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160 Mocanu MA. et al.Jurnalul de Chirurgie (Iaşi), 2013, Vol. 9, Nr. 2evacuated quickly in the duodenum caninduce an enhanced duodenal motility.The duodegastric reflux requires twoconditions: the pylorus opening and theretrograde duodenal motor wave. We thinkthat enhanced duodenal motility can fulfillthese two conditions. So, the gallbladdercholesterolosis can be one of the etiologicalfactors which produce duodenogastricreflux.We did not exclude a lot of otherpatological conditions wich can produceduodenogastric reflux alsa well as a methodsfor its diagnosise [10-16].All cases with duodenogastric refluxhave high GERDQ score that means theduodenogastric reflux can aggravategastroesophageal reflux; in this way, fromthe 20 cases with duodenogastric reflux, 10cases had esophagitis.CONCLUSIONSThe duodenogastric reflux isassociated with GERD in 34% from cases.The association of duodenogastric refluxwith gallbladder cholesterolosis can inducethe supposition that duodenal bile rich incholesterol can be the trigger for enhancedduodenal motility and duodenogastric refluxwhich may aggravate gastroesophagealreflux.CONFLICT OF INTERESTSAuthors have no conflict of interests todeclare.AKNOWLEDGEMENTSThe corresponding author is PhDstudent of University of Medicine andPharmacy „Carol Davila” Bucureşti. Thispaper is the result of the research activityduring the doctoral internship.REFERENCES1. Brillantino A, Monaco L ,Schettino M, et al.Prevalence of pathological duodenogastricreflux and the relationship betweenduodenogastric and duodenogastroesophagealreflux in chronic gastroesophageal refluxdisease. Eur J Gastroenterol Hepatol. 2008;20(12): 1136-1143.2. Thompson DG. Duodenogastric reflux is thereany progress Br Med J. 1982; 284: 845-846.3. Sporea I, Gluhovschi G. Ghid practic deecografie abdominală. Timişoara: EdituraHelicon; 1999. p. 152-167.4. Ebell MH. Diagnosis of gastroesophagealreflux disease. Am Fam Physician. 2010;81(10): 1278-1280.5. Halling K. Development of an enhancedquestionnaire for the diagnosis ofgastroesofageal reflux disease based on theReflux Disease Questionnaire, the GERDImpact Scale and the GastrointestinalSymptom Rating Scale. Gut. 2007; 56(SupplIII): A 209.6. Mocanu M, Diculescu M, Nicolae T.Evaluarea particularităţilor bolii de reflux lapacienţii cu hernie gastrică transhiatală şisteatoză hepatică din perspectiva eficientizăriiacestei asocieri. Teza doctorat. U.M.F.Bucureşti; 2013.7. Heading RC. Duodenogastric reflux. Gut1983; 24: 510-5188. Keane FB, Dimango EP, Malagelada JR.Duodenogastric reflux in humans: itsrelationship to fasting antroduodenal motilityand gastric pancreatic and biliary secretiongastroenterology. Gastroenterol. 1981; 81:726-731.9. Jonson AG. Peptic ulcer and the pilor. Lancet.1979; 1: 710-712.10. King A, Macdonald C, Orn C. Understandinggastroesophageal reflux disease(GERD): apatient segmentation analysis. Scand JGastroenterol. 2007; 42(Suppl 244): 21.11. Orban-Şchiopu A, Mocanu M. Litiazaveziculară asociată steatozei hepatice nonalcoolice. Journal of Gastrointestinal andLiver Disease. 2007; 16 (suppl 1): 1612. Mosteanu O, Pop Acalovshi M. Motilitateaveziculei biliare la pacienţii cu steatohepatitanonalcooloca-evaluare ecografică. Journal ofGastrointestinal and Liver Disease. 2007;16(suppl. 1): 16-17.13. King MP, Adam RD, Pryde A, Mc DickenWN, Heading RC. Relationships of humanantroduodenal motility and transpyloric fluidmovement noninvasive observations worthreal-time ultrasound Gut. 1984; 25: 1384-1391.14. Tack J, Bisschops R, Koek G. Dietaryrestrictions during ambulatory monitoring ofduodenogastroesophageal reflux. Dig Dis Sci.2003; 48(7): 1213-1220.15. .Fein M, Fuchs KH, Bohrer T, et al. Fiberoptictechnique for 24 hour bile reflux monitoring –standards and normal values for gastricmonitoring. Dig Dis Sci. 1996; 41(1): 216-225.16. Lazarescu A, Sifrim D. Ambulatorymonitoring of GERD current technologyGastroenterol Clin North Am. 2008; 37(4):793-805.
ARTICOLE ORIGINALE 161Jurnalul de Chirurgie (Iaşi), 2013, Vol. 9, Nr. 2COMPLICAŢIILE PRECOCE ALE CHIRURGIEICATARACTEIC. Constantin , I. Cijevschi, Silvia Sălceanu, C. DavidClinica de Oftalmologie, Spitalul Clinic Universitar „Căi Ferate” IașiEARLY COMPLICATIONS OF CATARACT SURGERY (Abstract): BACKGROUND: Thereare different complications of the cataract surgery described in the literature. The impact of thesecomplications on the visual function is in correlation with many factors, some of them beingimprecise and unable to be used as prognostic factors before and after the surgery. The moderntechnique and the surgeon’s experience lowers the complications incidence to a minimum, buteven so, some problems cannot be avoided. AIM: The aim of this study is to analyse the earlycataract surgery complications for patients operated in 2012 at the Ophthalmology Unit, RailwayHospital, Iaşi. MATERIAL AND METHOD: We conducted a retrospective analysis of themedical records of the patients who underwent cataract surgery in 2012. There were a total of 480cataract surgeries, the majority of them (92,7%) being age related cataracts in different stages ofevolution, of which 31.45% being mature cataracts. In 476 eyes, artificial lens was inserted perprimam(474 eyes with posterior chamber intraocular lens and 2 eyes with anterior chamberintraocular lens), in one case the posterior chamber intraocular lens was sutured to the sclera, in 3cases the eyes remained without lens. RESULTS: The incidence of severe complications or withpotential of severe development was: severe corneal oedema 0.83% (4 cases), remaining lensfragments in the vitreous cavity 0.62% (3 cases), toxic anterior segment syndrome (TASS) 0.41%(2 cases). There were no endophthalmitis, expulsive haemorhage or retinal detachment aftercataract surgery. CONCLUSIONS: The number of early complications of our patients is the samewith numbers shown in other studies. With a better surgical technique, a good examination of thepatient, a thorough explanation of the procedure to the patient, the use of high quality substancesduring surgery and proper technology we can lower even more the incidence of the complications.KEY WORDS: CATARACT; SURGERY; PHACOEMULSIFICATION; EXTRACAPSULARCATARACT EXTRACTIONSHORT TITLE: Complicaţiile chirurgiei cataracteiComplications of cataract surgeryHOW TO CITE:. [Early complications of cataract surgery]. Jurnalul dechirurgie (Iaşi). 2013; 9(2): 161-165. DOI: 10.7438/1584-9341-9-2-7.INTRODUCEREChirurgia modernă a cataracteipermite, pe de o parte, datorită progresuluitehnic, o recuperare rapidă a funcţiei vizualeîn post-operatorul imediat și pe de altă parteo reducere importantă a frecvenţeiincidentelor și complicaţiilor intra- și postoperatorii.Cu toate acestea, în cărţile despecialitate sunt menţionate suficient demulte complicaţii ale chirurgiei cataracteidintre care unele cu potenţial major deimpact negativ asupra rezultatului final.Lucrarea îşi propune să analizezeincidenţa complicaţiilor după chirurgiacataractei apărute la pacienţii operaţi înClinica Oftalmologică a Spitalului „CăiFerate” Iaşi în perioada 1.01.2012-31.12.2012, analizând factori de risc pre şipostoperatori cu impact asupracomplicaţiilor postoperatorii.MATERIAL ŞI METODĂAm analizat retrospectiv foile deobservaţie ale pacienţilor operaţi de cataractăReceived date: 15.01.2013Accepted date: 20.02.2013Adresa de corespondenţă: Dr. Cătălin ConstantinClinica de Oftalmologie, Spitalul Clinic Universitar „Căi Ferate” IaşiStr. Garabet Ibrăileanu, nr. 1, 700506, Iaşi, RomaniaTel.: 0040 (0) 232 21 64 22E-mail: catalin.p.constantin@gmail.com
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