Thyroid cancer and hyperthyroidism

thyroid cancer carcinoma and hypertensio

Suture meccaniche

Gli autori illustrano le suture meccaniche in chirurgia digestiva

[Simultaneous and independent multifocal neoplasms of the large intestine].

The Authors report the presence of two simultaneous neoplasms of the large bowel which are independent of each other from the histological point of view. The Authors point out the more interesting aspects of this particular neoplastic pathology, which creates different clinical syndromes; diagnosis and therapeutic possibilities were investigated. The frequency of these neoplasms is not exceptional, and, therefore, the possible existence even in subjects having a single tumor of the colon or rectum should not be neglected

Repeat hepatic surgery for recurrent colorectal metastases.

The author discuss the repeated hepatic resection for recurrent colorectal metastase

Anastomosi biliodigestive.

Gli autori descrivono le anastomosi biliodigestive

[Prospective surgery in the treatment of acute pancreatitis].

A series of 65 patients with acute pancreatitis is analyzed with special regard to ethiopatogenesis and therapy. In several cases (68%) surgery has been performed with good results. Results are discussed and confronted with bibliographic report. The main problem, according to Authors, is to diagnose the real cause of pancreatitis for every patient, so that is possible to choose the appropriate may of treatment

[Internal drainage of the thoracic duct in the surgical treatment of cirrhotic ascites. 9-year follow-up].

The internal drainage of the thoracic duct in the surgical treatment of cirrhotic ascites with 9-year follow-up is described

Laparoscopic approach for a case of esophageal achalasia with epiphrenic diverticulum

We present the case of a 65-year-old woman with al lO-year history of dysphagia, regurgitation, cough, and lO-kilogram weight loss due to an epiphrenic diverticulum associated with esophageal achalasia treated by laparoscopic approach. A preoperative barium swallow showed a dilated sigmoid esophagus with a 6-cm epiphrenic diverticulum. Upper endoscopy with distal biopsies was negative for cancer, and esophageal manometry confirmed absence of peristalsis in the esophageal body. We performed a laparoscopic diverticulectomy and a 7-cm distal esophageal myotomy with a Dor fundoplication. The postoperative course was uneventful. On the third postoperative day a barium swallow showed no leak, and the patient started PO intake. She was discharged home 5 days after the operation free of symptoms and tolerating a soft diet. Twelve months postoperatively she is still asymptomatic and has gained 8 kilograms. A barium swallow showed a normal size esophagus with regular emptying. We reaffirm the feasibility, safety and efficacy of the laparoscopic diverticulectomy and distal myotomy with Dor fundoplication to treat epiphrenic diverticula due to esophageal achalasia

Pentagastrin does not affect the renin-angiotensin-aldosterone system in man.

The manuscript describes the lack of effects of pentagastrin on the renin-angiotensin-aldosterone system in ma