[The place of biliodigestive shunts in the treatment of hepatobiliopancreatic diseases].
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Biomedical subjects
Publications and source records attributed to G Kreisler.
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Analysis of 26 cases with thyreotoxic crisis following surgery on an anatomo-clinical basis shows an extensive lesional polymorphism in the stroma and the parenchyma of the thyroid gland, indicating the absence of morphologic remission after preoperative preparation. Prolonged preoperative treatment, following evident clinical improvement, may avoid the development of postoperative crisis.
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An analysis of the cases encountered over the last 5 years revealed a high frequency of gastric cancers located in the upper pole area of the stomach. These represented 23% of all gastric cancers. The low number of cases with this localization that could benefit from gastric resection (38,7%), in contrast with distal locations (65,4%) suggest either late detection or high invading potential of these cancers. Oeso-gastric resection - the only efficient curative or palliative treatment - was adapted according to site and extension of the tumour in both organs. In 6 cases partial resection of the thoracic oesophagus was necessary, and in another 4 cases total gastrectomy was performed. In 8 patients upper polar resection - including the oesophagus - was satisfactory from the oncologic viewpoint, and was well-tolerated by the patients.
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