scholarly journals Jejunostomia. Alkan (Deut. med. Woch., 1921, No. 51)

2021 ◽  
Vol 19 (1) ◽  
pp. 96-96
Keyword(s):  
Surgical Intervention ◽  
Gastric Ulcers ◽  
Severe Bleeding ◽  
Therapeutic Value ◽  
Multiple Ulcers

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.

Treatment of bleeding stomach ulcers

1927 ◽  
Vol 23 (4) ◽  
pp. 467-467
Keyword(s):  
Surgical Intervention ◽  
Gastric Ulcers ◽  
Recurrent Bleeding ◽  
Severe Bleeding ◽  
Stomach Ulcers

Considering indications for surgical intervention in bleeding gastric ulcers, the author divides cases of this kind into 2 groups: 1) cases where the ulcer is accompanied by a single severe bleeding, and 2) cases where there is acute recurrent bleeding.

Thrombolysis in Arterial Occlusion

1999 ◽  
Vol 82 (S 01) ◽  
pp. 109-111 ◽  
Author(s):  
Raymond Verhaeghe
Keyword(s):  
Clinical Practice ◽  
Thrombolytic Therapy ◽  
Hemorrhagic Stroke ◽  
Surgical Intervention ◽  
Bypass Graft ◽  
Surgical Techniques ◽  
Arterial Occlusion ◽  
Second Step ◽  
Severe Bleeding ◽  
Initial Management

SummaryIntra-arterial thrombolytic therapy has replaced systemic intravenous infusion of thrombolytic agents as a treatment modality for arterial occlusion in the limbs. Several catheter-guided techniques and various infusion methods and schemes have been developed. At present there is no scientific proof of definite superiority of any agent in terms of efficacy or safety but clinical practice favours the use of urokinase or alteplase. Studies which compared thrombolysis to surgical intervention suggest that thrombolytic therapy is an appropriate initial management in patients with acute occlusion of a native leg artery or a bypass graft. Underlying causative lesions are treated in a second step by endovascular or open surgical techniques. Severe bleeding is the most feared complication: the risk of hemorrhagic stroke is 1-2%.

scholarly journals Acute Lower Gastrointestinal Bleeding: Part II

2001 ◽  
Vol 15 (8) ◽  
pp. 517-521 ◽  
Author(s):  
Robert Enns
Keyword(s):  
Gastrointestinal Bleeding ◽  
Surgical Intervention ◽  
Lower Gastrointestinal Bleeding ◽  
Lower Gastrointestinal Hemorrhage ◽  
Nuclear Scintigraphy ◽  
Diagnostic Strategies ◽  
Advantages And Disadvantages ◽  
Therapeutic Value ◽  
The Face ◽  
Acute Lower Gastrointestinal Hemorrhage

Diagnostic strategies for lower gastrointestinal bleeding include nuclear scintigraphy, mesenteric angiography and endoscopic evaluation of the lower gastrointestinal tract. Each method has inherent advantages and disadvantages. Nuclear scintigraphy is simple and noninvasive, but high rates of false localization have led most clinicians to insist on confirmation of the bleeding site by another method before considering surgical intervention. Angiography is very specific, but is invasive and not as sensitive as nuclear scintigraphy. Colonoscopy is sensitive and specific, and can offer therapeutic value but can be technically challenging in the face of acute lower gastrointestinal hemorrhage. These strategies and the evidence behind them are discussed.

Menorrhagia in Women with Severe Bleeding Disorders

Blood ◽  
2012 ◽  
Vol 120 (21) ◽  
pp. 4626-4626
Author(s):  
Susan Halimeh ◽  
Joanna Davies ◽  
Debra Pollard ◽  
Rezan Abdul-Kadir
Keyword(s):  
Tranexamic Acid ◽  
Surgical Intervention ◽  
Postoperative Bleeding ◽  
Bleeding Complications ◽  
Severe Bleeding ◽  
Bleeding Disorders ◽  
Line Treatment ◽  
First Line ◽  
First Line Treatment ◽  
Factor Concentration

Abstract Abstract 4626 The management of menorrhagia presents a challenge in women with severe bleeding disorders. Conservative medical management is the first line treatment and most women with severe bleeding disorder require combination treatment. Surgical intervention may ultimately be offered to women in whom medical management has failed and whom no longer desire fertility. Women with low factor levels are at risk of perioperative bleeding complications and may require haemostatic support. A total of 50 women with severe factor deficiencies (less than 20iu/dL) were included in this study. 46 women were registered at the Haemophilia Centre at the Royal Free Hospital in London. Four cases were also included from the Rhine-Ruhr Haemophilia Centre in Duisburg, Germany. We reviewed the occurrence of menorrhagia and the management options that were offered. In those that required surgical intervention, the incidence of postoperative bleeding complications and the requirement for factor concentration was also reviewed. The bleeding disorders in these women were 34 (68%) with severe factor XI deficiency, 10 (20%) with severe type 1 and type 3 von Willebrand's disease, 4 (8%) with factor VII deficiency, 2 (4%) had factor V or X deficiencies and one (2%) had a combination of factor VI and VIII deficiency. The ISTH/SSC joint working group bleeding assessment tool was used to assess the severity and frequency of bleeding symptoms among this cohort of women. The bleeding scores ranged from −2 to 30 with a median score of 9.5. In total, 32 out of 50 (64%) women with severe factor deficiency required medical attention for menorrhagia. Medical treatment included hormonal preparations (combined oral contraceptive pill or levonorgestrel intrauterine device), which was used as a first line treatment in 15 out of 32 (46.8%) women. Haemostatic treatment included antifibrinolytic medication such as tranexamic acid, which was used in combination with hormonal therapy. One women required intranasal DDAVP, von Willebrand factor concentrate and tranexamic acid. Failure to control menstrual bleeding occurred in 14 (43.7%) women and surgical intervention was required. 7 out of 14 (50%) women required hysterectomy and the remaining 7 women underwent endometrial ablation. Prophylaxis with factor concentration to cover surgical intervention was given in 8 out of 14 women (64.2%). The remainder received tranexamic acid for 24–48 hours following surgery. Postoperative bleeding occurred in 7 women that had surgical intervention, despite two women receiving prophylaxis. This study highlights the complexity involved in the management of menorrhagia in women with severe bleeding disorders and the high risk of postoperative bleeding. Disclosures: No relevant conflicts of interest to declare.

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 ◽  
...  
Keyword(s):  
Gastric Ulcers ◽  
Practical Issue ◽  
Emergency Interventions ◽  
Surgical Field ◽  
Rare Category ◽  
Multiple Ulcers

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.

Complications of Gastric Plication

2018 ◽  
Author(s):  
Zhamak Khorgami ◽  
Ariel Ortiz Lagardere
Keyword(s):  
Treatment Options ◽  
Gastric Wall ◽  
Poor Response ◽  
Gastric Volume ◽  
Gastric Ulcers ◽  
Severe Bleeding ◽  
Gastric Plication ◽  
Laparoscopic Gastric Plication ◽  
Gastric Obstruction ◽  
Greater Curvature

Laparoscopic gastric plication is infolding of the greater curvature of the stomach to reduce gastric volume. This chapter covers the complications of the procedure, their causes, and their management. The most common complication is gastric obstruction, and it is the main reason for reoperation. Most mild obstructions can be managed conservatively. Patients with signs of ischemia and those with poor response to medical treatment need reoperation. Mild bleeding is not infrequent after gastric plication but severe bleeding is rare. Gastric perforation can occur, and treatment options include conservative management of a minimal contained leak, or surgical exploration with plication reversal and repair. Loss of restriction and weight regain are a result of insufficient reduction of the stomach capacity or plication breakdown. Other complications include persistent heartburn, gastric wall herniation (which can lead to ischemia and perforation), gastric intussusception, and gastric ulcers.

Regional Scientific-Medical Association of the ATSSR. Joint meetings of the therapeutic, surgical and radiological sections. Meeting of February 5, 34

1934 ◽  
Vol 30 (2) ◽  
pp. 357-360
Keyword(s):  
Peptic Ulcer ◽  
Medical Association ◽  
Gastric Juice ◽  
Gastric Ulcers ◽  
Peptic Ulcers ◽  
Therapeutic Value

1. Prof. R.Y. Gasul. - Radiotherapy of peptic ulcer of the stomach and duodenum. 2. Drs. E.M. Mogilevsky, V.L. Rapiovets, D.E. Potekhin and E. I. Medvedev. -Achloride diet as a method of treatment of hyperacidic gastritis and gastric ulcers. 3. Drs. E. M. Mogilevsky and S. I. Bitkova - Treatment of hyperacid gastritis and peptic ulcers by pumping gastric juice. 4. Dr. H.N. Kovyazin. - Therapeutic value of gastric juice drainage in peptic ulcers and acidic catarrhs.

scholarly journals Secondary tonsillar hemorrhage: a one year retrospective study in a District General Hospital

2016 ◽  
Vol 10 (4) ◽  
Author(s):  
Tariq M
Keyword(s):  
Surgical Intervention ◽  
Significant Risk ◽  
District General Hospital ◽  
Severe Bleeding ◽  
Bleeding Disorders ◽  
Operator Experience ◽  
Secondary Hemorrhage ◽  
History Of ◽  
One Year ◽  
Medical Advances

Tonsillectomy is one of the most commonly performed surgical procedures. Hemorrhage is its most significant complication. The literature indicates that most concern centres on reactionary rather than secondary hemorrhage. The aims of this study have been to determine the incidence of secondary tonsillar hemorrhage, the influence of patient age and operator experience and the predictive value of a history of infection, bleeding disorders and coagulation studies. A 4% incidence of secondary tonsillar hemorrhage was found, almost half of these having such severe bleeding as to warrant surgical intervention. The following findings also emerged: a) More adults than children suffered secondary hemorrhage. b) Incidence of secondary hemorrhage is independent of operator experience. c) There was a negative history of infection and bleeding disorders. d) Coagulation studies were normal in all cases. Despite improvements in standards and socio-economic and medical advances, secondary tonsillar haemorrhage continues to be a significant risk.

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.

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