[Proposal of a recanalization technique after Hartman's operation].
Explore the source record for details and available documents.
Biomedical subjects
Publications and source records attributed to G Testone.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Over an 11-year period, 15 patients underwent surgery for achalasia (Heller's operation with added antireflux procedure). Thereafter due to the use of manometry 25 other achalasic patients were diagnosed and 17 of them underwent the same surgical procedure. Manometry was done by means of a triple-lumen catheter as described by Arndorfer. Surgical results in the first group were good in 80% and moderate in 20% with no recurrence or organic complications due to acid reflux, while in the second group good results were 95%. In 16 cases of the second group, diagnosis was based on manometric recordings, since the radiological findings were lacking. Early diagnosis enabled to operate on selected patients according to the motor findings of the esophageal body. Follow-up by manometry revealed in some cases an increase in post-deglutitory motor activity and in two cases a return of a coordinated peristalsis. Clinical and functional results are discussed and the role of manometric studies is stressed in order to improve the knowledge of the pathophysiology of functional diseases of the esophagus.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
A follow up was performed in 109 patients primarily undergone Billroth II resection for benign gastric or duodenal diseases to analyze mucosal changes, possibility of premalignant lesions and importance of causal factors in aetiology of gastric stump cancer. Moreover, clinical status and haematological parameters for nutritional assessment are examined to identify indicators of postgastrectomy sequelas.
The authors, on the basis of personal experience, as well as mentioned in the literature, discuss indications and complications concerning alternative surgical choice in the treatment of benign obstructive lesions of the biliary tract.
Personal experience in 294 cases of surgical management of common bile duct is described. Results are obtained by a computerized data analysis.
The authors report a case of Candida esophagitis developed like a malignant neoplasm. They explain the severe lesions according to the last physiopathological findings and emphasize the role of roentgenographic and endoscopic (biopsies and brushing) examinations in the differential diagnosis.
A technique is proposed for a conservative treatment of the duodenal-pancreatic fistula. The use of a two-way peristaltic pump; with normal flux for the enteric route and inverted flux for aspiration with terminal in external fistula allowing for in the meantime a constant infusion of lactic acid.
The authors refer to their experience in dealing with prolonged intravenous infusion of Somatostatin in treating two cases of complicated duodenal-pancreatic fistula. The results confirm the therapeutic efficiency in accelerating the healing process without any side effects of the drug.
The authors here present a work dealing pith two groups of subjects, both groups having the diagnose of bleeding duodenal ulcer; one group using therapy antacid alone, the other using cimetidine and antacid. This last is more affected in controlling bleeding then just using antacids alone. Moreover the use of cimetidine reduces the period of bleeding, increases the number of subject who stop bleeding and reduces the amount of blood transfused in these subjects. We are also convenced that the use of cimetidine even prolong in time, does not protect these subjects from having other relapse. Therefore propose the Billroth II and from own experience this is a good therapy to prevent other bleeding.
Explore the source record for details and available documents.
The Authors hold that for the onset of the clinical manifestations of the Wilchie's syndrome the contemporary appearance of 2 causes is necessary: the first is an anatomical variance of the organs comprising that particular anatomical location and the second being a pathological alteration taking place in one or more of these set organs. Moreover they suggest appropriate surgical procedure art at removing both causes that produced the disease.
Explore the source record for details and available documents.
Two cases of primitive malignant tumour of the duodenum are reported, with exclusion of neoplasias of the periampullar region. Such restriction makes this pathology rather rare. The clinico-diagnostic aspects are analysed and, for purpose of radicality, a comparison is made between two surgical techniques: duodenocephalopancreatectomy, possible for any localisation, and intestinal shortening with duodenal-jejunal resection for tumours of the 3rd and 4th portions.