Revista de gastroenterología de México
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Rev Gastroenterol Mex · Apr 1994
Comparative Study[Motor disorders of the smooth muscle of the esophagus].
Dysphagia and/or chest pain are the symptoms that characterize the motor abnormalities of the esophagus. These symptoms are not specific for motor disorders and can be seen with mucosal lesions. Symptom varies in severity and can be severe enough to put in risk the patient life. ⋯ Diagnosis and characterization of the motor disorders of the esophagus are best performed by manometry. In the present work, we expose some of the relevant clinical aspects and the manometric criteria currently accepted to classify motility disorders. Some treatment aspects are also reviewed.
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Rev Gastroenterol Mex · Jan 1991
[Hepatico-jejunal anastomosis without sutures with permanent access to the anastomosis].
A simple and rapid surgical technique for the treatment of bile duct strictures is described, is a nonsuture technique that permits a safe long term control of the anastomosis, is an hepatico-jejunostomy without sutures, a Roux in Y loop is anchored to the hepatic bilium with a transhepatic Levin F14-16 tube. When the Levin tube is retired a nylon thread is left in place for future use. Has been used with exit in 15 cases two of them presented biliar fistula that was easily treated with sucction at the ends of the catheter.
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Rev Gastroenterol Mex · Oct 1979
[Is it necessary to routinely use nasogastric intubation and subhepatic (Penrose) drainage after an uncomplicated cholecystectomy?].
140 surgical patients were studied at the Navy Medical Center in Mexico City. All of them had a cholecystectomy performed. In addition, 29 patients were treated for hiatal hernia with troncular vagotomy, pyloroplasty and hiatal repair. 7 of them had a prophylactic appendectomy. ⋯ Group B received neither. Postoperative morbidity and hospitalization time less in Group B. It is suggested by the authors not to be use nasogastric intubation nor subhepatic drainage after elective cholecystectomy, although there are special circumstances where one or both procedures are indicated.