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Biomedical subjects

Y Flamant

Publications and source records attributed to Y Flamant.

At least 55 records · Page 3Linked to original sources
PubMed1981

[Acute abdominal pain syndrome. The computer as an aid to diagnosis (author's transl)].

With a bank of data collected locally and a probability program of diagnostic aid, the computer is capable of making the correct diagnosis in 79% of acute abdominal pain syndromes. Its performance in this respect is somewhat superior to that of clinicians (73.5%). Including a computer program in diagnostic procedures would reduce the number of errors by excess or omission. In abdominal emergencies computerization would help either by increasing the reliability of clinical diagnoses or by suggesting that other possibilities should be investigated.

Abdomen, Acute↗
PubMed1981

[Radiation-induced intestinal lesions. Prognosis and surgical management (author's transl)].

Thirteen patients with intestinal lesions consecutive to radiotherapy for carcinoma of the uterus were operated upon between 1973 and 1979. The small bowel was involved in 9 patients and the colon and rectum in 4 patients. Urinary tract lesions were associated in 3 patients of each group. Intestinal necrosis, progression of the lesions and extensive pelvic fibrosis were the only criteria of poor prognosis. Twenty-two operations were performed: 4 for urinary tract lesions and 18 for intestinal lesions. Five patients died during the immediate post-operative period and five died within 2 to 30 months after surgery, including 4 whose carcinoma recurred. The operative technique should be selected according to the extent and severity of radiation-induced damage, as determined by pre-operative examination and thorough exploration of the abdominal cavity once opened. Limited lesions of the small bowel can be treated by resection, but intestinal bypass with latero-lateral anastomosis seems to be preferable in cases with extensive lesions. Patients with colorectal lesions should have defunctioning colostomy prior to any other procedure dictated by the state of affairs. Multiple anastomosis, extensive resections and excessive dissections should be avoided.

Adult↗
PubMed1981

[Exploratory laparotomy of the acute abdomen (author's transl)].

The results of exploratory laparotomy in 48 patients with an acute abdomen are reviewed. Overall mortality was 29 p. cent (14 cases) and was influenced by three main factors: patients over 50 years of age, multiple visceral lesions, and when exploratory laparotomy was conducted for an acute painful febrile abdominal syndrome (10 deaths in 32 cases) or during the postoperative period (4 deaths in 11 cases). In contrast, exploratory laparotomy is a benign procedure in patients with abdominal contusions. It is essential, therefore, to try to establish the diagnosis before proposing laparotomy, which should only be performed when all other diagnostic investigations have proved negative.

Abdomen, Acute↗
PubMed1980

[Gastrocolic excision for ulcers and cancer. Discussion on ideal surgical procedures (author's transl)].

Seven patients were treated by gastrocolectomy for either ulcers or cancers. Two patients had ulcerating gastrojejunocolic fistulae, four had cancers of the stomach, and one had cancer fistulae, four had cancers of the stomach, and one had cancer of the transverse colon. Two patients treated by immediate colon anastomosis for cancer, died after the anastomosis broke down, while the three other cases, treated by delayed colon anastomosis, survived. Both patients with ulcerating lesions survived, one after immediate and the other after delayed colon anastomosis. This latter procedure appears, therefore, to be imperative in cancer cases and of value, when used prudently, in ulcer cases.

Adult↗
PubMed1978

[Acute duodenal ulcers complicating Listeria meningitis (author's transl)].

The authors report 3 cases of acute complicated duodenal ulcers occurring during the course of Listeria meningitis. These three adults (2 females and 1 male) suffered from localised neurological involvement and, in 2 cases neurovegatative disorders an altered level of consciousness. The ulcers were situated in the duodenal cap, and in each case there were at least 2 large excavated ulcers. These ulcers were the site of late complications on the 13th and 15th days after the onset of neurological disease. In two cases the major symptom was haemorrhage, whilst in the third it subsided leaving a syndrome of peritonitis due to perforation. Treatment in all three cases consisted of vagotomy with pyloroplasty (the ulcers being excised or sutured). All the patients recovered from their digestive complications without relapse despite the persistence 6 and 10 months later of the same neurological problems in two of them. All these facts would be in favour of a neurogenic aetiopathogenesis, via the vagal nerve. Thus acute late duodenal ulcers in patients with neurological disease from a separate enity within the context of stress lesions.

Acute Disease↗