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Biomedical subjects

P Detrie

Publications and source records attributed to P Detrie.

11 recordsLinked to original sources

[Ectopic openings of the common bile duct. A contribution to the physiological study of the sphincter of Oddi (author's transl)].

Two cases of ectopic openings of the common bile duct are reported. In one case there was a congenital short duct opening into DI, the presence of a spontaneous duodenobiliary reflux due to absence of the papilla being demonstrated by clinical and radiological examinations. The other patient had a long duct opening into D3 and no duodenobiliary reflux, but with an intact sphincter of Oddi explored in detail by means of combined choledochoduodenal manometry. These two cases demonstrate that the duodenal wall has only a moderate effect in preventing duodenobiliary reflux. The essential element is the sphincter of Oddi: if present, there is no reflux, if absent, reflux occurs.

Adult

[The duodenum : a psychosomatic organ? (author's transl)].

A pressure-captor tube was inserted into the duodenum close to the ampulla of Vater in 15 surgical patients. The authors present a selection of 12 pressure curves under different circumstances : sleep, awake, meal, psychological agression, physical agression, pharmacological agression. The curves indicate that the duodenum reflects a psychosomatic structure in terms of its motricity, which could explain various aspects of gastric or biliary pathology.

Adult

[Recurrent and recurring inguinal hernias. 50 cases operated upon via a sub-peritoneal approach (author's transl)].

The superiority of this method of hernia repair via a sub-peritoneal approach over classical techniques would seem to have been demonstrated since no failures were noted amongst 50 cases treated. The technique involves the complete resection of the sac of congenital hernias, the complete reduction of the sac of direct or recurring hernias and the abandonment of all sutures in favour of the broad apposition of a plaque which perfectly obliterates the deep orifices of the inguinal region.

Adult