Presse Med
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A patient presenting with gastric and duodenal necrosis following ingestion of sulphuric acid was successfully treated by excision of the stomach and duodeno-pancreas with delayed re-establishment of digestive tract continuity. This technique would not be possible without continuous enteral nutrition.
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Emergency surgery for rupture or fissuration of sub-renal abdominal aortic aneurysms can be simplified by the use of a ringed tubular graft prosthesis of woven Dacron, which is fixed intraluminally in the aneurysmatic sac.
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Plasma C-peptide levels were measured in classical insulin-dependent diabetics (group I) and in patients who had become insulin-dependent after a mean 12 years of non-insulin dependent diabetes (group II). All had been under insulin therapy for no more than 2 years. ⋯ These findings suggest that patients with initially non-insulin dependent diabetes are more resistant to insulin than classical insulin-dependent diabetics. This low sensitivity to insulin might be due to age (which was more advanced in our group II patients) or might indicate that these patients still retain a degree of insulin-resistance that is characteristic of non-insulin dependent diabetes.
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Systematic assays of glycosylated haemoglobin were performed to verify that pregnant women with glycosuria and normal fasting blood glucose and glucose tolerance tests had no disturbances in glycoregulation. Glycosylated haemoglobin levels were measured in 25 glycosuric women on the second (n = 11) or third (n = 14) trimester of pregnancy and compared with those of 81 non-glycosuric women of similar weight and gestational age. ⋯ They were also significantly higher in obese glycosuric women than in controls of the same weight (6.71% versus 5.3%; p less than 0.001) and exceeded normal limits. These results should encourage better detection (by glucose tolerance test) and better supervision of women with "renal" diabetes.