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Biomedical subjects

J L Cardin

Publications and source records attributed to J L Cardin.

17 recordsLinked to original sources
PubMed1986

[Spontaneous rupture of the esophagus].

Eighteen patients (16 men and two women), aged 20 to 77 years, were admitted to the University hospital between 1973 and 1984 for a Boerhaave's syndrome. Fourteen over eighteen were more than forty years old. Other particular features were the frequency of alcoholism (11 patients) and the lack of preexisting gastrointestinal symptomatology. The cardinal symptom, pain, occurred in 17 cases. It was preceded in 10 subjects by vomiting. Subcutaneous emphysema was only found in five patients, but standard chest X-ray showed seven times a pneumomediastinum. Pleural effusion was present in 14 subjects. Thirteen patients underwent thoracotomy: five within 48 h (1 death) and eight after 48 h (4 deaths); two further deaths were due to withholding surgery, and a third by performing bipolar oesophageal exclusion at a late stage (8th day); six of these deaths were related to local infection. The clinical and radiological features of Boerhaave's syndrome are presented in a review of the literature; particular attention is paid to the various methods of treatment.

Adult↗
PubMed1985

[Detection of intra-abdominal suppuration. Value of scintigraphy with indium-111-labeled autologous polynuclears].

Between February, 1982 and August, 1983, 53 patients with symptoms suggestive of post-operative intra-abdominal abscess were explored by scintigraphy with indium-111 labeled autologous polymorphonuclears. The sensitivity and specificity of this method were both 96%. Scintigraphy of course must be preceded by ultrasonic exploration which is of more delicate interpretation as well as less sensitive (60%) and less specific (84%). The results of scintigraphy avoided an unnecessary laparotomy in more than one-half of the patients.

Abdomen↗
PubMed1985

[Terminalized lateral colostomy].

Complete diversion of the digestive transit requires intestinal section and terminal rather than lateral colostomy. This can now be achieved by using a mechanical stapler to obturate temporarily the distal end of the colonic segment bearing a conventional lateral colostomy, then performing an extra-mucosal anastomosis to re-establish continuity. This technique can be applied to protect low colonic anastomoses or to treat a minor anastomotic disruption. It can also be extended to ileostomy.

Colostomy↗
PubMed1982

[Surgery of aneurysms of the abdominal aorta. Clinical study and surgical results. Apropos of a series of 54 cases].

54 patients with an abdominal aortic aneurysm were hospitalized between 1969 and 1980 in the Clinic of Cardiovascular and Thoracic Surgery at Rennes (Pr. Y. Logeais): 35 were ruptured aneurysms, 19 non-ruptured. The average age of the patients was 70.6 years. 48% of patients showed signs of atheroma in at least one other site. 24% had arterial hypertension. Arteriography was carried out in 51.5% of the non-ruptured aneurysm cases and in 26% of the ruptured cases. Both ultrasound and tomography are regarded presently as very useful tests. The intervention carried out in 41 patients always involved the insertion of a by-pass graft (aortic only in 7 cases; aorto-biiliac in 19 cases; aorto-bifemoral in 15 cases). Mortality was 7.7% for the non-ruptured aneurysms. 59% for the ruptured aneurysms, the deaths above all being related to the degree of visceral ischaemia. Secondary mortality was comparable for all the aneurysms operated on. More than 80% of patients were surviving 5 years after surgery.

Aged↗