[Continuous-flow enteral hyperalimentation in the treatment of acute necrotic hemorrhagic pancreatitis (52 cases].
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Biomedical subjects
Publications and source records attributed to R Parc.
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A 55-year-old man developed ventricular fibrillation during an attack of acute Prinzmetal-type angina, and was treated by external cardiac massage and a defibrillator. Hemorrhagic shock due to laceration of the left side of the liver developed 48 hours later. A liver lobectomy was performed. The postoperative course was uneventful enabling a coronarography examination to be followed by an aortocoronary by-pass, good results being still present after one year. Complications of cardiac massage, especially those involving the liver, are discussed, as well as the treatment of traumatic liver lesions.
When conducted as a curative procedure, for tumors with a lower pole at least 7 cm from the anal margin, Babcock's operation can avoid the need for a definitive abdominal colostomy in some patients, without compromising the chances of survival. Postoperative care is often longer and more difficult than after abdomino-perineal amputation, but immediate mortality and long-term survival appear to be totally comparable. Functional results are good in most cases, and though some hygienic and dietary restrictions are often necessary, these constitute a more minor handicap than that of an abdominal colostomy. On the contrary, Babcocks operation should not be used as a palliative measure, as important restrictive postoperative conditions on a patient with a short survival prognosis, to obtain a functional result after several months when he will not be able to benefit from it, appears to be unwarranted.
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The authors report two cases of acquired diverticulae of the small intestine with complications and study of pathological, clinical and therapeutic characteristics of this rare disease. Usually latent, these diverticulae were recognised generally during diverticulitis, intestinal obstruction, perforation or hemorrhage. The treatment was either removal of the diverticulum or segmental resection of the small intestine. Diverticulitis of the terminal ileum may lead to right ileo-colectomy.