Management and long-term results in patients with two-thirds gastrectomy and stomal ulcer
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STUDIES on patients who have survived total gastrectomy for three years or more are few, and contradictory results are reported. For this reason and since total gastrectomy is being practiced with rapidly increasing frequency, we have studied intestinal motor function, intestinal absorption, pancreatic function and the blood picture in 3 patients who have survived total gastrectomy for three, five and ten years, respectively.¶Case ReportsCase 1. E. O., a 58-year-old woman, was admitted to the hospital with a history of anorexia, weight loss and vomiting of 3 years' duration. A total gastrectomy with enteroenterostomy was performed on May 28, . . .
Anorexia
Pancreatic function
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Les recentes modifications de la politique d'immigration en Australie ont accru la selection des immigrants (criteres d'utilite economique et sociale). Pres de 20 % de la population australienne ne parle pas aujourd'hui l'anglais comme premiere langue. Dans la milieu scolaire, cette proportion passe de 30 a 90 %. L'A. evalue les consequences a court terme et a long terme des modifications de la politique de l'immigration sur le systeme scolaire
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Total gastrectomy has generally been performed for the treatment of early gastric cancers involving the upper third of the stomach. However, proximal gastrectomy has also been used for the treatment of cardial early gastric cancer.To compare the nutritional parameters after proximal gastrectomy with the parameters after total gastrectomy, and to also determine the advantages of the postoperative nutritional states, a retrospective analysis was made to evaluate the nutritional status of patients with early gastric cancer who underwent proximal gastrectomy with those undergoing total gastrectomy. Forty-nine patients were studied for one year after surgery; 9 underwent proximal gastrectomy while 40 had a total gastrectomy.Proximal gastrectomy allowed the patient to better maintain both their nutritional parameters and body weight.Proximal gastrectomy was thus found to be a beneficial modality for early gastric cancer patients regarding terms of the postoperative nutritional status, in comparison to total gastrectomy.
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Some aspects of the patient after total gastrectomy : clinical studies on symptomatology, nutrient malasseimilation and medico-social performance after total gastrectomy
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