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Biomedical subjects

E Brătucu

Publications and source records attributed to E Brătucu.

At least 19 recordsLinked to original sources
PubMed1995

[Stenosing hypertrophic antromyopathy].

The authors describe a case of insufficiency of gastric evacuation, due to the a very rare injury of the antrum which they called:--"hypertrophic and stenosing antromiopathiae". By similarity with the pilor hypertrophy, but without altering the pilor which is intact, the hypertrophy involves especially the gastric antrum, the muscular tunic--mainly the circular fibres in the absence of any acute or chronic inflammatory process. In the interstice between the muscular fibres, there appear collagen fibres in spiral disposition, probably in a contraction. Due to the similitude of the clinical syndrome, the described disease could be ranged among the stenosant diseases of the pyloric pole of the stomach. Out of these, more frequently pointed out, although very rare too, seems to be the pilor hypertrophy at adults. Mention must be made that the two diseases are completely different, because in the "Hypertrophic and stenosing antromiopathiae", the pilor is macroscopic and at the same time normal from the histopathologic aspect point of view.

Adult↗
PubMed1995

[The therapeutic options in central hydatid cysts of the right hepatic lobe].

The authors of the article propose a method that is highly efficient and presents minimal risks in the treatment of hepatic hydatid cysts located in the central area of the right lobe. This "dangerous area" of the VIIIth segment generates the most delicate problems for the surgical treatment, due to limitation of therapeutic solutions and the highest rate of postoperative complications. The technique presented is that of external extraperitoneal transligamentous drainage introduced by D. Burlui in 1968. This technique should be considered as an alternative to lobectomies or wedge resections or to the direct external drainage of the remaining cavity, the latter being responsible for numerous complications. Considering the figures covering the past 35 years at Caritas Hospital, the authors note the decrease of corrective reinterventions from 27% to 10% after 1968. By associating cholecystectomy after 1983 they dropped to only 4%. The authors do not claim that the method should be universally applied but consider it obviously the choice in the treatment of hydatid cysts in the "dangerous area" in which other therapeutic methods are inappropriate (pericysto-digestive anastomosis) or excessive (right lobe resection), avoiding the problems of direct drainage.

Adult↗
PubMed1995

[Intra-abdominal fibromatosis].

The authors describe three cases of intraabdominal fibromathosis: two cases with intraperithoneal location and another one with retroperithoneal location. All of them are benign noncapsulated tumours of the fibrous tissue with tendancy to local recurrence. Abdominal fibromathosis may determine any form of acute or chronic digestive manifestations. Only to the accuracy of the histo-pathological examination is due the diagnosis between fibromathosis and fibrosarcoma, reactive fibrosis, mixoma and nodular fasceitis. The surgical excision must not be economical and the association with radiant therapy must also be considered.

Adult↗
PubMed1991

[Ulcer perforation--a risk factor in the evolution and treatment of duodenal ulcer].

In 49.84% of the cases of duodenal ulcer operated in the clinic, the authors were confronted with one of the dangerous complications of this disease--the ulcerous penetration. This experience permitted to differentiate the surgical act according to the evolutive degree of this complication and to its morphological character. The literature related to this problem is reviewed.

Duodenal Ulcer↗
PubMedDate not supplied

[Postbulbar ulcer].

Explore the source record for details and available documents.

Adult↗
PubMedDate not supplied

[Papillosphincterotomy of Oddi's sphincter (experience in 401 cases)].

The authors present a statistics covering 401 cases in whom sphincterotomy of the Oddi sphincter was performed, in most of them for treating stenosing inflammations (papillo-odditis). Indications of this method are analized, for the surgical treatment of hydatic cysts opening in the biliary pathways, and of cholestatic hepatitis. Considerations are made on the place of sphincterotomy in the treatment of the main biliary pathway and the results are analized obtained with this method, as well as re-interventions after sphincterotomy. Some conclusions can be made on the indications and the contraindications of the method in the surgery of the hepato-choledocus.

Ampulla of Vater↗
PubMedDate not supplied

[Gastric resection with preservation of the pylorus with a variant of pyloroplasty].

The authors present the case of a female patient with gastric ulcer of the small curvature of the stomach who showed a particular neuropsychical lability, in whom emergency surgery was performed before it was possible to obtain data concerning the behaviour of the gastric acidity. In an attempt to avoid the postoperative dumping syndrome the authors performed a medio-fastric resection, removing the area with the ulcer and maintaining the antro-pylorus. For the obtention of a good drainage of the remaining stomach a variant of the pyloroplastia technique was associated.

Female↗
PubMedDate not supplied

[Value of manometry in establishing the developmental stage of portal hypertension and the effectiveness of therapeutic portacaval shunt].

A total of 105 patients have been studied, operated for portal hypertension, that underwent porto-manometric investigations by various methods, before and during surgery. The study was aimed at establishing indications that can be provided by portal manometry on the evolutive stage of portal hypertension. Correlations have been established between ascitic decompensation, the frequency of superior digestive hemorrhages and the portal pressure. The efficiency of the post-systemic derivation was evaluated manometrically, depending on the type of the anastomosis. Conclusions are presented, on the particular value of the manometric investigation for the correct choice of the porto-caval shunt.

Humans↗
PubMedDate not supplied

[Current problems of surgical tactics and technics in gastric neoplasms].

The authors have investigated 413 cases with gastric neoplasms that have been operated over a period of 20 years. It was noted that the operability index, and the resectability index have not improved in time. Only in 39,3 percent of the patients subtotal gastrectomy was possible, while 12,1 percent underwent total gastrectomy, 6,2 percent palliative interventions, and the remaining 42,4 percent had only exploratory laparotomy. The authors conclude that the principle of exeresis within the limits of oncological security applies only to limited tumours, without extraparietal extension. The maintenance of a gastric sector, either in the para-cardial or in the juxta-pyloric area, depending on the location of the tumour, is almost always possible, providing a good-quality anastomosis without diminishing the oncologic characteristics of the intervention.

Adult↗