Conţinutul numărului revistei |
Articolul precedent |
Articolul urmator |
936 3 |
Ultima descărcare din IBN: 2024-02-26 09:29 |
SM ISO690:2012 HOTINEANU, Vladimir, HOTINEANU, Adrian, BORTĂ, Eduard, CAZACU, Aurelia, FERDOHLEB, Alexandru, PRIPA, Valeriu, GOREA, Dorian, HURMUZACHE, Artur. Starea morfo –funcţională a duodenului şi impactul ei in patologia gastro – duodeno – bilio – pancreatică. In: Arta Medica , 2010, nr. 3(42), pp. 69-77. ISSN 1810-1852. |
EXPORT metadate: Google Scholar Crossref CERIF DataCite Dublin Core |
Arta Medica | ||||||
Numărul 3(42) / 2010 / ISSN 1810-1852 /ISSNe 1810-1879 | ||||||
|
||||||
Pag. 69-77 | ||||||
|
||||||
Descarcă PDF | ||||||
Rezumat | ||||||
The actual tendency of gastrointestinal surgery is determined as a profound understanding of certain accumulated clinical and instrumental data in confrontation with the results of modern physiology – way to improve the outcomes of numerous pathologies of the digestive tract. The diagnosis problems of ulcerous disease are actual until today. Its incidence in developed countries has got around 2-10%. Current medicine achieved great success in the treatment of these patients, but in 3% of causes the modern therapy of ulcerous disease including H2-blocators and inhibitors of protonic pump fails. At one’s series of these ulcerous patients was marked enlarged duodenum with atypical position, confirmed at radiological investigation and intraoperatively as a duodenal malrotation. This situation clinically was manifested
by duodenogastral reflux, noted in medical literature as duodenal malrotation. [7;8;9]
Gastric secretion investigation became an expansive method to help the surgeon in correct evaluation of stomach acidity, duodenogastral
reflux, as well as for correct selection of individual treatment, opportune surgical intervention and monitoring of treatment efficiency. For the first time, organic duodenal malrotation was reported in specilised literature in 1900 by ladd W.E., who later in 1936 described the most frequent variant of intestinal malrotation (ladd syndrome) and developed the surgical procedure for him, renamed later with his name, which allowed reducing newborns mortality from 90% to 25% respectively. Functional duodenal malrotation associated with duodenostasis has been appreciated only during the next decades as chronic form which does not present acute or complete deregulation of intestinal passage. The functional state of the duodenum in these causes is directly influenced by motor and haemodynamic deregulations, which lead to development of duodenostasis –duodenogastral reflux, duodenal hypertension and duodenal stasis [1;2]. |
||||||
|