adrian mocanu

The multimodale treatment is encompassed in general efforts to improve the results of ESC treatment.This study was made retrospective and included 41 selected patients with ESC treated by neoadjuvant RCT in St. Mary Bucharest Hospital between 1998-2008. Therapeutic protocol included induction chemotherapy with 5-FU and Cisplatin combinated with radiotherapy in total dose 40 Gy, in 20 series. Only 28 patients benefit from esophagectomy and two field limfadenectomy. The evaluation of response after RCT was done comparing the tumor dimension before and after RCT using the data offered by barium passage, upper endoscopy, echoendoscopy, computer tomography. In 29 cases we found clinical response (partial or complete) but pathological response only in 21 cases.The usual imagistic methods supraevaluate the patients who respond to neoadjuvant RCT in ESC and only the histopathological examination on resected specimen can offer the real rate of response.

The diagnosis established in the symptomatic phase of this disease, most often occurs at advanced stage neoplasia. The purpose of this article is to establish the place and method of surgical and radio-chemo therapy in advanced loco-regional squamous esophageal neoplasm (stage IIB-III). Surgical treatment establishes the best results over long periods of time, however, this is done keeping in mind acceptable morbidity and mortality conditions. Multimodal treatment is encompassed in general efforts to achieve optimal results along with increasing the quantity and quality of life. Neoadjuvant radiochemotherapy (CRT) increases practitioners' possibility of resecting tumors, decreasing their size, and establishing proper means of local (radiotherapy) and systemic (chemotherapy) control. Great efforts are made in finding markers which lead to correct diagnosis and treatment options that will further permit nonresponsive radio and chemo therapy treated patients from experiencing unwan...

We present the case of an elderly and frail woman, admitted for obstructive jaundice 9 years after cholecystectomy, lithotomy and T-tube drainage. The presence of a T-tube remnant in the common bile duct was suggested by imaging techniques, along with a megacholedocus. Because of the risks associated with advanced biliary cirrhosis, the endoscopic retrieval and lithotripsy was the first therapeutical attempt but failed. Lithotomy and cholangio-jejunostomy by open surgery were followed by a surprising favourable course.

For some patients, reflux disease means also duodenogastric, as well as gastroesophageal reflux; they may suffer because of duodenoesophageal reflux. For these patients, a simple surgical restoration of the cardial competence may prove to be insufficient; on the contrary, an indirect approach, using vagotomy and duodenal diversion may be a good therapeutical option in selected cases. In our hands, total duodenal diversion has already proven to be a good technical solution for the surgical treatment of the postoperative reflux disease, so we decided to expand its first choice indications to hiatal hernia cases, in the presence of duodenoesophageal reflux. Therefore, our study presents the results of the first 7 cases, operated on since 1995. No case had been gastric operated before, but 4/7 had already suffered a cholecystectomy. Duodenoesophageal reflux is discussed: etiopathogenesis related to surgical approach, using standard antireflux surgery (failures of the hiatal techniques a...

Primary repair of the abdominal wall and the cure of incisional hernias using the relon mono-filamentous fibres (N.I. 2402/76) Confronted with long lasting parietal suppurations which are entertained by the classic nylon poly-filamentous fibres, suppurations that cannot be avoided unless the above fibres are removed on one hand assuming the risk of a possible subsequent incisional hernias and on the other hand because of the relative elevated price of the mono-filamentous fibres brought from abroad, within the last years (from 1982) we have utilised the relon mono-filamentous fibre (N.I. 2402/76) in abdominal wall reconstruction (initially for the surgical cure of the incisional hernias and there after in primary abdominal wall reconstruction when there were factors predisposing to a possible subsequent parietal for septic contamination, in overweight patients, immune-compromised patients, in patients following steroid therapy, chemotherapy, etc. Our present experience extends over ...

Based on an experience (that we believe may be very low in any Clinic) of three cases of cervicodorsal fatty hypertrophy (Launois-Bensaude syndrome) in one case with relapse of the disease, we performed complex anterior dissection of the region, with access of both vascular bundles of the neck and with subsequent surgical removal of the left hypertrophic maxillary salivary gland, followed in a second step (3 months after the primary operation) by the dissection of the dorsal fatty tumours. The aesthetic and functional results were excellent. In the postoperative step, the patient follows a radiation therapy at a dose for anti-inflammatory purpose and steroid therapy.

ABSTRACT Solving a linear system of equations is a common task performed for most of the scientific experiments. Everyday, these applications increase their demands, pushing the computational capacity to the limits. At a certain point, our systems, running common algorithms, become unable to process such massive amounts of information. The paper analyses and modifies the standard Gaussian reduction so that a huge array may be handled by almost any distributed system. Moreover, the paper focuses on providing a decent level of fault tolerance in order to comply with a real, heterogeneous distributed system and on becoming a solution for sensitive applications.