Browsing by Author "Rakic, Srdjan (56230697600)"

[No abstract available]

[No abstract available]

The incidence of anastomotic leakage after esophagectomy for cancer and reconstruction with the stomach was analyzed with respect to the presence of coexistent atrophic chronic gastritis (ACG). Of a total of 28 operated esophageal cancer patients with ACG, 6 patients developed an anastomotic leak at the cervical esophagogastrostomy (21%). Of a total of 8 operated esophageal cancer patients none of the patients developed an anastomotic leak. The ACG positive and the ACG negative patients were found to be well matched for age, sex, type of operation, transplant route, level of the anastomoses, and suture technique, and all were operated on by the same surgeons. The difference in leakage rate did not reach statistical significance. © 1992 Wiley‐Liss, Inc. Copyright © 1992 Wiley‐Liss, Inc., A Wiley Company

Elevated plasma gastrin levels have been found in patients with colorectal cancer. We measured fasting serum gastrin levels in control subjects (n = 12), patients with gastric cancer (n = 43), and patients with carcinoma of the esophagus (n = 55). Serum gastrin levels were significantly higher in patients with gastric cancer compared to normal controls (P < 0.005) and those with esophageal cancer (P < 0.05). This information may add to our understanding of the pathogenesis of gastric cancer. Copyright © 1991 Wiley‐Liss, Inc., A Wiley Company

Twenty-five patients developed reflux stricture of the esophagus following partial gastrectomy for duodenal ulcer. Stricture formation was rapid and progressive. Postgastrectomy nasogastric intubation and immobilization were significantly longer in these patients than in controls. Only 9 patients had a dilatable stricture. The dilatability rate was significantly lower than in patients with primary reflux strictures of the esophagus. All patients but 1 failed to respond to conservative management based on gastric secretion blockade and antacids. Following dilatation, surgical control of reflux by conversion or/and antireflux procedure was carried out. Only the conversion of a previous gastrectomy to a Roux-en-Y gastrojejunostomy combined with an antireflux procedure gave satisfactory long-term results, while each of these procedures applied alone was insufficient. Sixteen patients with undilatable stricture underwent resection or bypass procedures. Four patients died. The remaining 12 patients are symptom free and have no endoscopic signs of esophagitis. © 1992 S. Karger AG, Basel.