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Biomedical subjects

Z Popovici

Publications and source records attributed to Z Popovici.

44 records · Page 3Linked to original sources

[Anatomoclinical aspects of portal thrombosis].

The author presents 65 cases of portal thromboses, of which 18 were isolated, 34 associated with liver cirrhosis and 13 occured after surgery for porto-caval anasthomosis. Spontaneous thromboses were of the troncular type in 61,5% of the cases, extensive in 32,7% and radicular in 5,8%. In the group of isolated forms those of the extensive type were predominant (50%), while in those associated with cirrhosis, troncular thromboses were more frequent (73,5%). In 7 cases termino-lateral antro-porto-caval thrombectomy was performed with immediately favourable results in 3 cases, of which one was maintained in time as an extra-hepatic block.

Humans↗

[Jejunal invagination after antrectomy and gastrostomy in postcaustic esophagogastric stenoses].

The author presents 3 cases of jejunal invagination in a lot of 120 cases of post-caustic oeso-gastric stenoses that were operated. In two of the patients the invagination developed following antrectomy and in one case it occurred after gastrostomy with jejunal intubation. Invagination developed one month after surgery, and between 47 and 60 days from the ingestion of the caustic substance. In all the cases de-invagination was performed, followed by partial pleating of the mesenterium (Ghilda-Phillips). Oesophagitis, erosive gastritis, gastrostomy and prolonged jejunal intubation may explain the increased frequency of this complication (2.4% against 1.6% in patients with resections for ulcers).

Adult↗

[Our management of complicated ulcer in cirrhotic patients].

The authors present 83 cases of associated ulcer and cirrhosis, evaluating the frequency of this complication in relation with the total number of ulcers hospitalized over a determined time. The percentage of this association was of 1,6 of the total number of patients with ulcers, and of 10,2 of the total number of patients with cirrhosis. The major complications of this association were hemorrhage and perforation, both in an identical percentage (38). In the case of hemorrhage the authors recommend extirpation of the ulcer. In situ hemostasis should be avoided, when possible because the risk of continued hemorrhage is greater than that of gastric resection. When hemorrhage is due to ruptured oesophageal varicosities endocardial transgastric ligature is recommended by the abdominal route, according to the Skinner-Suteu procedure. In perforated ulcers excision is recommended, associated with pyloroplastia and vagotomy.

Azygos Vein↗

[Surgical management of pharyngo-esophageal foreign bodies subsequent to the failure of endoscopic interventions].

The authors present 15 cases of patients with pharyngo-oesophageal foreign bodies, of which 6 occurred in subjects with a normal, healthy oesophagus. In two cases the foreign bodies were eliminated spontaneously, one was extracted by endoscopy, two through cervicotomy and one through thoracotomy. The author stress the fact that dental prostheses are very rarely swallowed, and the deglutition of a live fish is mentioned --. In 7 patients the foreign body became struck in an old post-caustic oesophageal stenosis. In one of these patients the foreign body was extracted by thoracotomy, in 3 cases gastrostomy was performed, in 2 cases colo-oesophagoplasty was necessary and in one case the oeso-colic stenosis was recalibrated. The late results were excellent, excepting one case when the patient died a short time after surgery through a cerebral vascular accident. The therapeutic attitude was differentiated in relation with the condition of the oesophagus, the site of the foreign body and the time of hospitalization.

Adult↗