Re: NEED MEDICAL TRANSLATOR

[Guest guest]

Shirly,

I have read hundreds of abstracts, and this has to be one of the

worst that I have read.

The abstract is talking about the use of the duodenal switch to treat

bile reflux problems. This was the original intention of the

procedure. In fact, many of the WLS were originally developed for

treatment of ulcers or cancers. In any case, there are many more

interesting (and readable) abstracts that you can find in my folder

under the Files section.

Hull

> I received this today. Anyone " Medically savy " enough to tell us

what it

> means? There's more where this came from.

> ~Shirley in Arcata, CA

> Pre-op Dr. K

>

> Author(s): Pandolfo N ; Spigno L ; Tronfi G ; Scajola

P ;

> Mattioli FP

> Affiliation: Istituto di Clinica Chirurgica Generale e

> Terapia Chirurgica, Università degli Studi

di Genova.

> Title: Rationale della terapia chirurgica del

reflusso

> duodeno-gastro-esofageo.

> Translated Title: [Rationale of the surgical treatment of

> duodenogastroesophageal reflux]

> Source: Ann Ital Chir (li italiani di chirurgia.)

> 1995 Sep-Oct; 66(5): 607-13 Journal Code:

> 5C0

> Additional Info: ITALY

> Standard No: ISSN: 0003-469X; NLM Unique

> Identifier: 0372343

> Language: Italian

> Abstract: Patients with " intact stomach " but more

> frequently patients operated on the esophago-

gastric

> junction, vagus,

> stomach, can develope a duodeno-gastro-

esophageal

> reflux syndrome. We

> propose a rationale of the surgical

treatment based

> upon our

> experiences during these last 15 years in

functional

> studies, mainly

> manometric, of the entire

> esophago-gastro-duodeno-jejunal tract.

> Patients with an intect stomach: a non-

demolitive

> ( " functional " )

> technique may be proposed each time a

correctable

> alteration of the

> gastro-duodenal motility is found during the

> manometric study. Such

> interventions are the association between a

> fundoplicatio and

> Extramucose Duodenal Myotomy, Duodenal

Switch,

> Pylorectomy. On the

> other side when the motor alteration is too

severe

> and uncorrectable

> (Prostigmine-Test) or in presence of

morphological,

> nearly always

> pre-cancerous, alterations we can perform

only

> demolitive procedures.

> The intervention preferred by the AA is Total

> Duodenal Diversion.

> Patients with operated stomach: the different

> possible surgical

> procedures and their results are strictly

related to

> the intervention

> preceding the onset of the reflux syndrome.

In fact

> the better results

> are related to bad management and to post-

operative

> complications

> during the previous intervention, rather

than to an

> ignored

> pre-existing motor disorder. The Total

Duodenal

> Diversion seems to be

> the must reliable also in this case, both

initially

> and in the operated

> patients (conversion from Billroth II to

Roux).

> Between 1978 and 1993

> we observed 604 refluxers at 24-hour pH-

recording,

> 209 of them with

> alkaline or mixed gastro-esophageal reflux.

On the

> basis of the

> morphologic and functional diagnostic

evaluation 64

> patients underwent

> surgery, 36 with intact stomach and 28 with

operated

> stomach. Good

> results (disappearance of esophageal

symptoms and

> improving in gastric

> symptoms) were obtained in 30 (83.3%)

patients with

> intact stomach and

> in 25 (89.3%) with operated stomach.

> MESH Subject(s) below:

> Descriptor: (Minor): Duodenogastric

Reflux --

> physiopathology

> Duodenogastric Reflux -- surgery

> Gastroesophageal Reflux -- physiopathology

> Gastroesophageal Reflux -- surgery

> Human

> Manometry

> Record Type: Index Medicus

> Article Type: Clinical Trial; Journal Article

> Date of Entry: 19970218

> Date Completed: 19970218

> Date of Update: 20001218

> Accession No: PMID: 8948797; Medline:

> 97106049