Title: Spastic colitis Descriptive info: Menu.. Thursday 21 March 2013.. News.. Main Symptoms.. Main Deseases.. Laboratory Τests.. Medications.. Pneumonology Articles.. Medical Articles.. Article Editors.. You ask - We Answer.. Congresses.. Guidelines.. Links.. Books Presentation.. Editorials.. Just another WordPress.. com site.. PNEUMON quarterly medical journal.. HELLENIC THORACIC SOCIETY.. Athens Medical Center.. Read More.. Spastic colitis.. Spastic colitis.. Interview with Mr.. Demetrios Karagiannis.. , Gastroenterologists.. The spastic colitis or irritable colon syndrome characterized by diffuse abdominal pain, bloating (flatulence) and changes in sinitheion bowel (diarrhea or constipation).. What is the spastic colitis;.. Normally all the intestine of humans contains air.. The quantity of air contained in the gut and produced mainly by the treatment accorded to faecal bacteria from the gut, it causes no symptoms.. Patients suffering from spastic colitis are more sensitive and quantity which leads them to pain.. That is why the official scientific name is irritable colon syndrome.. The exact cause is not clearly defined.. The mechanism is unclear, however, challenge and link the syndrome with stimuli from the brain and neurotransmitters such as substance serotonin.. What are the symptoms of the disease?.. Common symptoms of the disease are:.. * Pervasive abdominal pain usually even decline temporarily after voiding,.. * Bloating excessive air in the abdomen,.. * Usually diarrhea, but constipation may,.. * Feeling of incomplete emptying, ie, the patient feels that the emptying not empty the bowel and ... techniques.. How is the diagnosis of the disease?.. Your doctor will try to exclude other causes the same symptoms.. The diagnosis of the disease that is diagnosed on the exclusion.. To exclude other causes, your doctor might ask you check with colonoscopy or barium enema (radiographic examination), ultrasound abdomen, blood tests and stool check.. There are complications?.. Not the disease does not affect other organs.. What is the treatment?.. Treatment usually has two axles, the diet and medicines.. The drugs used are analgesics or antidepressants that appear to be more specific action on the mechanism causing the disease.. Aminotryptilines These are drugs that inhibit the action of serotonin.. These drugs are administered orally, but to achieve a therapeutic effect should wait at least three weeks and treatment should last several months.. Important support also may find the patient by psychoanalysis and education to deal with stress.. Recently the FDA approved the marketing alosteron only for women but six months after it withdrew its approval of such complications is presented to patients.. What happens after treatment?.. The symptoms usually return.. The diet should be maintained for the lifetime of the patient.. The drug therapy should be decided by the gastroenterologist.. Αρθρογράφος.. Go Back.. Contact us.. About Us.. View our videos.. Search.. Articles.. Authors.. Questions - Answers.. Homepage.. Authors.. Pneumonological Articles.. You Ask - We Answer.. Contact.. Info..
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Title: Laparoscopic and Robotic Surgery Today and Tomorrow Descriptive info: Laparoscopic and Robotic Surgery Today and Tomorrow.. Laparoscopic and Robotic Surgery Today and Tomorrow.. Interview with k.. Konstantino Constantinides, Director General Laparoscopic Surgery at the Medical Center of Athens.. Q: The general public heard for years the term "laparoscopy" and knows that this is a relatively new method of surgery.. However I starting telling us what is laparoscopic surgery, in order to have a more accurate picture of the thing.. A: Laparoscopic surgery is perhaps the most important developments in General Surgery during the 20th century.. Developed mainly in the last decade the use of fiber optic technology and video.. As states and the etymology of the word "laparoscopy" (from "lapara" = belly and "purpose" = I, note) during laparoscopy see inside the abdomen.. This simply means that while so far in the open surgery did some surgical incisions to open the abdomen and cheirourgisoume under direct vision, surgeons are now seeing the scope zoomed in screen.. Q: And how one goes belly to see the field surgeon?.. A: Starting the intervention make a 1 cm incision in the navel and through this we introduce the laparoscope in the abdomen under direct vision without the risk of injury to a innard (technique Hasson).. This is followed by other smaller sections 2.. 4 length 0.. 5 cm, through which we import special tools abdominal laparoscopic surgery.. The surgeon and the assistant viewing the surgical field at a magnification of two screens.. E: When did it start laparoscopic surgery?.. A: Until 1987, the year for the first time became the first laparoscopic cholecystectomy by Mouret, the laparoscopy not been used by surgeons.. Since then, the endoscopic technique has led to a revolution kath'imera surgical practice, as previously had done the introduction of general anesthesia and antibiotics.. Q: What exactly is this revolution?.. A: In that the technique is performed standard surgical epemvaseis with the following advantages:.. Minimum; surgical trauma ( «minimally invasive surgery» or "minimally invasive surgery).. With Icon, 8-15 times magnification and better lighting, which leads to better see the time surgeons.. Less blood loss.. Also as a result of less surgical trauma we have:.. Great; reduction of postoperative pain.. Faster recovery;.. ; Faster hospital discharge.. Lower costs, hospitalization.. ; Rapid return to work.. ; Almost eliminate postoperative complications related to the trauma (suppuration, division, hernia, chronic pain, etc.. ).. ; Almost eliminate postoperative adhesions and their consequences.. Less respiratory and cardiovascular complications.. , Lack of contact with the patient's blood, which protects the surgical team from the transmission of viral infections such as hepatitis AIDS.. Q: What interventions can be done laparoscopically today?.. A: The current applications of laparoscopic surgery has expanded to a wide range of interventions in lower and upper abdomen including both simple and sophisticated (advanced) operations.. If surgeons are the group that is really experienced laparoscope, then the question is rather what interventions are not now performed laparoscopically.. Q: Could you tell us briefly what abdominal surgery can perform an experienced laparoscopic team as we speak?.. A: Gladly.. We refer first to the operations performed frequently after the spanioteres.. , Laparoscopic cholecystectomy and bile duct exploration in conjunction with Intraoperative cholangeiografia, Intraoperative cholidochoskopisi and Intraoperative ultrasound.. This is the most widely used laparoscopic surgery, and is widely used to treat patients with gritty gallbladder or bile duct, and in patients with acute cholecystitis.. If no experience, then there are actually complications that can be addressed even very heavy gall bladder without surgery turned into "open" only in a less than 1%.. In simple cholelithiasis patient go on the same day or the next morning at home and return quickly to work.. Laparoscopic Appendectomy, which is an acknowledged method of treatment of acute appendicitis.. The laparoscopy is particularly important here because it allows us to test met throughout the abdomen.. This helps in the differential diagnosis of underlying pathology, that is if we see the exact cause of symptoms is indeed an acute skolikoeiditis.. This is a huge advantage of laparoscopy More generally and of particular importance when surgeons one women of reproductive age.. This is because young women are often gynecological problems pretend the picture of acute appendicitis.. In this case, laparoscopy may reveal and solve surgical problems such as ovarian cysts, ovarian torsion, salpingitis, Ectopic pregnancy, pelvic adhesions, endometriosis, etc.. put into this important patient group are especially pleased that prevent intra-abdominal adhesions,.. that could be a barrier to having children, there is no unnecessary interventions and decorative result is excellent.. Laparoscopic hernia repair; address (inguinal or koiliokilis).. ... are generally no longer lose weight by other methods and are candidates for surgical treatment.. The laparoscopy offers little trauma, does not destroy the root canal treatment, followed by rapid recovery.. In particular, the gastric ring installed and easily removed laparoscopically and is considered a method with few complications because it destroys the anatomy of the stomach.. The surgeon should have dealt with this issue globally and is very experienced laparoscopically.. , Laparoscopic treatment of gynecological diseases.. Almost all gynecological disorders can be treated laparoscopically where there is a experience.. Laparoscopy diagnosis and initially treat endometriosis, adhesions in the pelvis lyoume, remove ovarian cysts, even if very large uterine fibroids ekpyrinizoume or in some cases we hysterectomy.. We can also cheirourgisoume ectopic pregnancies with minimal interference in the abdomen and conservation of the fallopian tubes.. In the laparoscopy gynecological disorders is of particular diagnostic and therapeutic value without creating adhesions that could prevent a woman to become pregnant later.. Laparoscopy; FOR staging and palliative treatment of gastrointestinal cancer.. This application is a great offer.. method in cancer patients in the minimally invasive part because it can provide diagnostic-take-crop biopsies under direct vision on the one hand and comfort implementation interventions (bypass usually) with specialized techniques such as biliary-intestinal anastomoses, stomach-intestine,.. enteroenterikes, eileostomia, nistidostomia, colostomy conditions.. Laparoscopic treatment; gastro12daktylikou ulcer.. Develop and implement specific interventions such as laparoscopically ypereklektiki vagotomi, intervention Taylor (front and rear stem oromyotomi), etc.. , with very good results in reducing gastric acidity and ulcer healing chronic health.. , Laparoscopic liver surgery: in addition to the much greater biopsy, the excision of benign tumors, cysts and Echinococcus cyst and informal Hepatectomy.. It also includes innovative applications as RF (= radiofrequencies = radio frequency) for liver metastases.. The treatment using radio is now well known established to deal with liver metastasis, especially cancer of the colon.. , Laparoscopic adrenalectomy: It is now an acknowledged and safe method of addressing a wide range of endocrine diseases and sufficiently removes the adrenal tissue in all pathologies including ypofysiogenous Cushing.. , Laparoscopic pancreatic surgery: Where specific or individual interventions and include the distal pancreatectomy and ekpyrinisi insulinomas.. Also, diagnostic laparoscopy is appropriate to precede laparotomy to control metastases and peritoneal implants in cases of pancreatic cancer.. , Laparoscopic (or thorakoskopiki) treatment of achalasia of the esophagus with advantage to laparoscopic application kardiomyotomis in Heller, which has been completely replace open surgery.. This technique has proved safe, highly effective and with minimal post-operative problems.. The image magnification provides accurate separation of muscle fibers.. , Laparoscopic splenectomy in selected patients, by a specialized team.. This is an operation which got more and more international experience.. The largest of the spleen removed in our clinic was huge and weighed 5.. 5 pounds.. This was a patient with hematologic disease.. The decorative result after such an operation was impressive.. Laparoscopic pelvic lemfadenektomi, which is the most popular application of laparoscopy in urology, with a privileged position in prostate cancer and cancer of the bladder and the penis.. , Laparoscopic treatment of urinary incontinence in women with a particular focus on suspension of the bladder neck to restore kysteo ourithrikis-angle (Burch).. Q: What are the principal conditions to address a patient laparoscopically?.. A: Laparoscopy is a prestigious and well established method both internationally and in Greece, but must apply to centers that provide adequate anesthesia and laparoscopic equipment by an experienced surgical team to avoid complications.. Laparoscopic surgery today is separated into basic laparoscopy including diagnostic laparoscopy, cholecystectomy and Appendectomy and "advanced» (advanced) laparoscopy including intra-and exoperitonaiki collated and execution of the other aforementioned interventions.. Here of course we must say that even interventions that are considered "essential" may be difficult in some patients are particularly inflammation, adhesions, etc.. Thus, for dealing a severe cholecystitis or complicated appendicitis should normally be of special laparoscopic experience.. With the introduction of robotic surgery over the last 6 years the performance of laparoscopic operations is easier for the surgeon because in fact the robot serves as a third hand which holds the laparoscope and obey the commands of the surgeon with maximum accuracy.. There are currently two types of robots, was a''hand''(AESOP) which holds the laparoscope and that has many''hands''(ZEUS) with which the surgeon to perform laparoscopic surgery distance.. The robot actively engaged in the performance of laparoscopic operations obeying the commands of the surgeon, who the guides.. It is certainly one of the many achievements that have achieved the sophisticated medical technology that brings the surgeon and the smart machine.. KONSTANTINOS KONSTANTINIDIS..
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Title: The treatment of pathogenic obesity Descriptive info: The treatment of pathogenic obesity.. THE TREATMENT OF OBESITY Pathogenic.. Q: When we say that a person is obese and that when suffering from morbid obesity?.. A: In clinical practice we use body mass index (BMI), which is the ratio of weight divided by height squared.. Body Mass Index (BMI) = Weight (kg) / Height 2 (m).. Normal weight people have a BMI 18,5-24,9.. People with BMIs of 25-30 are overweight and those over 30 are considered obese.. Since BMI 35 and obesity is on the 2nd level and risk for the health of a person is serious.. Since BMI 40 and above the risk is very serious and obesity characterized disease.. Q: Could you give an example?.. A: Absolutely.. A woman with a height of 165 weighing 63 kg has a BMI of 63 / 2.. 72 ie 23.. 16 and weight is normal.. A woman with a height of 165 but who weighs 110 pounds has a BMI 110 / 2.. 72 ie 40.. 44 therefore suffers from morbid obesity.. Q: Why is characterized as a disease is obesity?.. A: Because with increasing BMI also increased and the effects on patients' health.. These patients have increased blood pressure, cardiac and respiratory disorders, diabetes, hyperlipidemia and hypercholesterolemia, arthritis, back pain, thromboembolic problems, increased likelihood of some cancers, endocrine disorders, infertility, etc.. Q: How common is the problem of obesity?.. A: Very often.. In Europe, 40% of men and 30% of women are overweight and another 20% of men and 25% of women considered obese.. Rates and are increasing.. For Greece there is no clear epidemiological studies.. From the Communications Program of the European Investigation into Cancer and pandemic emerges, however, obesity found in recent years in our country and which is assigned to one in three premature deaths, twenty deaths a day.. Q: Why is obesity?.. A: Obesity is a multifactorial disease and is in principle related to the increased caloric intake, the distribution of meals, occasional meals, sedentary lifestyle and lack of physical activity.. Very important role is also played by genetic predisposition, and psychological and social components.. There are of course other factors that may lead to obesity such as endocrine disorders, taking some drugs, or smoking cessation.. Q: We hear more and last longer for the surgical treatment of obesity.. What is the position ... Cushing's disease, etc.. We also do a full assessment by the surgeon, a psychologist, a gastroenterologist, endocrinologist and a dietitian,.. and upper abdominal ultrasound and gastroscopy.. Q: What are the most well-established interventions that are made for obesity and what you prefer?.. A: The surgery for obesity is far more common in the world is laparoscopic gastric ring placement (Lap-Band).. This is the second most common gastric bypass.. H is the third vertical gastric partitioning, and then other more complex interventions that have evidence for people with BMI greater than 55-60, ie people over 180-200 kg.. The interference in our clinic we prefer the laparoscopic placement of an adjustable ring.. The gastric ring is easily installed and removed laparoscopically and is considered a method with few complications because it destroys the anatomy of the stomach.. It gives a permanent solution to the problem of obesity and rarely reclaimed the weight is lost.. The additional advantage of this method is that there POSSIBILITY span ring the surgery surgeon.. So even if the patient has may take back some pounds to lose so.. The hospitalization for laparoscopic placement of adjustable ring is usually 2-3 days or less.. Other interventions require much longer treatment.. Q: What complications may arise from the laparoscopic gastric ring placement and what is the cost of surgery?.. A: The intraoperative and postoperative complications after such surgery are minimal because the incisions are very small, not destroyed the root canal treatment and surgery is bloodless.. There is no need to stay patient postoperatively to snorkel or kilon risk of postoperative complications and the trauma found in open surgery.. The patient gets the same day, much less post-operative analgesics and has a speedy recovery.. What we must watch the patient is to follow the postoperative diet, not eating sweets, avoid alcohol in large quantities, to walk and be active when it is allowed.. Weight loss will affect a very positive psychological and mainly improve the individual health problems increase significantly the risk of premature death.. The total cost of surgery is much less than the total cost of previous methods in which the patient resorted to weaken.. Q: What conditions must be met by the surgeon to make such an operation?.. A: The surgeon should have dealt with this issue globally and is specialized in laparoscopic surgery for obesity..
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Title: Aimoroidic syndrom : a common problem-a new method of therapy Descriptive info: Aimoroidic syndrom : a common problem-a new method of therapy.. AIMORROIDES a common problem-A NEW METHOD OF THERAPY.. Loukas Papavasileiou.. , Surgeon.. The aimorrroidopatheia is a very common disorder which employs one in three other people at some point in our lives.. The reason is the creation of vascular disease.. The blood that normally arrives near the anal ring, usually for mechanical reasons (obstruction) can not be returned, resulting in inflated the mucosa of the anus forming aimorroidikous nodules.. Initially, the hemorrhoids are internal, but as there are still the causative agents is greater relaxation of the mucosa and eventually begin to propiptoun outside the anus and then place outside.. Often appear during pregnancy, again due to vascular obstruction, but because it is the cause of external pressure in the vessels, usually several months after birth subside without even need medication.. The main reason that accentuates the problem is persistent constipation, which drives the mucosa of the final orthoproktikou tube out.. Treatment should be conservative principle.. The doctor should explain the above reasons and the patient was persuaded to change their dietary habits, which are an important factor worsening constipation and also help him with medication.. In case of failure of the above recommended surgical treatment.. The surgical world with many different techniques with each other, occasionally tried to solve the problem ourselves at times have used different techniques.. (Aimorroidektomi at Milligan - Morgan.. Dilatation ring.. Use Laser, etc.. ).. Unfortunately, all methods have in common ... advantages of the method is that it has little or no postoperative pain.. The patient can sit and immediately after the intervention.. Patients cheirourgisei we have to repeat the aimorroidopatheias, and had surgery in the past with any of the other techniques, to understand the difference between this method in the postoperative period.. Also, the second but main advantage of this method is that apart from the aimorroidikous nodules heal both the cause of aimorroidopatheias ie removed or damaged, and diatetameno clogged vascular network, making it extremely rare recurrence of the disease, regardless of dietary or.. other habits that will follow the patient postoperatively.. This is a radical surgical method is to use a consumable tool which allows us to do the surgery at a point which has no sensory innervation, so the patient does not understand sutures or surgical wound and especially not to be subjected to painful.. postoperative period passed until now every patient has the surgery of aimorroidektomis.. We, by the year 1999, we started to apply this method, we rarely have to use the scalpel or sutures, and that in cases with extremely high degree of prolapse ( from grade 4).. Summarizing the above, we see that this is a completely new and innovative approach to treatment of hemorrhoids, which allows the exit of the patient from the hospital and even the same day of surgery and especially the short (2-3 days more) return on.. normal daily work and other activities.. LOUKAS PAPAVASILEIOU..
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Title: Transdermal correction vlaisou mega finger (cranial) Descriptive info: Transdermal correction vlaisou mega finger (cranial).. Transdermal CORRECTION VLAISOU MEGA FINGER (cranial).. A.. Apostolopoulos, Orthopedic.. The vlaisos great finger (knuckle) is a common pathology of Foot continually increasing in frequency, especially in women.. This is mainly due to the use of tight shoes.. This revolutionary new surgical method applied in our clinic for a year with spectacular results.. in the same way to fix it fall metatarsal deformation and small fingers of Foot.. immediate and complete charge of the surgical leg.. Αναστάσιος Α.. Αποστολόπουλος, Ορθοπαιδικός..
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Title: CT angiography Descriptive info: CT angiography.. AXONIKI angiography.. N.. P.. Bontozoglou, Director Department of CT - MRI Athens Medical.. fig.. 1.. The need to apply the results from the large number of catheter made annually, of which only a small percentage goes to health-care operations.. * It has great credibility to the exclusion of coronary artery disease.. * It has predictive value for both clinical cardiac events and for the survival of the patient.. * The accuracy of the results of the examination is greatly influenced by the experience and equipment of the laboratory.. * The principal indication for the method are weak small to moderate risk for coronary heart disease with atypical symptoms and equivocal laboratory testing to avoid unnecessary catheterization.. * The timing of the data and the resolution is more significant than the number of sections of the machine.. * It is often useful administration of beta-blockers before testing.. * Than classical angiography, which remains the gold standard to characterize the degree of stenosis, is bloodless, has a high negative predictive value and can be classified the quality of atherosclerotic plaques.. Outweighs the magnetic angiography.. * The benefit of examining significantly exceed the theoretical effects of radiation, which anyway is the classic angiography and scintigraphy heart.. The Athens Medical is pioneering the field of CT angiography, which it began implementing in 2000, with the first hospitals worldwide.. In the continuous renewal of equipment recently installed a new multivolume Cardiology CT scanner SOMATOM SENSATION CARDIAC company SIEMENS, which has:.. The fastest time of rotation of the tube to obtain the data in 0.. 24 seconds by providing pictures free mobile pests.. The smallest section thickness Today: 0.. 6 mm, allowing the creation of high definition images to enhance accurate, measurement and identification of bottlenecks.. Specific programs functional study of the left ventricle.. The latest programs by significantly reducing the radiation dose radiation.. On this occasion, here are some, hopefully useful, information about the axial angiography:.. Fig.. 2.. Three factors influence the effectiveness of the review:.. Experience: The performance review, the creation of images and particularly the assessment of coronary stenosis requiring considerable experience.. In Athens Medical've reviewed to date over 3000 patients.. We also announced in Greece and abroad and winning pioneering studies on the method.. B.. Equipment: The method is only possible with newer type Polytomikous CT scanners, equipped with special heart programs, which allow high resolution and short time data collection so as to avoid motor interference.. C.. ... bring out the blockage or narrowing of the lumen of the stents.. The literature indicates that the youngest CT scanners 64 intersections sensitivity to the discovery of significant bottlenecks than 90% for stents with a diameter greater than 3 mm.. You need to administration of beta-blockersprin the examination?.. The many tight cause interference in kinetic examination of CT angiography.. The administration of beta-blockers help the tight not exceed 65-75/to minutes so that your data in the phase of the heart telodiastoliki not "polluted" by the systolic phase.. This parameter is not related to the number of sections of the machine.. Some machines using dual CT scanners reduce the problem again but the tests seem to have fewer artifacts when the shake is relatively less.. In addition, the administration of beta-blockers helps in keeping stable tight, the best application of modern methods to reduce radiation.. eik.. 4.. How the axial angiography compared with other coronary angiography;.. Conventional coronary angiography: examination of the election remains to measure the extent of bottlenecks and an important determinant of the treatment.. The axial angiography has three important advantages over classical: The bloodless examination, the high negative predictive value and the immediate emergence and characterization of the quality of atherosclerotic plaques.. Magnetic angiography: The resolution is lower than axial.. Also, the examination is more difficult to implement and mostly devoid of stability in the quality of outcome.. At least in the near future there will be axial angiography in noninvasive coronary imaging.. Contraindications to perform CT angiography.. Presence of multiple calcification.. It is the most common factor in reducing efficiency of the method.. Marked toichomatikes calcifications more difficult to study the lumen of the coronary arteries.. Renal failure.. Allergy to contrast.. The result of intravenous iodinated contrast.. The amount used is usually 80-100 cc.. Arrhythmia, tachysfygmia.. Cause interference motor, but using modern scanners are limited.. How much radiation is the axial angiography;.. The published measurements of radiation dose for a CT angiography examination vary significantly from 8 to 20 mSvs.. O new computed tomography scanner of Athens Medical implement specific programs and reduction of radiation dose is as high as in classical angiography or scintigraphy heart.. The general rule for tests containing radiation is used by a medical indication, and designed to be obtained all the necessary information at the lowest possible radiation.. Thus the potential benefit to the patient substantially exceeds the theoretical effects of radiation.. NIKOLAOS MPONTOZOGLOU.. Photos.. eik1.. eik2.. eik3.. eik4..
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