Minerva chirurgica
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Review Comparative Study
Advances in adjuvant chemotherapy for colon cancer.
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The authors take into consideration 21 cases of caustic burns of the superior digestive tract. In 6 cases (29%) the extent of lesions has impelled emergency surgery. In case of total exeresis of the esophagogastric tract, according to their experience, the preferred operation is at closed thorax following the esophageal stripping technique.
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Review Case Reports
[Coarctation and hypoplasia of the abdominal aorta].
In this study we report one case of abdominal aortic coarctation of unknown etiology, probably congenital or connatal, and two cases of aortoiliac occlusion in young non-diabetic patients, with an intrinsically small aortoiliac tree. These syndromes usually appear in young age; the principal clinical features are arterial insufficiency involving the lower extremities, often well tolerated, and hypertension. ⋯ Echography and Doppler-echography can be helpful in the diagnosis, but intra arterial digital angiography is mandatory in confirming it. Medical therapy is usually unsuccessful, especially in controlling blood pressure, therefore surgery still remains the treatment of choice, together with PTA that can be applicable in selected cases.
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The authors describe a rare complication following total gastrectomy or reconstruction using a Roux-en-Y loop: the presence of a metal mandrel used to insert the nasogastric tube in the end tract was discovered during esophagojejunal anastomosis. The object was extracted by esophagoscopy without damage to the patient.