A nyelés képességének helyreállítása lúgivás utáni nyelőcsőszűkületben

2019 ◽  
Vol 160 (16) ◽  
pp. 613-618
Author(s):  
Lajos Kotsis ◽  
Szilárd Kostic ◽  
Zoltán Heiler ◽  
Pál Vadász
Keyword(s):  
Surgical Treatment ◽  
Gastrointestinal Tract ◽  
Colonic Mucosa ◽  
Outlet Obstruction ◽  
Oesophageal Perforation ◽  
Ulcer Formation ◽  
Caustic Stenosis ◽  
Oesophageal Stenosis ◽  
Late Adaptation ◽  
Upper Gastrointestinal

Abstract: The authors discuss their experience in the surgical treatment of caustic stenosis in the upper gastrointestinal tract. They present operative solutions using isoperistaltic transverse colonic segment in oesophageal stenosis caused by gastric outlet obstruction, or when these two presented together. Further indications for the above were bronchial or tracheo-oesophageal fistulas and oesophageal perforation. Late adaptation of the colonic grafts were measured by radiokinematography and histochemistry. The overall morbidity was 4.9%. Postoperative salivary fistulas closed spontaneously. Late postoperative complications (13.5%) were treated successfully. The multihaustral motility of the graft prevented the reflux, while the altered mucopolysaccharides of the colonic mucosa prevented the ulcer formation. Orv Hetil. 2019; 160(16): 613–618.

Gastric Teratoma: Unusual Cause for Bleeding of the Upper Gastrointestinal Tract in the Newborn

PEDIATRICS ◽  
1981 ◽  
Vol 67 (5) ◽  
pp. 721-724
Author(s):  
Mitchell S. Cairo ◽  
Jay L. Grosfeld ◽  
Robert M. Weetman
Keyword(s):  
Gastrointestinal Tract ◽  
Gastrointestinal Hemorrhage ◽  
Abdominal Mass ◽  
Outlet Obstruction ◽  
Upper Gastrointestinal Tract ◽  
Recurrent Bleeding ◽  
Rare Occurrence ◽  
Gastric Teratoma ◽  
Abdominal Radiographs ◽  
Upper Gastrointestinal

Bleeding of the upper gastrointestinal tract in the full-term newborn is a relatively benign and rare occurrence. This report describes a female infant with a gastric teratoma who experienced recurrent bleeding of the upper gastrointestinal tract as a neonate and infant secondary to gastric outlet obstruction. Anteroposterior and lateral abdominal radiographs revealed a large calcified abdominal mass with the pathognomonic features of a teratoma with a mandible and teeth. Gastric teratomas have not been previously reported as an etiologic or predisposing condition of gastrointestinal hemorrhage in two large reviews concerning this topic in the newborn and infant. This patient represents the 51st case and only the second female described in the literature. The frequency and unusual features of this treatable lesion, as well as the diagnostic approach to bleeding of the upper gastrointestinal tract in the newborn, are reviewed.

scholarly journals Corrosive Injuries of the Upper Gastrointestinal Tract

2017 ◽  
Vol 08 (04) ◽  
pp. 165-169
Author(s):  
Babu Lal Meena ◽  
Kumar Shwetanshu Narayan ◽  
Gopal Goyal ◽  
Surendar Sultania ◽  
Sandeep Nijhawan
Keyword(s):  
Gastrointestinal Tract ◽  
Outlet Obstruction ◽  
Clinical Problem ◽  
Upper Gastrointestinal Tract ◽  
Esophageal Injury ◽  
Caustic Ingestion ◽  
X Rays ◽  
Corrosive Injury ◽  
Airway Injury ◽  
Upper Gastrointestinal

ABSTRACTCorrosive injury of the upper gastrointestinal tract is a worldwide clinical problem, mostly occurring in children. Alkaline agents produce deeper injuries whereas acidic agents produce superficial injuries usually. Hoarseness, stridor, and respiratory distress indicate airway injury. Dysphagia, odynophagia, and drooling of saliva suggest esophageal injury whereas abdominal pain, nausea, and vomiting are indicative of stomach injury. X-rays should be done to rule out perforation. Endoscopy is usually recommended in the first 12–48 h although it is safe up to 96 h after caustic ingestion. Endoscopy should be performed with caution and gentle insufflation. Initial management includes getting intravenous access and replacement of fluids. Hyperemia and superficial ulcerations have excellent recovery while deeper injuries require total parenteral nutrition or feeding jejunostomy. Patients suspected of perforation should be subjected to laparotomy. Common complications after corrosive injury are esophageal stricture, gastric outlet obstruction, and development of esophageal and gastric carcinoma.

Surgery of the upper departments of the digestive tract with intraoperative intra-research endoscopic assistance: review of the literature

2020 ◽  
pp. 117-124 ◽  
Author(s):  
A. L. Shestakov ◽  
M. E. Shakhbanov ◽  
M. V. Khrustaleva ◽  
N. A. Bulganina ◽  
I. A. Boeva ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Gastrointestinal Tract ◽  
Negative Impact ◽  
Upper Gastrointestinal Tract ◽  
Research Centre ◽  
Malignant Neoplasms ◽  
Malignant Diseases ◽  
Surgical Interventions ◽  
Low Efficiency ◽  
Upper Gastrointestinal

This analysis is based on the study of materials from scientific electronic libraries (elibrary.ru, PubMed, scientific library of the Petrovsky National Research Centre of Surgery, Moscow, Russia). The problem of treating the pathology of the upper gastrointestinal tract is caused by the high prevalence of benign and malignant diseases of this zone, their severity, the complexity of diagnosis and often the low efficiency of conservative therapy. Intensive implementation of innovative scientific technologies in medical practice, aimed at increasing the effectiveness of treatment and diagnostic measures, minimizing their negative impact on the patient’s body and reducing the risk of complications, which, at the same time, have sufficient economic attractiveness. In full, all of the above can be attributed to endoscopy, which has been actively developing in recent years, both in the diagnostic and in the operational areas. In the treatment of various diseases of the gastrointestinal tract in recent years, combined methods based on the use of two or more minimally invasive technologies, for example, endoluminal endoscopic and thoraco or laparoscopic methods, have entered the world practice. The data of scientific articles on the problem of surgical treatment of patients with benign and malignant diseases of the upper gastrointestinal tract, carried out using intraoperative intraluminal endoscopic assistant, are analyzed. The use of intraluminal endoscopy, in particular, allows to increase the radicality of surgical interventions in patients with malignant neoplasms of the upper gastrointestinal tract, perform intraoperative topical diagnosis of non-palpable tumors, and use it in the surgical treatment of esophageal diverticulums of various localization. Also, another area of application of intraoperative intraluminal endoscopy is the assessment of tightness and anastomosis zone during surgical interventions on the organs of the gastrointestinal tract. However, this technique is in the process of implementation in clinical practice and has not been sufficiently studied both in foreign and domestic literature.

Helicobacter pylori in the upper gastrointestinal tract: medical or surgical treatment of gastric lymphoma?

2000 ◽  
Vol 385 (2) ◽  
pp. 97-105 ◽  
Author(s):  
H. -D. Röher ◽  
P. R. Verreet ◽  
O. Wörmer ◽  
F. P. Müller ◽  
C. Ohmann ◽  
...  
Keyword(s):  
Helicobacter Pylori ◽  
Surgical Treatment ◽  
Gastrointestinal Tract ◽  
Gastric Lymphoma ◽  
Upper Gastrointestinal Tract ◽  
Upper Gastrointestinal

scholarly journals Massive Ileal Bleeding Secondary to a Dieulafoyʼs lesion

2018 ◽  
Vol 06 (04) ◽  
pp. E495-E497
Author(s):  
Aymeric Becq ◽  
Xavier Dray ◽  
Giulia Boarini
Keyword(s):  
Computed Tomography ◽  
Surgical Treatment ◽  
Gastrointestinal Tract ◽  
Diagnostic Imaging ◽  
Gastrointestinal Bleeding ◽  
Young Woman ◽  
Computed Tomography Angiography ◽  
Lower Gastrointestinal Tract ◽  
Arterial Bleeding ◽  
Upper Gastrointestinal

AbstractDieulafoyʼs lesions are a rare cause of gastrointestinal bleeding. This article presents the case of a young woman presenting with a massive ileal bleeding, secondary to a Dieulafoyʼs lesion. A computed-tomography angiography scan showed an arterial bleeding in the ileum and the diagnosis was confirmed by an emergency peroperative enteroscopy. Surgical treatment was performed. Dieulafoyʼs lesions account for 1 % to 2 % of acute gastrointestinal bleeding and lesions are mostly located in the upper gastrointestinal tract. This case stresses that Dieulafoyʼs lesions can be located in the lower gastrointestinal tract and that in such cases, diagnostic imaging and surgical treatment are often warranted.

Intraluminal Pressures from the Upper Gastrointestinal Tract

1957 ◽  
Vol 32 (6) ◽  
pp. 1013-1024 ◽  
Author(s):  
E. Clinton Texter ◽  
Hubbard W. Smith ◽  
Hugo C. Moeller ◽  
Clifford J. Barborka
Keyword(s):  
Gastrointestinal Tract ◽  
Upper Gastrointestinal Tract ◽  
Upper Gastrointestinal
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