We have evaluated by means of a clinical and functional study the alterations in anorectal function of a group of 50 consecutive patients who have undergone an anterior resection of the rectum. Results are correlated with the anastomosis location and the time passed after the operation. According to research data this operation changes the patient's defaecation habits and the manometric and radiological parameters of anorectal function. These alterations are more evident in patients with a low anastomosis. The qualitative characteristics of defaecation did not change significantly in relation to the time passed since operation. However, there was a significant increase in compliance 6 months after operation, and the threshold rectal volume and the maximum tolerated volume also showed a significant increase 12 months following operation.
A patient with colohepatic fistula due to hydatid disease is reported. Only two similar cases have been described in the medical literature. This case illustrates that medical treatment with mebendazole is ineffective.
Se presentan ocho casos de neoplasias valerianas, realizando una amplia revisión bibliográfica sobre el tema.
Todas las publicaciones consultadas insisten sobre la poca frecuencia de las neoplasias en dicha localización, a pesar de lo cual, en nuestra casuística representan el 10 % de todas las ictericias obstructivas extrahepáticas.
Se analizan los elementos básicos para llegar a una sospecha diagnóstica, y los exámenes complementarios adecuados para dicha sospecha se convierten en evidencia.
Los autores analizan las diversas posibilidades de tratamiento quirúrgico y exponen sus resultados.
Se presentan cuatro casos de estenosis hipertrófica del píloro en el adulto, intervenidos en nuestro Departamento, con comprobación anatomopatológica. Tomando ocasión de los mismos se hacen unos comentarios a cerca de la etiología, orientación diagnóstica, diagnóstico diferencial y tratamiento.
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