DIETA HIPERCOLESTEROLEMIA FISTERRA PDF

Directory of Open Access Journals Sweden. Nevertheless, some patients with ALF develops major coronary obstructive diseases with consequent increased risk or contraindication to liver transplantation. Diagonal earlobe crease: a sign of coronary artery disease? Nuestro objetivo fue estudiar la utilidad del signo. Los datos obtenidos fueron sensibilidad The diagonal earlobe crease is a sign theorically related to coronary artery disease.

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Post-traumatic recto -spinal fistula. Acquired recto -spinal fistula has been described elsewhere as a rare complication of colorectal malignancy and Crohn's enterocolitis. We treated a young man who developed a recto -spinal fistula as a result of a high fall injury. The patient presented with meningeal signs, sepsis and perianal laceration. Computerized axial tomography revealed air in the supersellar cistern.

Gastrografin enema showed that contrast material was leaking from the rectum into the spinal canal. Surgical management included a diverting sigmoid colostomy, sacral bone curettage and wide presacral drainage. To the best of our knowledge, rectospinal fistula of traumatic origin has not been previously reported in the English literature. Lantsberg, L. Directory of Open Access Journals Sweden. A descriptive, cross-sectional and prospective investigation of 13 patients with partially accommodative esotropia was carried out, after a total correction of the hypermetropy, treated in the Ophthalmology Service of the Southern Pediatric Polyclinic of Santiago de Cuba from May, to September, The implementation of this study was justified for the insufficient existent knowledge on the ocular alignment in the partially accommodative endotropia, after applying the technique of bilateral attenuation of medial rectus muscles.

In the studied series, the mean age was of 6,3 years and the ocular alignment achieved in the posoperative period was successful besides that was not related with the ametropia. The amblyopia found contributed to the prognosis of the disorder. TEMS: an alternative method for the repair of benign recto -vaginal fistulae. The repair of high recto -vaginal fistula can be challenging since access may be limited via the endo-anal approach yet the alternative trans-abdominal route carries significant morbidity.

We report the use of TEMS to repair a recto -vaginal fistula following anterior resection and pelvic radiotherapy. The patient was placed prone and a 25 cm rectoscope was inserted.

A proximally based mucosal advancement flap was raised to repair the fistula. The patient was discharged 2 days later and a contrast study confirmed closure of the fistula. The morbidity is lower than the trans-abdominal route. TEMS is a useful technique for the repair of benign recto -vaginal fistula and has distinct advantages over conventional techniques.

Introduction: Cattle are the asymptomatic reservoirs of Escherichia coli OH7 O that tend to preferentially colonize the bovine recto -anal junction RAJ. Therefore, understanding the taxonomic profile, microbial diversity, and microbiota-O interactions at the RAJ could give insights into Elective laparoscopic recto -sigmoid resection for diverticular disease is suitable as a training operation. Some authors state that elective laparoscopic recto -sigmoid resection is more difficult for diverticular disease as compared with malignancy.

For this reason, starting laparoscopic surgeons might avoid diverticulitis, making the implementation phase unnecessary long. The aim of this study was to. Purpose Some authors state that elective laparoscopic recto -sigmoid resection is more difficult for diverticular disease as compared with malignancy. The aim of this study was to determine whether laparoscopic resection for diverticular disease should be included during the implementation phase. Methods All consecutive patients who underwent an elective laparoscopic re Background:Diphallus is a rare anomaly and accompanying anomalies vary from bifid scrotum, bladder exstrophy, imperforate anus and colo-rectal anomaly such as duplication, and other associated anomalies.

Case Presentation:A 2-day old infant is reported with imperforate anus and complete duplication of recto -sigmoid colon, rectal pouch, doubling of the genitalia with completely formed penis diphallus , double bladder, urethra and hypospadias. No family history of abnormalities was noted. All consecutive patients who underwent an elective laparoscopic recto -sigmoid resection in our hospital for diverticulitis or cancer from to were analysed.

A total of consecutive patients were included in this prospective cohort study. One hundred and fifty-one patients were operated on for diverticulitis and for cancer. There was no significant difference in operation time vs. The occurrence of anastomotic leakages was associated with higher American Society of Anesthesiologists ASA classification, which differed between the groups No hubo problemas de incontinencia ni de estenosis.

We report the case of severe colitis occurring during treatment with non-steroid anti-inflammatories NSAI. A 57 year-old woman was hospitalized for lumbar pain that had not been relieved by AINS, tramadol and then morphine. The patient presented with septic shock and peritonitis by rectal perforation, followed by acute rectorrhagia.

The endoscopic aspect evoked Crohn's disease with a recto -vaginal fistula. Progression was further complicated by two episodes of collapse because of acute rectorrhagia, requiring hemostasis colectomy and abdominal-perineal amputation. The diagnosis retained was AINS-induced colitis complicated by acute colectasia on a fecaloma with recto -vaginal fistula. Mediciones en el PO 1ra.

Bearing in mind the above mentioned, we decided to confirm the behaviour of oxygen saturation O2S in the POP of these aged patients that were assisted with this technique. Demographic variables, personal pathologic histories PPH and 02S were obtained before the operation. Diphallus with imperforate anus and complete duplication of recto -sigmoid colon and lower urinary tract. Diphallus is a rare anomaly and accompanying anomalies vary from bifid scrotum, bladder exstrophy, imperforate anus and colo-rectal anomaly such as duplication, and other associated anomalies.

A 2-day old infant is reported with imperforate anus and complete duplication of recto -sigmoid colon, rectal pouch, doubling of the genitalia with completely formed penis diphallus , double bladder, urethra and hypospadias. The patient underwent several operations: laparatory and colostomy at 3rd day of life, and after clinical and paraclinical investigations, cystoplasty, ureteral reimplantation and resection of left phallus were carried out when 4 months old. At the age of 1 year, after colostogram and total colon evaluation, laparatomy, resection of duplicated recto -sigmoid colon, and pull-through was carried out; 3 months later colostomy closure was performed and the patient discharged without complications.

The patients with diphallus have to be examined carefully because of the high incidence of other systemic anomalies. Treatment of diphallus usually includes excision of the duplicated penile structure, its urethra, and repair of associated anomalies.

Background Diphallus is a rare anomaly and accompanying anomalies vary from bifid scrotum, bladder exstrophy, imperforate anus and colo-rectal anomaly such as duplication, and other associated anomalies. Case Presentation A 2-day old infant is reported with imperforate anus and complete duplication of recto -sigmoid colon, rectal pouch, doubling of the genitalia with completely formed penis diphallus , double bladder, urethra and hypospadias.

Conclusion The patients with diphallus have to be examined carefully because of the high incidence of other systemic anomalies. Recto -sigmoid lipoma: a case report and review of the literature. Full Text Available Lipomas are a growth of fat cells in a fibrous capsule.

They are most common in noncancerous tissues. Lipoma of rectum is uncommon and the most common sit of its origin is the perinanal region.

Rarely they could cause rectal bleeding. In this study, we have reported a yrs old man who had been referred to the hospital with symptoms of abdominal pain, rectal bleeding and the problem in bowel movement. Rectal prolapsed with solitary rectal were observed during the clinical observation. He underwent the surgery. Low anterior resection was performed for him and pathology diagnosis was lipoma.

Nesse estudo, descrevemos um paciente, homem, 53 anos, que foi encaminhado ao hospital com sintomas de dor abdominal, sangramento retal e problemas nos movimentos intestinais. Preoperative CT staging of colon carcinoma excluding the recto -sigmoid region. The CT had a sensitivity of 60 and 67 per cent for detection of extramural invasion, 75 per cent sensitivity and specificity for lymph node metastases and a sensitivity of 87 per cent and specificity of 95 per cent for liver metastases.

Compared with the modified Dukes classification, CT correctly staged 50 per cent of the patients with Dukes A lesions; 40 per cent with Dukes B, 75 per cent with Dukes C and 85 per cent with Dukes D lesions. The data presented in this study showed that CT has limitations in the sensitivity and accuracy of staging local colonic carcinoma.

However, the authors recommend its use for patients who are clinically suspected of having extensive disease. Extracolic-infiltrative lesions of the sigmoid colon and recto -sigmoid junction. The problems of extracolic-infiltrative lesions of the sigmoid colon and recto -sigmoid junction are discussed, based on representative case studies.

Because of the localisation of these bowel segments in the lower peritoneal cavity, they can be reached by direct infiltration of contiguous tumors - especially carcinoma of the ovary - or by seeding into the pouch of Douglas and the sigmoid mesocolon. In many cases characteristic roentgen-morphologic features indicate a secondary infiltration, but inflammatory and malignant lesions have to be differentiated.

The differential-diagnosis must consider also diverticulitis, endometriosis and extracolic growth of colonic carcinoma. Additional ultrasonography and computed tomography may help to clear topographical relations and to detect direct and indirect signs of peritoneal carcinomatosis and abscess. Because of the localisation of these bowel segments in the lower peritoneal cavity, they can be reached by direct infiltration of contiguous tumors - especially carcinoma of the ovary - or by seading into the pouch of Douglas and the sigmoid mesocolon.

Seguimiento del perfil proteico urinario en el trasplante renal. Seguimiento al hogar de personas con antecedentes de enfermedad mental. Hasta el momento han asistido a las reuniones de egreso cerca de pacientes y se han inscrito voluntariamente al programa personas.

Seguimiento multidisciplinario en el control del penfigoide de membranas mucosas. Full Text Available Objectives: we analyzed long-term morbidity and bowel function alteration after postoperative radiotherapy for rectal cancer following resection with anastomosis. Patients and methods: thirty-seven patients who underwent surgery with intention to cure and a minimal follow-up period of 3 years were included. These patients were divided into two groups: in the first group, 14 patients received postoperative chemo-radiotherapy, 5-fluorouracil plus folinic acid, and 45 Gy plus 5 Gy boost.

In the second group, there were 23 patients regarded as controls. We designed a questionnaire about their bowel function and analyzed the morbidity detected in their follow-up. Although without meaningful differences, the group under treatment wore a pad more often, had more defecatory urgency, could distinguish worse gas from stool, and needed more frequently antidiarrheal measures.

Major complications were present in Conclusions: postoperative chemo-radiotherapy had a high morbidity rate, which determined a significant alteration in quality of life. Accuracy in indication is therefore necessary, as well as a consideration of other alternatives for treatment, such as preoperative chemo-radiotherapy and total mesorectal excision. In vitro adherence patterns of Shigella serogroups to bovine recto -anal junction squamous epithelial RSE cells are similar to those of Escherichia coli O The aim of this study was to determine whether Shigella species, which are human gastrointestinal pathogens, can adhere to cattle recto -anal junction squamous epithelial RSE cells using a recently standardized adherence assay, and to compare their adherence patterns to that of Escherichia coli O Full Text Available In agricultural pumping plants flowmeters are frequently installed with insufficient straight sections of pipe both upstream and downstream from the meter, in order to meet the established installation specifications.

It has been found that flowmeter manufacturers do not know the error rate in flow measurements under these no optimal conditions. This project investigated the performance of a turbine flowmeter under no optimal upstream and downstream conditions conditions not considered by Hanson.

INIMI CICATRIZATE MAX BLECHER PDF

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Circulation ; Lago F. Guias clinicas ;2 Available at: ra. Bersot TP. One hundred and twelve subjects Data were collected by reviewing clinical histories. Diagnosis in relation to lipid changes and anthropometric values. TSH levels show a statistically significant association to total cholesterol and LDL levels, but are not a good clinical predictor in this process.

ANZAGHI METODO COMPLETO PARA ACORDEON PDF

Post-traumatic recto -spinal fistula. Acquired recto -spinal fistula has been described elsewhere as a rare complication of colorectal malignancy and Crohn's enterocolitis. We treated a young man who developed a recto -spinal fistula as a result of a high fall injury. The patient presented with meningeal signs, sepsis and perianal laceration. Computerized axial tomography revealed air in the supersellar cistern. Gastrografin enema showed that contrast material was leaking from the rectum into the spinal canal.

THE PARABLE OF THE PIPELINE BY BURKE HEDGES PDF

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