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Biomedical subjects

G Samama

Publications and source records attributed to G Samama.

At least 55 records · Page 3Linked to original sources
PubMed1983

[Foreign bodies in the biliary tract. I. Postoperative foreign bodies in the biliary tract. Review of the literature (71 cases) apropos of 4 personal cases].

Starting out from four cases which they personally treated, the authors have made a complete review of the literature concerning biliary foreign bodies, and list 92 cases, with the following breakdown - 71 operative residues, 15 ingested bodies and 6 penetrating bodies. They attempt to analyse the mechanics of the formation of lithiasis around post-operative residues and assess its real frequency. They come to the following conclusions: most of these cases can be avoided by careful cleaning before closure of the choledocotomy, by the use of good-quality, correctly cut T-tubes and drainage material, by cutting the cystic duct as short as possible, and by exclusive use of resorbable fine thread in the biliary tract and the cystic artery.

Adult↗
PubMed1983

[Foreign bodies in the biliary tract. II. Unusual foreign bodies in the biliary tract. Review of the literature].

The authors have collated 21 cases of unusual foreign bodies, other than parasites, in the biliary tract. The collection includes 6 penetrating bodies, 4 ingested by patients who had undergone previous bilio-digestive anastomosis or a sphincterotomy, and 11 foreign bodies ingested by patients who had never had previous surgical treatment. They consider that the real frequency is certainly greater than might be expected from a review of the literature. They discuss the different ways of penetrating the biliary tract and stress the interest of wide biliodigestive anastomosis and large Y loops, as recommended by Roux, to prevent lithiasis forming on food residue trapped at the level of the anastomosis or upstream.

Biliary Tract↗