Lege Artis Medicinae

[The role of esophagectomy in the management of esophageal perforations]

ALTORJAY Áron1, KISS János1, VÖRÖS Attila1, SZIRÁNYI Endre1, VIMLÁTI László1

APRIL 28, 1993

Lege Artis Medicinae - 1993;3(04)

[The authors give an account of their experiences with esophagectomy and immediate reconstruction in the management of the esophageal perforations. Twenty-two adults with intrathoracic esophageal perforations underwent esophagectomy. There was only one hospital death (4.5%). It has been found that the more major initial operation is more reliable and therefore safer therapy in the long run. It eliminates the source of the intrathoracic sepsis as well as the diseased esophagus. The authors hold a high opinion of restoration alimentary continuity in a single stage. They suggest that esophagectomy is one of the best opportunities in the management of delayed spontaneous esophageal perforation as well.]


  1. Orvostudományi Egyetem Sebészeti Klinika Budapest



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Lege Artis Medicinae

[Value of laboratory tests in alcohol abuse and alcoholic organ injuries]


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Lege Artis Medicinae

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Lege Artis Medicinae

[The nomenclature of morphogenetic anomalies]

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[In spite of the unifying intentions on the nomenclature of congenital anomalies the problem is still considered to be unsolved internationally. Contradictions among each classifications are mainly based on the different viewpoints of practice and scientific researchers. The authors present here a proposition of nomenclature that fits the recommendations of the major international scientific committees but, as a synthesis, they are trying to give a role to etiopathogenesis as well as clinical presentation of congenital abnormalities in their classification. They intended to make this classification to give a proper nomenclature to everyday practice and scientific research work, too.]

Lege Artis Medicinae

[Position of the College of Respiratory Medicine on the care and screening of people with chronic pulmonary diseases]

[The Professional College, on the recommendation of the Epidemiology and Care Section of the Society of Lung Physicians, discussed the above topic at its meeting on 5 February 1993. After a lengthy discussion, and after the clash of opposing views, a compromise resolution was reached, summarised in the following points.]

Lege Artis Medicinae

[Pro-urokinase in myocardial infarction trial]


[The patency of the vessel leading to infarction at 60 min was 71.8% in the rscu-PA group and 48% in the streptokinase-treated group (p < 0.001). At 90 min, the same values were 71.2% and 63.9%, respectively (p = 0.15). Between 24 and 36 h, reocclusion of the vessel occurred in 6/121 cases treated with rscu-PA and 5/114 cases treated with streptokinase. At the end of thrombolytic treatment, fibrinogen concentrations decreased to 0.44 g/l for rscu-PA injection and 0.17 g/l for streptokinase administration. The incidence of bleeding complications was significantly lower after rscu-PA treatment than after streptokinase (p<0.01).]

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Clinical Neuroscience

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Lege Artis Medicinae

[Thiazide- or thiazide-like diuretics should be used in the treatment of patients with hypertension? Particularities of the situation in Hungary]


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