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At least 73 records · Page 4Linked to original sources
PubMed1993

[Experimental studies of the significance of pancreatico-enterostomy on the chronic pancreatitis, with special reference to changes of the endocrine function and histology in the remnant pancreas].

The remnant pancreatic function after surgery of the pancreas has hitherto been extensively studied. Nevertheless much still remains unknown. The significances of pancreatico-enterostomy on the chronic pancreatitis, especially in reference to changes of the endocrine function and histology in remnant pancreas, were studied. An experimental chronic pancreatitis model was made by ligation and division of the main pancreatic duct, which was followed by 50% pancreatectomy (Resection group) and by reconstruction of pancreatic duct with 50% pancreatectomy (reconstruction group) at 8 weeks. The results were as follows. 1) The pancreatic endocrine function, which was studied by using IVGTT, and calculated by K-values, showed significant deterioration 8 weeks after the main pancreatic duct ligation. 2) The remnant pancreatic endocrine function of reconstruction group was significantly recovered 16 weeks after 50% pancreatectomy as compared to resection group. 3) On the histological study, fibrosis of the reconstruction group was restrained and inflammatory cells were disappeared. 4) These results suggest that early operative intervention should be done as a treatment of chronic pancreatitis with 50% pancreatectomy, in order to preserve and recover the eccrine function.

Anastomosis, Surgical↗
PubMed1986

Sclerotherapy for massive enterostomy bleeding resulting from portal hypertension.

Three patients with frequent and massive hemorrhage from enterostomy (colostomy 2, ileostomy 1) due to portal hypertension are reported. The hemorrhages were treated with sclerotherapy by submucous injections of polidocanol (Ethoxysclerol) or phenol (5 percent) almond oil. In one patient, a complete and long-term stoppage of the bleeding was achieved. In the second patient, a marked reduction in the amount of blood loss and an increase in the time between bleeding episodes occurred. In the third patient, only a short-lived effect of a few weeks was reached.

Aged↗
PubMed1999

A simplified method of gastropexy for transgastric enterostomy.

Radiological placement of gastrostomy tubes was first described in 1983. Percutaneous gastropexy to facilitate gastrostomy placement was reported in 1986. Debate has continued to this day regarding the necessity of gastric fixation. We describe our technique of a simplified gastropexy to facilitate transgastric enterostomy and advocate its more widespread use.

Gastrostomy↗
PubMed1976

Hepatic porto-enterostomy or cholecystostomy in the treatment of extrahepatic biliary atresia. A study of 49 cases.

Hepatic porto-enterostomy or cholecystostomy (Kasai's procedure) was successful in restoring bile flow in 31 of 49 patients with "noncorrectable" extrahepatic biliary atresia. However, all but one of the 31 developed acute or chronic complications such as cholangitis, bile peritonitis, or portal hypertension. During a five-year follow-up period, 26 (53%) died while 9 of the 23 survivors continue to manifest chronic or recurrent cholangitis. Thirteen of the 19 survivors who are more than one year of age have developed portal hypertension. These complications limit the prognosis of infants with "noncorrectable" biliary malformations.

Bile Ducts↗
PubMed1984

Modified hepatic portal enterostomy for biliary atresia.

Macroscopic and microscopic studies of the portal tract in liver specimens obtained at autopsy from 5 noncorrectable biliary atresia patients were performed. The studies disclosed that major intrahepatic bile ducts had disappeared for variable distances in noncorrectable biliary atresia patients. However, the topographic relationship between intrahepatic bile ducts and blood vessels was just the same as in normal livers. On the basis of these studies, we preformed more extensive portal exploration in order to get closer to the obstructed ends of major intrahepatic bile ducts. Hepatic portal enterostomy was also modified to avoid obstruction of the explored area by the jejunal wall to be anastomosed The results of 7 patients who received the new operation were encouraging with complete loss of jaundice in 6 of 7 patients.

Bile↗
PubMedDate not supplied

[Portal hypertension and enterostomy: a dangerous combination. Colostomy-induced varices as a rare cause of gastrointestinal hemorrhage. Report of a case and review of the literature].

Variceal bleeding from enterostomy in an unusual complication of portal hypertension. The hemorrhage can be managed in most patients with local measures, but if these manouvres fail, surgical procedures may be required. Treatment options include pressure dressings, stomal revision or disconnection, suture or ligation of stomal varices, bowel resection, and porto-systemic shunting. Recently sclerotherapy and percutaneous transhepatic embolization have been reported. A case of ectopic varices in the site of colostomy complicated by recurrent hemorrhage is described and the therapeutic option utilized is discussed with review of Literature to assess the efficacy of the various treatment options.

Aged↗
PubMed1999

[Possible enterostomy techniques].

Various techniques for colostomies and ileostomies have been described using both conventional and laparoscopic surgical techniques. The stoma should be placed in a lower quadrant of the abdomen through the rectus muscle below the umbilicus to be cared for properly. The support of an enterostomy therapist may be helpful for the patient.

Colostomy↗
PubMed1979

[Retrograde inhibitory effect of continuous reinstillation of digestive juice in temporary artificial and pathological enterostomies on the secretory digestive flow].

The reinstillation of the digestive juice in the lower end of an enterostomy has a retrograde inhibitory effect on the upper digestive secretions (average inhibition of 30,2%) particularly on the intestinal juice during the digestive syndromes associated with one or several interruptions of the continuity of the bovel. It should be noted, however, that the observation has not been made on normal men, but rather on severely ill patients treated in the intensive care unit of a gastro-intestinal disease department.

Crohn Disease↗
PubMed1975

[Infusion therapy in uretero-enterostomy].

The special problems of the uretero-enterostomy, which is often followed by disturbances of the electrolyte metabolism such as hyperchloremia, metabolic acidosis and hypokalemia with all complications, are dealt with. The pre-operative treatment of the patient and the postoperative infusion therapy are discussed in detail, suggestions as to the infusion, electrolyte and calorie quantity to be administered are made. The postoperative complications are demonstrated on the basis of a special case, the theories on the causes of the electrolyte imbalances are also mentioned.

Acid-Base Equilibrium↗
PubMedDate not supplied

Complete resection of choledochal cyst with Roux-en-Y derivation vs. cyst-enterostomy as standard treatment of cystic disease of the biliary tract in the adult patient.

BACKGROUND/AIMS: Cystic disease of the biliary tract (CDBT) is characterized by varying degrees of dilatation of the biliary system with high morbidity and mortality in which the surgical management is the corner stone of treatment. The cyst-enterostomies (CE) temporarily solve the obstruction to the biliary flow but have a high long-term morbidity. Complete resection of affected bile ducts with Roux-en-Y derivation (CRR-en-Y) is a good procedure with low mortality and complications. The purpose of the study was to analyze the outcome of CRR-en-Y versus CE in the treatment of CDBS in adult patients from 1970 to 2002. METHODOLOGY: Patients who underwent surgical treatment were divided for their analysis into two groups: Group I: CRR-en-Y and Group II: CE. Following features were compared: demography, clinical picture, postoperative morbimortality, outcome and survival. RESULTS: Thirty-four adult patients were analyzed. There were 82% (28) females and 18% (6) males. The age average was 33.58 years (13-84). Seventy percent (30) were "choledochal cyst". Eighty percent (27) were surgically handled: 52% (14) with CRR-en-Y (Group I) versus 58% (13) with CE (Group II). Both groups were comparable. Without operative mortality and low postoperative morbidity in both, CE had more long-term complications: In this group 70% (9) were readmitted: and 7 underwent reoperation. Mean follow-up was 35 months (6-132) versus 152 months (12-408) respectively. CONCLUSIONS: CRR-en-Y is the standard treatment of CDBS in the adult patient.

Adolescent↗
PubMed1991

[Enterostomy in Crohn disease].

Indications, technique and prognosis of 129 enterostomies in Crohn's disease are reported. Advanced perianal or entero-genital fistulas represented the predominant indication (60% of primary, 46% of repeated stomas). 85% of stomas were created in combination with intestinal resections. Preferred type of stoma was a loopileostomy (76% of primary stomas), whereas colostomies were avoided whenever possible because of increased complications. Patients initially presenting with rectal involvement or perianal fistulas were prone to need a stoma during the course of their disease while intraabdominal fistulas, abscesses, age, sex, and longstanding disease where of no prognostic significance. Up to now 50% of all temporary stomas and a third of those created for distal fistulas could be closed. The chance of closure increased significantly with duration of symptoms less than 7 years, not more than one previous operation or absence of rectal involvement.

Adult↗
PubMed1990

[Reoperation after cholecysto-enterostomy].

Treated were 129 patients, who earlier underwent cholecysto-enterostomy in periampullary tumors. At the period of from 3.5 to 5 weeks after the first operation, these patients need thorough clinico-instrumental examination, they should be given aid at a specialized in-patient department.

Ampulla of Vater↗
PubMed1988

[Enterostomy-controlled intestinal dialysis].

Separate drainage of the jejunum and ileum with two small diameter tubes through enterostoma was performed in 26 patients with acute purulent peritonitis in order to make the intestinal dialysis. A description of the method of enterostomy and intestinal lavage is given.

Acute Disease↗
PubMed1975

Appliances for cutaneous enterostomies.

This report deals with appliances for permanent cutaneous enterostomies such as ileostomy, colostomy and ileal-bladder (called ostomies below). The purpose of the report is to facilitate the choice of appliances for these types of ostomies for prescriber as well as the person operated.

Abdominal Muscles↗
PubMed1993

[Endoscopic drainage of pancreatic pseudocyst: endoscopic cysto-enterostomy].

Pancreatic pseudocysts occur in 20% of cases of chronic pancreatitis. Spontaneous resolution is seen in about 9% of the cases, but most cysts persist and frequently cause complications, such as compression of adjacent organs or infection. Endoscopic cysto-enterostomy has recently been reported as a new nonsurgical invasive approach. We present a 40-year-old alcoholic man with a large pancreatic pseudocyst compressing the distal choledochus and pancreatic duct, who was treated successfully by endoscopic cysto-duodenostomy.

Adult↗