lesions. Those lesions constitute a severe complication (6 deaths amongst 9 patients) thus the obsolute necessity of precocius and repeated tracheobronchic fiber endoscopies. In case of an ulcerating or pre-splitting aspect appearing in localised necrotic lesions, the authors preconise in emergency a tracheobronchic plasty using a lung patch. Other treatments are discussed.

Adult↗
PubMed1983

[Total villous atrophy, mesenteric lymph-node cavitation, splenic atrophy. An unusual form of celiac disease in adults, apropos of a new case].

The authors report a new case concerning the syndrome "total villous atrophy, mesenteric lymph-node cavity formation and splenic atrophy" in a 41 year old woman. This pathologic association is characterized by: a) a clinical and biological malabsorption syndrome; b) proximal small bowel alterations as observed in coeliac disease, with, especially subtotal or total villous atrophy, abnormal enterocytic epithelium, hyperplastic crypts and lymph-plasmacytic infiltrate in the lamina propria; c) lymph node mesenteric cavity formation with an heterogeneous necrotic, sometimes liquefied, substance, without germ or parasite. Rare cortical lymphoid follicles are still persistent; 3) a splenic atrophy. A temporary improvement with gluten-diet (G.F.D.) was followed by a one-year period of total resistance. A treatment including corticotherapy was then successful and since the 14 past months her health remained satisfactory. Clinical, pathological data and the evolution about this patient are compared with those of the six published cases. The aetiology of this syndrome only observed in adults at the present time is unknown; the fact that patient's child presents with a coeliac disease, allows to authenticate, for the first time, this syndrome as a special form of adult coeliac disease.

Adult↗
PubMed1982

[Caustic digestive stenosis involving the hypopharynx. Esophagopharyngoplasty using a right ileocolic graft].

The authors describe an oesophago-laryngoplastic technique using a retrosternal ileocolic graft and involving anterior pharyngotomy above the hyoid bone. The technique was applied to five cases of major destructive lesions of the hypopharynx with fibrotic stenosis, due to severe burns of the upper digestive tract by ingestion of caustic substances. Continuity between the oral cavity and the digestive tract was re-established in all cases.

Adult↗
PubMed1982

[The reversed stomach technique of oesophagoplasty (author's transl)].

A technique of oesophagoplasty using the whole stomach is described and discussed. In this technique, the duodenum is divided and the stomach is turned-up, passed through a retrosternal tunnel and anastomosed with the cervical oesophagus. Continuity of the intra-abdominal digestive tract is restored by anastomosing the gastric fundus with the duodenum. The new technique, successfully used by the authors in 10 patients, is applicable to oesophageal carcinomas as a palliative measure or as the first stage of secondary oesophagectomy; and to oesophageal stenosis consecutive to caustic burns.

Duodenum↗
PubMed1982

[Massive retroperitoneal hematoma caused by rupture of the kidney, secondary to cortical abscess].

A massive retroperitoneal hemorrhage found to be due to a renal abscess in a previously healthy kidney was treated successfully by nephrectomy. This type of lesion occurs fairly infrequently, but it is quite exceptional to observe presenting signs as in the case reported, and recovery is not mentioned in the published literature. Therapy for renal abscess involves either urgent nephrectomy in cases of associated hemorrhagic or septic shock, or medical treatment under close supervision in the absence of major signs of severity, which may, however, develop at any moment making surgery inevitable.

Abscess↗
PubMed1982

[Esophagopharyngoplasty by transplantation of a right ileocolic graft in the treatment of sequelae of esophageal and hypopharyngeal caustic stenosis].

Esophagopharyngoplasty was employed to treat 7 cases of severe stenosis from scarring due to caustic burns. Emphasis is placed on the advantages of retrosternally applied right ileocolic transplants using the supraphyoidal anterior pharyngeal approach. Results were considered as satisfactory in 4 cases, exclusively oral alimentation being possible, though bougierage, sometimes repeated, was necessary. The 3 unsuccessful cases were due to loss of oropharyngeal muscle peristaltism in one case, progression of scar retraction in the second patient, and the psychological behavior and lack of essential active cooperation in the third case.

Adult↗