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At least 883 records · Page 49Linked to original sources
PubMed1992

Double pylorus.

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Duodenal Diseases↗
PubMed2006

[Acute intestinal obstruction after resection of the stomach and pylorus-destroying surgeries].

Results of examination of 55 patients with acute intestinal obstruction (AIO) who had undergone resection of the stomach (51) and trunk vagotomy with pyloroplasty (4) were analyzed. Among 29 operated patients AIO were caused by phytobezoars in 21 (72.4%) and comissures in 8 (27.6%) patients. Twenty-two were hospitalized in autumn. Twenty-six patients were treated conservatively, 12 of them were hospitalized in autumn. Small-intestine AIO due to phytobezoars is seen more often in patients with resected stomach. This pathology is characterized by triad of signs: the history of stomach resection, autumn (the season of haw), clinical picture of small-intestine obstruction.

Acute Disease↗
PubMed1991

[Pancreatoduodenectomy with preservation of the stomach and pylorus: technical and functional aspects].

Pancreatoduodenectomy is the most used resective operation in the treatment of cephalopancreatic pathology; nevertheless it is a severely demolitive operation, especially if performed according to the traditional technique. It can induce early as well as late complications in a high percentage of cases. A number of technical improvements have been proposed so far in order to reduce or avoid such complications; duodenopancreatectomy with gastric and pyloric preservation (PPDP) is the most representative one. The Authors analyze technical and functional features of PPDP in 22 patients operated on; results are compared with the traditional technique. In conclusion, among all the techniques proposed, PPDP assures the best improvement in the quality of life of these patients.

Ampulla of Vater↗
PubMed1991

[Occlusion of the duct with a fibrin glue and preservation of the pylorus after resection of the duodenum and head of the pancreas for periampullary carcinoma].

Dehiscence of pancreaticojejunostomy represent the main technical postoperative complication after duodenocephalopancreasectomy for periampullary carcinoma. The incidence of this complication is particularly high in cases of narrow duct and a tender pancreatic gland. In this case the authors suggest a technique of occlusion of the residual pancreatic stump using a fibrin sealant. This approach was utilized in 6 consecutive patients affected by resectable periampullary carcinoma. No postoperative mortality was observed. Pancreatic fistula developed in 5 cases and all of them resolved spontaneously in 1-4 months. The sixth patient underwent, at 3 months p-o, a CT-guided percutaneous aspiration of an intraabdominal fluid collection and with no further complications. 3 patients died at 3, 9 and 11 months because of liver metastases. Currently 3 patients are alive and apparently disease free at 25, 7 and 5 months. Pancreatic endocrine function was assessed in 5 patients at 3 months p-o. Blood glucose and insulin, glucagon and C-peptide plasma levels, all fasting and 1 our after a standard meal, revealed a normal glucose metabolism. The authors conclude that, since fibrin sealant avoids the pancreatic fibrosis which could be induced by non-absorbable polymers and the benign evolution of this type of pancreatic fistula, this method for handling the exocrine secretion is a safe and satisfactory approach which is particularly indicated in case of a pancreatic stump at risk for intestinal anastomoses.

Adenocarcinoma↗
PubMed1990

[The use of Grüntzig-type balloon catheters for dilatation in stenoses of the pylorus and the duodenum].

The paper is concerned with original methods of balloon dilatation with high-pressure low-profile balloon catheters of Grüntzig type of pyloric and duodenal stenoses. A new informative method of recording of this procedure and its results with computer for radiography was described. In 10 patients this method was used alone as well as in combination with sparing operation--selective proximal vagotomy. In 80% of cases a positive effect of this procedure was obtained and confirmed by clinical observation and instrumental methods. No complications were noted. Therefore this methods could be recommended for a wider clinical use.

Adult↗
PubMed1989

[Organ-sparing operations in bleeding ulcers of the pylorus and duodenum].

The organ-preserving operations were performed in 387, gastric resection--in 142, closure or excision of an ulcer without vagotomy--in 132 patients with bleeding pyloroduodenal ulcers. The lethality after gastric resection was 11.3%: after the emergency operations--16.3%; after early elective interventions--9.1%; after the organ-preserving operations--2.6, 5.3, 0.85%, respectively.

Duodenal Ulcer↗
PubMed1989

[Simultaneous occurrence of aberrant pancreas on the pylorus and agenesis of the gallbladder].

The case of a 40-year old woman who displayed 2 types of developmental anomalies is described. Besides the absence of the cholecyst aberrant pancreas was found in the pyloric duct. Pancreatic tissue was found also in one of the lymph nodes along the lesser curvature. In connection with the case the incidence of the developmental anomalies and symptomatology as well as the difficulties of the diagnosis and therapeutic possibilities are dealt with. No description of the simultaneous occurrence of the 2 developmental anomalies was found in the available literature.

Abnormalities, Multiple↗