Gastro-Photographic Studies on the Cardiac Region

2015 ◽  
pp. 49-51
Author(s):  
G. Nava ◽  
C. Mieli
2020 ◽  
Vol 13 (3) ◽  
pp. 227-232
Author(s):  
Marina I. Rogozianskaia ◽  
Alexander Nikolayevich Redkin ◽  
Ivan Petrovich Moshurov

ntroduction. Currently, total gastrectomy with D2 lymphadenectomy is the standard surgical treatment for proximal gastric cancer at the resectable stages (I-III). The issue of advisability of splenectomy as a component of lymphadenectomy remains a controversial one, especially when the tumor is localized in the region of the body or cardiac region of the stomach.The aim of the study was to compare immediate and long-term outcomes, including the quality of life, between spleen preserving and spleen removing surgeries.Methods. The study included 363 patients with gastric cancer II-III stages, localized in the upper and/or the middle third of the stomach, who underwent surgery at the Voronezh Regional Clinical Oncology Hospital and the Voronezh Clinical Hospital of the Russian Railway-Medicine in 2015-2017. All patients were conditionally divided into 2 groups for comparative retrospective analysis. All patients of the first (experimental or spleen-preserved) group (144 patients) were performed R0 total gastrectomy with D2 lymphadenectomy, including splenic hilar nodes (№ 10,11) removal without splenectomy. Patients of the second (control or splenectomy) group (219 patients) were performed R0 total gastrectomy with D2 lymphadenectomy and prophylactic splenectomy (for splenic hilar nodes removal).Results. The average duration of the operation and the volume of blood loss did not differ in both groups. The incidence of early postoperative surgical complications was lower in the spleen-preserved group. Splenectomy was associated with more severe complications of class 4 and 5 according to the Clavien-Dindo classification. Conclusion. Parameters of the 1- and 3-year overall survival rate did not differ in both groups. The results of the GSRS questionnaire were similar in both groups, excluding reflux-esophageal symptoms scale. The reflux scale demonstrated a statistically and clinically significant advantage of spleen preservation.


1994 ◽  
Vol 55 (3) ◽  
pp. 540-546
Author(s):  
Masakazu OHNO ◽  
Takeshi NAKAMURA ◽  
Kenichi TANAKA ◽  
Shiro KAWAMURA ◽  
Tohru MORISHITA ◽  
...  

1965 ◽  
Vol 3 (2) ◽  
Author(s):  
E. H. Bishop ◽  
R. S. Kolflat ◽  
L. R. Mack ◽  
J. A. Scanlan

Parasitology ◽  
1965 ◽  
Vol 55 (3) ◽  
pp. 543-550 ◽  
Author(s):  
M. L. Dudzinski ◽  
R. Mykytowycz

The distribution of two stages of the nematode Labiostrongylus longispicularis (Wood) in thirty-eight stomachs of the Red Kangaroo, Megaleia rufa (Desmarest) has been analysed statistically.A quadratic regression was used where y = log of mean worm densities of stomach sections + 1 and x = numerical values of the mid-positions of the sections. The analysis revealed significant maxima in the proximity of the cardiac region. The maxima in stomachs with relatively large numbers of worms were found to be further away from the pylorus than in the stomachs with small numbers of worms. The mean maximum densities were about fifty worms per 100 g of stomach content in highly infected animals and about eight in low infections. It is suggested that freshly chewed food or saliva may be a factor regulating the distribution of worms.The parasite was absent from the stomach's pyloric region where the pH is low.Sex and size of the worm were independent of its position in the stomach.The average number of eggs per adult female in the different stomach sections roughly corresponded to the density of worms in these sections, but the sample material was inadequate to show that this relationship was statistically significant.The mean number of fertilized eggs per female worm was 3300.Thanks are due to Professor E. J. Williams of the University of Melbourne and Mr B. V. Fennessy of the Division of Wildlife Research, C.S.I.R.O., for reading and criticizing the manuscript, and to Messrs E. R. Hesterman and C. Kogon for technical assistance.


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