[Colonic interposition in total gastrectomy completed with lower esophagectomy].
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Biomedical subjects
Publications and source records attributed to L Kotsis.
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On the basis of 26 cases with non-operable primary or secondary neoplastic obstructions of the cardia the authors express the opinion that the best solution is the transdiaphragmatic pontage with a jejunal loop mounted in Y. Enlargement of this indication should not be made on behalf of radical or palleative resections, but on the contrary internal derivations should increase the range of surgical solutions in cancer of the cardia. Making an analysis of the major aspects (death-rate, indications and some technical details) in connection with the by-pass with a Roux loop the authors stress the benignity of this type of surgery and the chances it has to take the place of external derivations, compared with which it provides both nutritional and moral advantages.
The authors discuss, in connection with a penetrating wound of the right ventricle induced with a knife, associated to hemoperitoneum (1 400 ml) following transfixiant hepatic wound on the importance of a complete diagnosis in complex trauma. In such type of trauma, the approach of thoracic lesions must be independent of the treatment of abdominal ones, in view of the prevention of contamination of the thoracic cavity. For the time being digital obstruction of penetrating heart wounds is the least traumatic and the most efficient modality to stop hemorrhage, facilitating at the same time, the performance of cardiography.
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