Modern Concepts In Nonsurgical Management Of Traumatic Biliary Fistulas
bile fistulas; biloma; drainage; ercp; General & Internal Medicine; stents; Surgery
The management of traumatic biliary fistulas is controversial. New ideas in nonsurgical treatment have recently evolved, in part because of the rapid advancement of laporoscopic surgery. Three major concepts are important in managing biliary fistulas: diagnosis, drainage, and decompression. These concepts were applied to a trauma patient, then reviewed in detail.
Horattas M C; Lewis R D; Fenton A H; Awender H M
Journal of Trauma-Injury Infection and Critical Care
1994
1994-02
Journal Article or Conference Abstract Publication
<a href="http://doi.org/10.1097/00005373-199402000-00006" target="_blank" rel="noreferrer noopener">10.1097/00005373-199402000-00006</a>
Herpes-simplex Virus - A Possible Etiologic Agent In Some Gastroduodenal Ulcer Disease
antibodies; dna; peptic-ulcer; Surgery; type-1
There is increasing evidence that the herpes simplex virus may account for some gastric ulcer disease. To examine this possibility, 62 tissue biopsies from 21 patients were obtained during esophagogastroduodenoscopy for gastroduodenal ulcer disease and from one operative specimen during the procedure for perforation of a gastric ulcer. The samples were collected form the base and rim of the ulcer, as well as from apparently healthy tissue adjacent to the lesion. When the DNA was extracted from these tissues and hybridized to a herpes simplex virus-specific DNA probe, Positive results were obtained with 9.5 per cent (2 out of 21) of the patients with benign ulcers. Positive signals were obtained only with ulcer-associated tissues and never with healthy tissue. Hybridization also occurred with DNA from one ulcerative carcinoma in the study. These data suggest that a subset of ulcer disease may be caused by herpes simplex virus or that this virus may be secondarily associating with these lesions.
Kemker B P; Docherty J J; Delucia A; Ruf W; Lewis R D
American Surgeon
1992
1992-12
Journal Article or Conference Abstract Publication
n/a