[Esophageal exclusion by stapling].
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Biomedical subjects
Publications and source records attributed to C Gautier-Benoit.
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Postoperative variations in the different parameters of humoral and cellular immunity were studied in 18 adult patients in general surgery. Levels of immunoglobulins G (igG) fell and those of immunoglobulins M (igM) increased significantly. Lymphocytic proliferation under the influence of PHA showed a significant fall. Neither polynuclear function nor total complement activity were modified. Patients in whom the postoperative course was complicated by sepsis differed from the others by a lower activity of the lymphocyte transformation test and by a higher level of igG and igM on the day prior to surgery. In addition, deficiency in the lymphoblastic transformation test increased during the postoperative period, there was a further fall in IgG and IgM increased less in these patients than in those in whom the postoperative course was uncomplicated.
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Two instruments, one of Russian origin, using very fine Tantale clips, permit one to carry out easily mechanical suture during operations on the digestive tract. These two instruments may be associated. The suture obtained is very safe, whether inversing or eversing. This method of suture seems to be particularly applicable to oesophageal and colonic anastomoses.
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