On the question of peptic ulcers of the anastomosis and jejunum

1930 ◽  
Vol 26 (8) ◽  
pp. 793-796
Author(s):  
N. I. Shaviner
Keyword(s):  
Surgical Treatment ◽  
Surgical Intervention ◽  
Clinical Course ◽  
Point Of View ◽  
Peptic Ulcers ◽  
Duodenal Ulcers ◽  
Gastric Or Duodenal Ulcers

The reasons for the occurrence of peptic ulcers after one or another surgical intervention for gastric or duodenal ulcers remain poorly understood. Indications of ulcerative constitutions, methods of surgical intervention, deficiencies in instrumentation, etc., as the causes of peptic ulcers, remain purely theoretical. The study of this question, obviously, should proceed along the path of collecting a lot of material and comparing individual cases. To this end, we present in this report two observations of postoperative peptic ulcers, which, from our point of view, are of interest both in terms of clinical course and surgical treatment.

Chronic gastroduodenal ulcers in patients with diabetes mellitus

2003 ◽  
Vol 49 (1) ◽  
pp. 5-10
Author(s):  
Yu. L. Fedorchenko
Keyword(s):  
Diabetes Mellitus ◽  
Type 1 Diabetes ◽  
Clinical Course ◽  
Gastrin Level ◽  
Gastric Ulcers ◽  
Peptic Ulcers ◽  
Duodenal Ulcers ◽  
Patients With Diabetes ◽  
H Pylori

The clinical picture, course, and treatment of gastroduodenal ul­cers (GDU) in diabetics were studied. A total of 395 diabetics were examined; GDU were detected in 36. The incidence of gas­tric and duodenal ulcers was similar in patients with insulin-de­pendent diabetes mellitus, while in patients with non-insulin-de- pendent diabetes gastric ulcers predominated. The clinical pic­ture of the disease, gastric acid production, Helicobacter pylori infection, and blood gastrin levels were studied in all patients with ulcers. The efficiency of GDU treatment with quamatel, raniti­dine, and antacids was evaluated. The clinical course of GDU in diabetics was asymptomatic. The highest incidence of H. pylori, infection was observed in patients with type 1 diabetes with con­comitant peptic ulcers. Serum gastrin levels were more frequently increased in patients with type 1 diabetes and duodenal ulcers and normal in patients with type 2 diabetes. Quamatel therapy was highly effective in diabetics with GDU. Ulcers healed in 85% patients and blood gastrin level significantly decreased after 3- week therapy. GDU in diabetics are characterized by specific lo­cation, clinical course, laboratory and instrumental features, which allows a differentiated approach to therapy of these pa­tients.

Peptic Ulcer Disease in Children: Etiology, Clinical Findings, and Clinical Course

PEDIATRICS ◽  
1988 ◽  
Vol 82 (3) ◽  
pp. 410-414
Author(s):  
Brendan Drumm ◽  
J. Marc Rhoads ◽  
David A. Stringer ◽  
Phillip M. Sherman ◽  
Lynda E. Ellis ◽  
...  
Keyword(s):  
Peptic Ulcer ◽  
Peptic Ulcer Disease ◽  
Emergency Surgery ◽  
Clinical Course ◽  
Clinical Findings ◽  
Gastric Ulcers ◽  
Peptic Ulcers ◽  
Duodenal Ulcers ◽  
Ulcer Disease ◽  
Initial Symptoms

The records of all children with peptic ulcer disease at the Hospital for Sick Children were retrospectively evaluated, excluding neonates, throughout a 5-year period. Only cases with a definite ulcer crater identified either at endoscopy or at surgery were included. There were 36 patients, 20 boys and 16 girls. Duodenal ulcers were more common than gastric ulcers (2.8:1). Ages ranged from 3 months to 17 years, with a mean age of 10 years. Patients were reviewed with respect to etiology of peptic ulcer disease, age when first examined, initial symptoms, and clinical course. Patients were divided into two groups, those with primary (n = 19) and those with secondary (n = 17) peptic ulcer disease. All peptic ulcers in patients younger than 10 years of age were secondary in nature. Secondary ulcers occurred generally in association with a severe underlying illness (11/17), and many ulcers necessitated emergency surgery because of perforation and/or severe hemorrhage (8/17). None of these patients had chronic or recurrent symptoms. In contrast, in children with primary peptic ulcer disease, initial symptoms were more benign. Most patients had abdominal pain and only one required emergency surgery. Children with primary duodenal ulcer disease had a high incidence of recurrent symptoms (67%), however, with surgery for intractable disease necessitated in 40%. Single-contrast barium meals were found to be unreliable in establishing a diagnosis of peptic ulcer disease, particularly cases of gastric ulcer disease.

scholarly journals Chronic gastroduodenal ulcers in patients with diabetes mellitus

2003 ◽  
Vol 49 (1) ◽  
pp. 5-10
Author(s):  
Yu. L. Fedorchenko
Keyword(s):  
Diabetes Mellitus ◽  
Type 1 Diabetes ◽  
Clinical Course ◽  
Gastrin Level ◽  
Gastric Ulcers ◽  
Peptic Ulcers ◽  
Duodenal Ulcers ◽  
Patients With Diabetes ◽  
H Pylori

The clinical picture, course, and treatment of gastroduodenal ul­cers (GDU) in diabetics were studied. A total of 395 diabetics were examined; GDU were detected in 36. The incidence of gas­tric and duodenal ulcers was similar in patients with insulin-de­pendent diabetes mellitus, while in patients with non-insulin-de- pendent diabetes gastric ulcers predominated. The clinical pic­ture of the disease, gastric acid production, Helicobacter pylori infection, and blood gastrin levels were studied in all patients with ulcers. The efficiency of GDU treatment with quamatel, raniti­dine, and antacids was evaluated. The clinical course of GDU in diabetics was asymptomatic. The highest incidence of H. pylori, infection was observed in patients with type 1 diabetes with con­comitant peptic ulcers. Serum gastrin levels were more frequently increased in patients with type 1 diabetes and duodenal ulcers and normal in patients with type 2 diabetes. Quamatel therapy was highly effective in diabetics with GDU. Ulcers healed in 85% patients and blood gastrin level significantly decreased after 3- week therapy. GDU in diabetics are characterized by specific lo­cation, clinical course, laboratory and instrumental features, which allows a differentiated approach to therapy of these pa­tients.

Gastric and 12 duodenal ulcer from a surgical point of view

1934 ◽  
Vol 30 (2) ◽  
pp. 261-276
Author(s):  
N. V. Sokolov
Keyword(s):  
Duodenal Ulcer ◽  
Surgical Treatment ◽  
Scientific Data ◽  
Past Experience ◽  
Point Of View ◽  
Present Stage ◽  
Duodenal Ulcers

To put the question of gastric and duodenal ulcer from the surgical point of view means to decide more or less definitely whether a gastric and duodenal ulcer at the present stage of our knowledge of this painful form can be treated surgically and what are the indications for surgical treatment; it means to decide the choice of this or that method of surgical treatment of gastric and duodenal ulcers, proceeding in this question based on past experience covered by modern scientific data.

scholarly journals Postoperative Cerebellar Mutism Syndrome in an Adult Patient

Folia Medica ◽  
2019 ◽  
Vol 61 (4) ◽  
pp. 630-633
Author(s):  
Todor P. Shamov ◽  
Ioanna Tivcheva ◽  
Tihomir Eftimov
Keyword(s):  
Surgical Treatment ◽  
Adult Patient ◽  
Female Patient ◽  
Surgical Intervention ◽  
Clinical Course ◽  
Emotional Lability ◽  
Cerebellar Mutism ◽  
Common Complication ◽  
Delayed Onset ◽  
Oropharyngeal Dysfunction

Postoperative cerebellar mutism syndrome is a common complication occurring after surgical treatment of medulloblastoma in children. The clinical course of this syndrome is characterized by delayed onset after the surgical intervention, loss of speech, emotional lability, hypotonia, and oropharyngeal dysfunction. This syndrome is rarely seen in adults. We report here a case of postoperative cerebellar mutism in a 25-year-old female patient, who underwent a surgical intervention due to medulloblastoma of the forth ventricle. There are very few reported cases in literature of this syndrome. In the discussion we discuss the likely reasons for the syndrome to develop in adult patients.

scholarly journals Degenerative scoliosis of the ventricle: diagnosis, classification and surgical approach in older patients

2021 ◽  
Author(s):  
Anton Yarikov
Keyword(s):  
Surgical Treatment ◽  
Physical Therapy ◽  
Conservative Therapy ◽  
Surgical Intervention ◽  
Clinical Symptoms ◽  
Surgical Techniques ◽  
Neurological Status ◽  
Point Of View ◽  
Degenerative Scoliosis ◽  
Instrumental Methods

Adult scoliosis is a deformity of the spine with an angle of more than 10 (according to Cobb) in people with a fully formed bone system. Due to the aging of the population, the improvement of surgical techniques, the appearance of new implants and the improvement of anesthetic aids, the problem of degenerative scoliosis is increasingly being considered from the point of view of the possibilities of surgery. There are many theories that contribute to the formation of degenerative scoliosis. Conservative therapy of degenerative scoliosis includes non-steroidal anti-inflammatory drugs, corset therapy, epidural and paravertebral injections with glucocorticosteroids, physical therapy, and physical therapy. With complete ineffectiveness of conservative therapy and with a significant decrease in the quality of life of the patient, the question of performing surgical intervention is individually decided. Currently, the question of the role and scope of surgical intervention in individuals with this pathology remains debatable. The choice of surgical intervention depends on a thorough assessment of clinical symptoms, neurological status, data of instrumental methods of examination and mandatory consideration of the parameters of the global vertebral-pelvic balance. Therefore, in this article, special attention is paid to the algorithms of surgical treatment based on the choice of the type of decompression and the length of the fusion. The paper describes the generally accepted criteria for selecting the level of spondylosynthesis. Special attention is paid to the risk factors for surgical treatment. As well as the complications associated with surgical treatment are described.

scholarly journals Recurrent Peptic Ulcer Perforation: A Case Report

2022 ◽  
Vol 7 (01) ◽  
pp. 62-65
Author(s):  
Maather Al Abri, MD ◽  
Ghaitha Al Mahruqi, MD ◽  
Hani Al Qadhi, FRCSC
Keyword(s):  
Duodenal Ulcer ◽  
Peptic Ulcer ◽  
Case Report ◽  
Surgical Treatment ◽  
Surgical Intervention ◽  
Peptic Ulcer Perforation ◽  
Perforated Duodenal Ulcer ◽  
Peptic Ulcers ◽  
Ulcer Perforation

Background: Refractory peptic ulcers are ulcers in the stomach or duodenum that do not heal after eight to twelve weeks of medical/surgical treatment or those that are associated with complications despite medical tssreatment. We herein present a case of a 44 year old man with a recurrent perforated duodenal ulcer requiring emergent surgical intervention.

Results of surgical treatment of gastric and duodenal ulcers

1937 ◽  
Vol 33 (3) ◽  
pp. 317-322
Author(s):  
G. I. Mukhamedyarov ◽  
V. I. Mikhailov
Keyword(s):  
Surgical Treatment ◽  
Surgical Intervention ◽  
Abdominal Cavity ◽  
Gastric Ulcers ◽  
Malignant Degeneration ◽  
Duodenal Ulcers

The question of indications for surgical treatment of gastric ulcers and duodenal ulcers cannot be considered fully resolved until now, as well as the question of the nature of the surgical intervention itself. The readings are divided into absolute and relative. The first include: a) perforation of the ulcer into the free abdominal cavity, b) its malignant degeneration, c) cicatricial narrowing of the pylorus. Chronic gastric and duodenal ulcers are considered relative indications. There is no disagreement about absolute indications among surgeons and therapists, which is not the case for relative indications.

The Use of Eye Tracking to Discern the Threshold at Which Metopic Orbitofrontal Deformity Attracts Attention

2020 ◽  
Vol 57 (12) ◽  
pp. 1392-1401
Author(s):  
Mark P. Pressler ◽  
Emily L. Geisler ◽  
Rami R. Hallac ◽  
James R. Seaward ◽  
Alex A. Kane
Keyword(s):  
Surgical Treatment ◽  
Graduate Students ◽  
Eye Tracking ◽  
Dwell Time ◽  
Surgical Intervention ◽  
Three Dimensional ◽  
Average Dwell Time ◽  
Eye Tracker ◽  
Gaze Patterns ◽  
Areas Of Interest

Introduction and Objectives: Surgical treatment for trigonocephaly aims to eliminate a stigmatizing deformity, yet the severity that captures unwanted attention is unknown. Surgeons intervene at different points of severity, eliciting controversy. This study used eye tracking to investigate when deformity is perceived. Material and Methods: Three-dimensional photogrammetric images of a normal child and a child with trigonocephaly were mathematically deformed, in 10% increments, to create a spectrum of 11 images. These images were shown to participants using an eye tracker. Participants’ gaze patterns were analyzed, and participants were asked if each image looked “normal” or “abnormal.” Results: Sixty-six graduate students were recruited. Average dwell time toward pathologic areas of interest (AOIs) increased proportionally, from 0.77 ± 0.33 seconds at 0% deformity to 1.08 ± 0.75 seconds at 100% deformity ( P < .0001). A majority of participants did not agree an image looked “abnormal” until 90% deformity from any angle. Conclusion: Eye tracking can be used as a proxy for attention threshold toward orbitofrontal deformity. The amount of attention toward orbitofrontal AOIs increased proportionally with severity. Participants did not generally agree there was “abnormality” until deformity was severe. This study supports the assertion that surgical intervention may be best reserved for more severe deformity.

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