[Ileocecal valve lipomatosis. Report of 7 personal cases].
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Biomedical subjects
Publications and source records attributed to R Bourgeon.
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Perforations of the colon and rectum during administration of barium enema. Six cases report. The authors have stated six cases of accidental perforation occurring during barium enema examination. They recall their principal modality of unexpected arrival, in particular: the type of nozzle used, the means of injecting the contrasting liquid, the role played by the pathological associated colon-rectum lesions. The diagnosis may be postponed especially when the perforation is under the peritoneal seat. The pain during or after the opacification as well as the rectorragies are the most frequent alarming symptoms observed. The prognosis is on the whole serious but is can be improved by a rapid and appropriate therapy.
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The therapeutic problems investigated are orientated on the good results obtained by certain hepatic resections. The reasons for their success is discussed from the point of view of the patient's state of immunity, the technic employed, and the characteristics of the tumor. Under characteristics of the tumor are discussed : biologic reactions, anatomic and histologic aspects, and especially the vascular quotient which, studied entirely from the experimental point of view, includes the arterial, venous and lymphatic aspects for each variety of cancer. These findings can be classified and compared with the results obtained. This retrospective study opens the way for a prospective classification aimed at confirming the therapeutic views. A principle preoccupation is the detection of cases with only local involvement where cure is possible, while therapeutic trials for lesions with regional extension are to be tested.