[Ultrasonic diagnosis of digestive system diseases].
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The survey covers the diabetic autonome neuropathy. After a general introduction, discussing the history, incidence, histological characteristics, pathogenesis and some of the diagnostic methods of diabetic neurovegetopathy , some problems, not sufficintly known in the clinical practice of the neurovegetopathy of the ga tro -intestinal and excretory systems were discussed. The survey contributes to the more thorough knowledge of that relatively rare complication of diabetes and to its more effective treatment.
Anaerobic digestion of food waste can reduce its volume, generate fuel biogas containing methane, and produce solid organic residue that can be used as a soil conditioner or fertiliser. Anaerobic digestion is more promising food waste disposal method than incineration and landfilling. The hybrid anaerobic solid-liquid (HASL) system, enhanced with a submerged biofilter for ammonia removal, was proposed for food waste digestion. Application of the submerged biofilter in the HASL system operated in batch mode increased concentrations of dissolved COD and volatile fatty acids in an acidogenic reactor, and total COD removal and methane production in a methanogenic reactor. The gas production in the enhanced HASL system was 86 l while in the conventional HASL system it was 54 l after 14 days of batch process. Methane production in the enhanced HASL system was increased by 26% in comparison with the conventional HASL system.
The group of 236 patients with the clinical pattern of chronic ischemic disease of digestive organs (CIDDO) is examined. It is detected that the course of CIDDO is characterized by localization, character of affection and degree of blood circulation disorders in unpaired visceral arteries and can be represented by 6 clinical variants. The erosive-ulcerous type of CIDDO was most frequently presented in male. It was combined with ischemic heart disease and atherosclerotic affection of arteries of lower extremities. In female the CIDDO more often flows as pseudo-pancreatic variant on a background of hypertension, dislipoproteidemia and hypothyroidism. It is proposed functional classes of disease on which the treatment strategy depends.
One hundred ninety-six patients undergoing surgical treatment for digestive tract cancer were recruited in a polycentric, multistep study to value significant differences of pre-operative nutritional and immunologic parameters between patients with or without post-operative infections. Such parameters might be useful for the identification of "septic risk" patients. Primarily, 63 patients were given a complete anthropometric evaluation, laboratory screening and immunologic assessment (surface marker analysis of peripheral blood mononuclear cells, polymorphonuclears in vitro chemotaxis and phagocytosis). Only a few serologic parameters were significantly reduced in patients with post-operative infections, namely: total serum proteins (p less than 0.02), albumin (p less than 0.02), beta-globulins (p less than 0.01), and C3c (p less than 0.05). These parameters were elaborated with Fisher's linear discriminant function to detect the optimal discriminant threshold able to identify "septic risk" patients. The predictivity of this discriminant function was validated in a second group of patients (n = 49) in which total serum protein with electrophoresis were pre-operatively assayed as well as skin test reactivity to intradermal injection of recall antigens (Multitest skin-testing); discriminant sensitivity was 80%, the specificity 50%, and positive predictivity 62%. This low discriminant power of the equation based only on serum proteins assessment coupled with the significant negative relationship between skin testing and post-operative infections (male, p less than 0.005; female, less than 0.025) suggested a re-elaboration of the discriminant function, including the skin-testing score. The definite assessment of this new discriminant equation was evaluated in the third sample of patients (n = 84) which showed 67% sensitivity, 88% specificity, and 76% positive predictivity, thus suggesting the high reliability of this test for the pre-operative selection of "septic risk" patients.
Reporting on 805 endoscopies of upper digestive tract performed in a rural area of Gaboon during a period of 28 months, the authors describe the indications and the results by analysing comparatively their findings with some other African ones. Their experience is deeply in favour of performing much more often fibreoptic endoscopy, even if the percentage of investigations revealing no anomaly is high, because its indisputable medical and economical interest.
The authors experience in the surgical treatment of endocrine tumours of the digestive tract is reported. Particularly, they emphasize that in spite of the several syndromes associated with these neoplasms, diagnostic and therapeutic concepts herein analyzed are similar.
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