Wynik wyszukiwania w bazie Polska Bibliografia Lekarska GBL

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Tytuł oryginału: Powikłania chirurgiczne w trakcie szpitalnego leczenia jadłowstrętu psychicznego - przegląd piśmiennictwa i omówienie trzech przypadków.
Tytuł angielski: The surgical complications occurring during hospitalisation of patients with anorexia nervosa - literature review and discussion of three cases.
Autorzy: Żerańska Maria, Tomaszewicz-Libudzic Celina, Jagielska Gabriela, Komender Jadwiga
Źródło: Psychiatr. Pol. 2002: 36 (4) s.579-589, bibliogr. 43 poz., rez., Zsfg, r‚s.
Sygnatura GBL: 305,130

Hasła klasyfikacyjne GBL:
  • psychiatria i psychologia
  • pediatria
  • chirurgia
  • gastroenterologia

    Typ dokumentu:
  • praca kazuistyczna

    Wskaźnik treści:
  • ludzie
  • płeć żeńska
  • dzieci 13-18 r.ż.

    Streszczenie angielskie: Anorexia nervosa (a.n.) is a mental disorder connected with the high mortality coming up to 18 p.c. The death causes are suicide and somatic complications resulting from cachexy, laxatives and diuretics abuse, which occurs in some patients and from vomiting provocation. The digestive tract complications are considered to be the death causes in a.n. as well. Among the surgical complications, which usuall occur in the initial period of the intensive nutrition the most serious and frequent ones are oesophageal rupture in the course of vomiting provocation (Boerhaave's syndrome) and the syndrome of compression of the horizontal part of the duodenum, by the mesentery (superior mesenteric artery syndrome) leading to the gastrectasia and possible gastric necrosis and perforation. In this paper the review of the current literature concerning the digestive tract complications in a.n. has been made. Also, the courses of the diseases and the complications requiring surgical intervention in 3 patients treated between 1998 and 2000 in the department of Child Psychiatry and the Department of Cardiosurgery of the Medical University of warsaw have been discussed. The patients developed segmental enteritis, gastrectasia caused by the superior mesentric artery syndrome and small intenstine strangulation. The early surgical intervention in the latter case and the proper maintenance in two other ones allowed to avoid more serious complications. The authors postulate profound analysis of the abdomnal complaints from the point view of surgical complications in anorectic patients...

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