Formation of an isolated gastric pouch on the anterior wall by a modification of A. M. Ugolev's method

Summary Changes in the operative rechnique of formation of an isolated stomach pouch in A. M. Ugolev's modification ensure a reliable isolation of the cavities of the stomach pouch and stomach proper. The paper presents data, characterizing the secretion of the isolated stomach pouch formed by A. M. Ugolev's method with the author's modifications.(Presented by Active Member AMN SSSR A. V. Lebedinskii) Translated from Byulleten' Éksperimental'noi Biologii i Meditsiny, Vol. 54, No. 11, pp. 122–123, November, 1962     

Anatomy of the sigmoid colon, rectum, and the rectovaginal pouch in women with enterocele and anterior rectal wall procidentia

This study describes the anatomy of the rectovaginal pouch, the sigmoid colon, and rectum in women with posterior enterocele and anterior rectal wall procidentia. The anatomy of rectovaginal pouch, sigmoid colon, and rectum was described in 36 women with an enterocele (group A) and compared with those of 43 women (group B) without pelvic organ prolapse. Women with previous incontinence or prolapse surgery were excluded. The mean age in group A was 58 years (40-75) and in group B 35 years (19-64; P < 0.001). There were 15 nulliparas in group B. Nine women in group A had an internal anterior rectal wall procidentia, and one woman had an external anterior rectal wall procidentia. In group A, the rectovaginal pouch was significantly deeper, the sigmoid mesocolon at S1 shorter and showed more often a straight course (P < 0.05). These characteristics (termed "grande fosse pelvienne") were present in 23 women (64%) in group A and in 6 (14%) in group B, three of the latter were young nulliparas (P < 0.001). Age, parity, menopausal status, body mass index, constipation, and varicose veins were not associated with a grande fosse pelvienne. The typical anatomy in women with an enterocele and anterior rectal wall procidentia was a sigmoid colon with a straight course and a short mesentery at S1 and a rectovaginal pouch that covered more than half of the vaginal length. It may be a congenital condition and important in the development of an enterocele and rectal wall procidentia.     

Transplantation of a denervated gastric pouch into the omentum

Summary The author describes a 2-stage transplantation of a completely denervated isolated stomach pouch to the omentum.This is a technically simple operation and gives almost the same results as the transplantation of organs into the mammary gland. It has, however, some advantage over the classical method.The principle of this operation may be employed for transplantation of other abdominal organs.Presented by Active Member AMN SSSR V. N. Chernigovskii     

Gastroscopic treatment of gastric band penetrating the gastric wall

Gastric wall penetration of a gastric band after operation for morbid obesity is a well known late complication. The treatment is usually reoperation. In this case report we show that a band penetrating the gastric wall can be successfully treated by gastroscopic operation. This technique is more simple than reoperation, especially in case of morbid obesity at the time of the complication.     

蝶窦前壁的外科解剖学研究

目的　探讨蝶窦前壁区的解剖特征及其在经蝶窦入路手术中的意义。 方法　用15例（30侧）成人头部标本及20例（40侧）成人头骨标本,在手术显微镜下对蝶窦前壁骨质、蝶腭动脉及其分支等结构进行观察和测量。 结果 蝶窦前壁的基本形态酷似鸟头,正中线棱状高起,两侧为鸟眼样的蝶窦口,下方为鸟喙样的蝶嘴。蝶窦口距上鼻道末端（14.5±1.1）mm,距后鼻孔上缘（12.2±1.0）mm,距鼻后中隔动脉上支（8.2±0.5)mm。自鼻孔伸入探条探测蝶窦前壁时,所探及的“最浅点”大致位于蝶窦口与后鼻孔之间的中点附近。蝶腭孔位于蝶窦口的外下方和中鼻甲的后端区域,与蝶窦口间距(6.9±1.3)mm,两侧蝶腭孔内侧缘间距(18.2±2.5)mm。 结论 蝶窦前壁具有特征性的形态,蝶窦口大致位于蝶窦前壁的上中1/3交界处,其下方的骨质向前方突起。蝶腭孔位于蝶窦口下外侧方约7 mm处,经蝶窦入路手术中可以依此定位蝶腭孔。     

A new method for producing an isolated gastric pouch

Summary A new method is described of forming an isolated gastric pouch in any part of the stomach. Its advantages are that the innervation and the blood supply remain intact and anatomical relationships remain almost unchanged. A stomach pouch formed by this method is convenient for making a simultaneous study of secretion and motility. The operation is illustrated in Figures 1 and 2.Translated from Byulleten' Éksperimental'noi Biologii i Meditsiny, Vol. 52, No. 7, pp. 119–120, July, 1961     

胃后壁肿块

1,病例简介：患者,5岁突发高热39.5℃,腹痛约1个月,无呕吐,腹泻等,B超,CT示胰腺前方,胃后壁肿块,于2004年6月10日入院后行剖腹探查术。     

Breast cancer metastatic to the gastric wall

Most gastric tumours are primary carcinomas, but other tumours, including metastatic lesions, may also be seen. The most frequent primary location of a gastric metastasis is the breast. We present a case of a 55-year-old woman, in whom the mammary primary remained clinically unnoticed, and the patient was diagnosed with gastric cancer and treated as such. Only after gastrectomy was the proper diagnosis established. Although rare, metastatic carcinoma should be taken into account in differential diagnosis of less usual patterns gastric tumours.     

胃壁支气管源性囊肿一例

患者男,62岁。因CT发现胃壁包块3年多于2004年6月1日入院。3年多前患者常规体检时CT示胃小弯后方、脾脏右侧软组织块影,直径约4cm,性质待定。因患者自觉良好,无恶心、呕吐、腹痛和腹泻等症状,故未及时就医。患者2个月前因特发性血小板减少性紫癜入院治疗,2周后缓解出院。体检:无阳性发现。血常规:红细胞4.53×1012/L,血红蛋白109g/L,血小板104×109/L;血清甲胎蛋白(AFP)、癌胚抗原(CEA)、CA199和CA125水平均在正常范围内。B超示:左上腹脾脏前方内侧可见大小约5.2cm×3.5cm的无回声团。CT示:胃后方、脾内侧及胰尾部前上方见直径约7.5…