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Results for “Intestinal Fistula”

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At least 1,531 records · Page 85Linked to original sources
PubMed1995

[Percutaneous nephrolithotripsy (PCNL). The authors' own experience with 106 patients].

The authors report 106 consecutive patients who underwent percutaneous removal or debulking of renal stones from March '88 to June '94. Removal was successful in 64 pts (60%), while 6 patients (5.6%) needed a second-look section and in one case (0.9%) a third-look; in 33 cases (31.3%) PCNL was performed as debulking procedure before ESWL. The major complications were: 1 severe haemorrhage with secondary nephrectomy, 2 respiratory complications, 1 intestinal fistula, 2 hyponatremic syndromes, 1 global kidney functional exclusion and 1 sectorial exclusion. PCNL is an effective technique to treat the majority of single big renal stone or debulking procedure in staghorn calculi before ESWL.

Female↗
PubMed1995

[Stability of amino acids and vitamins in total nutrient admixture].

We reported a formula of total nutrient admixture (TNA) used in our patients. During 24 hours of storage shaded from daylight at 4 degrees C and at room temperature (25 degrees C), the concentrations of 17 kinds of amino acids and vitamin A, E, B1, B2 in the TNA prepared in EVA plastic bag were not changed significantly. A patient who has been on this TNA for parenteral nutrition for more than 8.5 years is in a good nutritional status, with no clinical manifestations in difficiency of vitamins and proteins. 42 patients receiving this TNA on TPN for a period ranging from 31 to 93 days were improved significantly in their nutritional status.

Acute Disease↗
PubMedDate not supplied

[Multiple relaparotomies].

Under analysis was the material of the department of urgent and consultation medical aid (sanitary aviation) for the last 20 years. It was found that under conditions of surgical departments of central regional hospitals multiple relaparotomies made up 12.5% of all reoperations. It was shown that results of the multiple relaparotomies were dependent on urgent coming of a consultant and active surgical treatment on the spot. Reconstructive operations for intestinal fistulas must be performed under conditions of a specialized proctological department.

Abdomen, Acute↗
PubMed1976

Colonoscopy.

Explore the source record for details and available documents.

Adult↗
PubMed1994

Pelvic lymphocysts after radical hysterectomy and lymphadenectomy.

Five cases (5.5%) of lymphocysts were diagnosed and treated, among 80 type III modified radical hysterectomies performed for cervical cancer St. Ia2-IIa, in the last 6 years. Identification was initially made by palpation and confirmed by CT or US, in 4/5 cases in the first 2 postoperative months. Pelvic pain, fever and pressure symptoms were the most common clinical findings. A conservative approach was successful in 4/5 cases. Spontaneous regression was observed in one, while needle aspiration under radiologic guidance with (1/3) or without (2/3) tube insertion was applied in the rest. Conservative treatment failed in the last case presenting with a 12 cm cyst. An intestinal fistula developed, necessitating partial resection of the ileus and marsipulization. The complicated course of this patient's disease may indicate that a more aggressive treatment is warranted for large persisting cysts located in the irradiated field.

Adult↗
PubMed1994

[Intestine saving surgery in Crohn disease--results of limited resection and stricture-plasty].

In order to evaluate functional results and outcome of "limited surgery" in Crohn's disease we reviewed the data of 161 operations performed in 65 patients. In our series most of the patients had repeated operations. Nevertheless we saw no short bowel syndrome, no death occurred. Correlation was high between number of operations and length of resected bowel (r = 0.8) whereas no correlation was found between resected bowel and duration of disease nor between duration and number of operations. In conclusion strictly admitted principles of limited surgery seem to preserve good functional results. Risk of complications or short bowel syndrome seems not to be increased.

Abscess↗
PubMed1976

[Changes in magnesium levels in surgery of the digestive tract].

We studied serum concentrations of magnesium post-operatively in 41 patients divided up into four distinct groups, depending on the degree of seriousness of the operation, the loss of body fluids and the duration of intravenous feeding. The results thus obtained showed us that in digestive disorders there is an initial fall in blood magnesium accentuated in operated patients submitted to continous gastric aspiration or an external biliary drain. In these same patients, there is a tendency to normalisation from the second day after the operation. Only patients with gastric or intestinal fistulas had a curve which fell to the seventh post-operative day reaching severe levels of hypomagnesemia.

Adolescent↗
PubMed1993

[Initial experience with a new silicone drain made by Rubena Náchod].

At the Surgical Clinic in Plzen in 1992 clinical trials were made to test drains manufactured in Rubena Náchod (plant in Velké Porící). These soft silicone X-ray contrasting drains were used in 40 patients. A total of 70 drains were used, all in abdominal operations incl. acute abdominal surgery and injuries. The mean drainage period was 9.2 days, the longest period was 38 days. In all instances the drainage was effective, none of the patients developed a residual abscess or intestinal fistula. The material from which the drains are made was well tolerated by all patients and none of them developed a reaction.

Abdomen↗
PubMed1993

Hip sepsis from retroperitoneal rupture of diverticular disease.

Retroperitoneal perforation of diverticular disease is very uncommon and can be difficult to diagnose because of possible pathways of communication between the retroperitoneal space and the thigh. An iliopsoas abscess from a ruptured diverticulum may drain into the hip joint if the capsule has been violated. Cases of abscesses or gas in the thigh have been reported in which thigh pain was the predominant symptom, overshadowing any abdominal signs. We report a case in which hip sepsis due to a ruptured diverticulum was the presenting feature.

Aged↗
PubMed1993

Techniques and complications of open packing of infected pancreatic necrosis.

Open packing of infected pancreatic necrosis has been used in a disease process that is known to have a high mortality rate. From 1982 to 1991, we managed 15 patients with infected pancreatic necrosis with this technique. The cause of the underlying pancreatitis was ethanol in seven patients, gallstones in four, drug induced in two, trauma in one patient and postoperative in one. At hospital admission, the mean number of Ranson's criteria was 4.5 (range of zero to 11). The diagnosis was made by computed tomographic scan in 13 patients, endoscopic retrograde cholangiopancreatography in one patient and clinically in one; eight patients demonstrated air in the pancreas or lesser sac. Operative débridement of the pancreas was performed by way of a midline incision in four patients and a transverse incision in 11 patients. All wounds were left open or closed partially over gauze packing; polyglycolic mesh was used as an adjunct to wound closure to prevent evisceration. Other procedures at initial operation included transverse colectomy (two patients), duodenal diverticulization (one patient), jejunostomy (six patients) and cholecystostomy (four patients). The mean number of subsequent dressing changes in the operating room was five (range of one to 13); subsequent dressing changes were performed in the intensive care unit. Three patients died (the survival rate was 80 percent). The mean period of time in the intensive care unit was 26 days (range of zero to 67 days). Early complications included pulmonary insufficiency in 14 patients, bleeding in four, intestinal fistulas in four and pancreatic fistula in one patient. The most common late complication was incisional hernia, which occurred in seven patients. We conclude that open packing of infected pancreatic necrosis is an effective treatment for this previously lethal condition. However, this treatment is labor intensive and requires a committed team of surgeons, interventional radiologists and critical care personnel. Attention to specific technical aspects of the procedure can minimize complications.

Acute Disease↗
PubMed1995

[Substitutive orthotopic ileocystoplasty. The Studer's technique].

OBJECTIVES: The results of the Studer enterocystoplasty technique is analyzed, with special reference to the early and late complications and urinary continence. METHODS: We reviewed the records of 20 patients that underwent bladder substitution according to the Studer technique due to bladder carcinoma from 1990-1993. Patient follow-up ranged from 6-36 months. The ureteroileal anastomosis was done by the single stitch technique onto a tubularized ileal chimney. RESULTS: The median age was 57.2 +/- 11.86 yrs (range 33-73). The preoperative stay for intestinal preparation ranged from 1-29 days (median 4.4 +/- 5.84) and the postoperative stay ranged from 1-60 days (median 26 +/- 11.44). The average operating time was 5.30 +/- 0.7 hours (range 4.15-7). There were two postoperative deaths; one from acute myocardial infarction and the other from pulmonary embolism. Three patients died from tumor progression during follow-up and one from leg ischemia 17 months postoperatively. Early complications: 2 cases of prolonged ileus, 1 wound infection, 7 urinary infections, 1 low debit intestinal fistula which resolved with parenteral nutrition, 3 patients had leakage at the ileourethral anastomosis which resolved with prolonged catheter drainage of 3-15 days, 1 hemorrhage from acute lesions to the gastric mucosa, 3 fascial dehiscence and 1 ureteroileal fistula that required reimplantation into the neobladder. Late complications: 1 ureteroileal stenosis that progressed to renal atrophy, 1 enterourethral stenosis that resolved with internal urethrotomy and 2 cases of severe metabolic acidosis and dehydration that resolved with fluid therapy. No differences were observed between the creatinine, pH and ion levels preoperatively and during follow-up. Continence was assessed in 17 cases: 100% were continent during the day, 41.2% were continent during the night, 4 had occasional nocturnal leakage and 6 required collecting devices during the night. CONCLUSIONS: The Studer technique provides good results and quality of life to patients undergoing cystectomy. Although it carries a high morbidity, conservative management will suffice in a high percentage of cases.

Adult↗