Annales de Gastroenterologie et d'Hepatologie

Over a period of 20 yr, the authors have carried out 1420 high endoscopies as an emergency for hematemesis and/or melena. Out of these 1420 endoscopies 122 (8.6%) were carried out in cases of definitive cirrhosis and 64 (4.5%) in chronic alcoholics. Among the patients with cirrhosis of the liver, esogastric endoscopy showed the presence of esophageal varices in 86 cases (70.5%). In 31 of them (25.4%) rupture of the varices was demonstrated. This study included 3 periods, depending on the type of endoscope used: from 1952 to 1966, gastroflex OPL; from 1966 to 1971, gastrofibroscope Olympus GIFA and GFB, esophagoscope Olympus EF; and between 1971-1972, introduction of the JF duodenoscope and the GIFD gastro bulboscope. The percentage of undetermined hemorrhagic lesions passed from 40% in 1952-1966 to 28% from 1966-1971, and 4.5% between 1971-1972. The lesions responsible for the hemorrhage in cirrhotic patients were rupture of varices in 25.4% of cases, erosive gastritis in 23%, gastric ulcer in 10%, Mallory Weiss syndrome in 4.9% and duodenal ulcer in 4%. In alcoholics the most frequent lesion was gastric ulcer in 36% of cases, followed by erosive gastritis in 26%; Mallory Weiss syndrome was noted in 20% of cases, and duodenal ulcer in 9%. A certain number of patients had several hemorrhagic lesions on endoscopy; the association of varices and erosive gastritis was the most common. In one recent case, 3 lesions were found: rupture of varices, gastric erosions and a bleeding ulcer.

Cédric Rodesch

Michel Cremer

L'OESO GASTRO DUODENOSCOPIE DANS LES HEMORRAGIES DIGESTIVES AIGUES DES CIRRHOSES

肝硬化急性消化道出血的内镜下十二指肠检查

Digestive disorders following selective vagotomy and total vagotomy were compared in 2 groups of animals. The parasympathetic nerve supply intervenes in the regulation of the exocrine secretion of the pancreas mainly during the first 30 min after meals. This phase is maintained following selective vagotomy but is abolished by total vagotomy. A study of digestion at various levels of the small intestine shows that the latter is reduced in the duodenum after selective vagotomy, but compensatory mechanisms exist lower down. After total vagotomy, the disturbances were more significant. However, the ileum partially compensates. In man, this mechanism does not always exist after total vagotomy. The patient then has steatorrhea. Such disorders have never been observed ater selective vagotomy.

Jean Govaerts

CONSEQUENCES GENERALES ET METABOLIQUES DES OPERATIONS CONSERVATRICES

保守手术的一般和代谢后果

J. P S Thomson

A. A. Eyers

COMPLICATIONS DE L'OPERATION DE MILLIGAN ET MORGAN

米利根和摩根手术的并发症

Michel Melange

Robert Vanheuverzwyn

J. Dautrebande

Jc. Lienard

Charles Dive

Contribution of Coloscopy for Diagnosis and Treatment of Angiodysplasia of Colon

结肠镜在结肠血管发育不良诊断与治疗中的贡献

Contribution of Endoscopy To the Study of Inflammatory Diseases of the Colon

内镜在结肠炎症性疾病研究中的贡献

H. Joyeux

Place of surgery in combined treatment. Arguments in favor of sparing the anal sphincter

手术在综合治疗中的地位。支持保留肛门括约肌的论点

D. Pontvert

Conservative treatment of cancer of the lower rectum. Radiobiological basis of treatment

下段直肠癌的保守治疗。治疗的放射生物学基础

手术在综合治疗中的地位。支持保留肛门括约肌的论据

Publication Information	Publisher: Expansion Scientifique Francaise，Publishing cycle: ，Journal Type: journal，Open Access Journals: No
Basic data	Year of publication: 1970，Proportion of original research papers: ，Self Citation Rate:， Gold OA Rate:

Annales de Gastroenterologie et d'Hepatologie

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L'OESO GASTRO DUODENOSCOPIE DANS LES HEMORRAGIES DIGESTIVES AIGUES DES CIRRHOSES

CONSEQUENCES GENERALES ET METABOLIQUES DES OPERATIONS CONSERVATRICES

COMPLICATIONS DE L'OPERATION DE MILLIGAN ET MORGAN

Contribution of Coloscopy for Diagnosis and Treatment of Angiodysplasia of Colon

Contribution of Endoscopy To the Study of Inflammatory Diseases of the Colon

Place of surgery in combined treatment. Arguments in favor of sparing the anal sphincter

Conservative treatment of cancer of the lower rectum. Radiobiological basis of treatment

Place of surgery in combined treatment. Arguments in favor of sparing the anal sphincter

Conservative treatment of cancer of the lower rectum. Radiobiological basis of treatment

Place of surgery in combined treatment. Arguments in favor of sparing the anal sphincter