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Biomedical subjects

B Celicout

Publications and source records attributed to B Celicout.

5 recordsLinked to original sources
PubMed1994

Adenocarcinoma of the duodenum: factors influencing survival. French Association for Surgical Research.

The records of 66 patients with histologically proven adenocarcinoma of the duodenum were reviewed retrospectively to determine factors influencing survival. The parameters studied were age, sex, weight loss, jaundice, anaemia, duodenal stenosis, type of surgical procedure, tumour size and location, depth of parietal invasion, presence and location of lymph node metastases, and pancreatic invasion. These factors were assessed in a group of 46 patients who underwent curative resection of the tumour; 20 patients who received palliative procedures were excluded from statistical analysis. Survival curves were established by the Kaplan-Meier method and compared by the Mantel-Haentszel test. The actuarial 3- and 5-year survival rates of patients undergoing curative resection were 59 and 45 per cent respectively. None of the prognostic factors studied influenced survival. These results indicate that resection of adenocarcinoma of the duodenum should be performed whenever possible, even in the presence of lymph node metastasis and pancreatic spread.

Adenocarcinoma↗
PubMed1986

[Encapsulating peritonitis during continuous ambulatory peritoneal dialysis. A physiopathologic hypothesis].

A case of sclerosing encapsulating peritonitis was observed in a patient who had been treated by continuous ambulatory peritoneal dialysis for 4 years. During that period the patient had always used a lactate buffered dialysate (Dianeal solution, supplied by Travenol) and no disinfectant. Nine episodes of peritonitis occurred during the first two years of dialysis. At the end of the first year the patient had decreased ultrafiltration associated with high glucose absorption. A peritoneal biopsy performed at that time showed mesothelial alterations and desquamation. Sclerosing encapsulating peritonitis was suspected at the end of the fourth year, on the basis of changes in the glucose equilibration curve which showed that poor ultrafiltration was now associated with very slow glucose absorption. The diagnosis was confirmed at laparotomy. The authors suggest that the first stage of encapsulating peritonitis might be prolonged and severe alteration of the mesothelial layer. Dialysis should be discontinued immediately in the presence of a loss of filtration with hypermeability (type I) in order to permit normal recovery. If this is not done, loss of filtration with severe hypopermeability (type II) may develop due to multiple adhesions or to the encapsulating process.

Adult↗
PubMed1986

[Spermatic cord torsion in the neonatal period].

Four cases of torsion of the spermatic cord in the neonatal period were examined. In the light of the literature, the authors present the diagnostic approach and their conclusions concerning therapy. They insist on the necessity of a complete examination in the labour room and on the use of transillumination. Orchidectomy must be examined in relation to the intensity of the lesions and of the earliness of the diagnosis. The fixation of the contralateral testicle is considered necessary but must involve an efficacious technique, combined with a turning up of the tunica vaginalis.

Age Factors↗