scholarly journals Unusual Complicated Gastric Ulcers

Medicina ◽  
2021 ◽  
Vol 57 (12) ◽  
pp. 1345
Author(s):  
Mircea Nicolae Brătucu ◽  
Virgiliu-Mihail Prunoiu ◽  
Victor Strâmbu ◽  
Eugen Brătucu ◽  
Maria-Manuela Răvaş ◽  
...  

We here draw attention to a practical issue: the approach to certain unusual gastric ulcers with haemorrhage- or perforation-induced complications. This category of ulcers, i.e., giant (over 2–3 cm) and multiple ulcers, is rarely encountered. We discuss the circumstances determining the occurrence of such lesions, their diverse aetiology and pathogenesis, their common manifestations, and the severity of their evolution. Some of the lesions are benign (chronic or acute ulcers), whereas others are neoplastic: carcinoma, stromal tumours, and lymphomas. In gastric ulcers, the characteristics of this particular and rare category of lesions strictly places them in the surgical field, requiring primary surgical intention. Conservative treatments are not effective in such cases, and preoperative biopsies are not appropriate for emergency interventions. Whether these unusual ulcers are benign or malign, they need to be surgically removed.

2021 ◽  
Vol 19 (1) ◽  
pp. 96-96

This operation is the best type of surgical intervention for fresh burns of the esophagus and stomach. In older calloused, perforating gastric ulcers, especially those lying closer to the cardia, as well as in case of multiple ulcers and severe bleeding it is equal to resection in its therapeutic value, especially in severely weakened patients.


Author(s):  
S.K. Aggarwal ◽  
J. San Antonio

Cisplatin (cis-dichlorodiammineplatinum(II)) a potent antitumor agent is now available for the treatment of testicular and ovarian cancers. It is however, not free from its serious side effects including nephrotoxicity, gastro intestinal toxicity, myelosuppression, and ototoxicity. Here we now report that the drug produces peculiar bloating of the stomach in rats and induces acute ulceration.Wistar-derived rats weighing 200-250 g were administered cisplatin(9 mg/kg) ip as a single dose in 0.15 M NaCl. After 3 days the animals were sacrificed by decapitation. The stomachs were removed, the contents analyzed for pepsin and acidity. The inner surface was examined with a dissecting microscope after a moderate stretching for ulcers. Affected areas were fixed and processed for routine electron microscopy and enzyme cytochemistry.The drug treated animals kept on food and water consistently showed bloating and lesions (Fig. 1) with a frequency of 6-70 ulcers in the rumen section of the stomachs.


2001 ◽  
Vol 120 (5) ◽  
pp. A148-A148 ◽  
Author(s):  
M AKIMOTO ◽  
H HASHIMOTO ◽  
A MAEDA ◽  
M SHIGEMOTO ◽  
K YAMASHITA
Keyword(s):  

1953 ◽  
Vol 25 (2) ◽  
pp. 202-217 ◽  
Author(s):  
James A. Dolphin ◽  
Lucian A. Smith ◽  
John M. Waugh

1964 ◽  
Vol 47 (1) ◽  
pp. 97-103 ◽  
Author(s):  
Nathan S. Taylor ◽  
Boris Gueft ◽  
Richard J. Lebowich

1953 ◽  
Vol 24 (3) ◽  
pp. 328-338 ◽  
Author(s):  
Rudolf Schindler ◽  
Jean-Jacques Desneux
Keyword(s):  

1952 ◽  
Vol 20 (1) ◽  
pp. 20-26 ◽  
Author(s):  
Frederick Steigmann ◽  
Bernard Shulman
Keyword(s):  

2012 ◽  
Vol 9 (2) ◽  
pp. 96-98
Author(s):  
Brian A Bruckner ◽  
Matthias Loebe

Patients undergoing re-operative cardiac surgical procedures present a great challenge with regard to obtaining hemostasis in the surgical field. Adhesions are ever-present and these patients are often on oral anti-coagulants and platelet inhibitors. As part of a well-planned surgical intervention, a systematic approach to hemostasis should be employed to decrease blood transfusion requirement and improve patient outcomes. Topical hemostatic agents can be a great help to the surgeon in achieving surgical field hemostasis and are increasingly being employed. Our approach, to these difficult patients, includes the systematic and planned use of AristaAH, which is a novel hemostatic agent whose use has proven safe and efficacious in our patient population.


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