Abstract:
:The influence of exogenous insulin on oxidation of U-14C-glucose was investigated by monitoring the production of 14CO2 in septic rats. Ten Wistar rats underwent ligation of the distal third of the caecum and the ligated caecum was punctured with a 21-G needle (septic rats: group S). A group of ten rats was not subjected to these procedures (control rats: group C). Both groups received parenteral nutrition (PN) for the subsequent 27 hours. Non-protein nutrients were provided exclusively as glucose. Five rats in each group received insulin at a rate of 0.64 U/kg/hr for the last six hours of PN, and these rats were designated groups CI and SI. At the 21st hour of PN, 1.563 muCi of U-14C-glucose was injected as a bolus, and the production of 14CO2 was measured. The cumulative production of 14CO2 for the subsequent six hours, given as a percentage of the 14C injected, was 78.22 +/- 6.22% in group C, 86.16 +/- 4.23% in group CI, 62.38 +/- 13.00% in group S, and 54.38 +/- 6.89% in group SI. The elevated levels of blood glucose in rats in group S were reduced by the administration of insulin. These results indicate that the reduction of elevated blood glucose levels by exogenous insulin in the septic rats with antecedent hyperinsulinemia does not reflect an increase in the oxidative utilization of glucose but rather inhibition of the oxidation of glucose.
journal_name
Int Surgjournal_title
International surgeryauthors
Iriyama K,Kihata M,Asami H,Azuma T,Suzuki Hsubject
Has Abstractpub_date
1989-04-01 00:00:00pages
81-3issue
2eissn
0020-8868issn
2520-2456journal_volume
74pub_type
杂志文章abstract::The effectiveness of low-molecular weight heparin CY 216 in the prophylaxis of fatal pulmonary embolism in patients undergoing general surgery was assessed in a multicentre, double-blind, randomized, clinical trial against placebo. A total of 4,498 patients aged over 40 undergoing general surgery were enrolled in the ...
journal_title:International surgery
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:
更新日期:1989-10-01 00:00:00
abstract::Over a one year period (June 1992-June 1993), 260 patients (208 females and 52 males) with mean age of 37 years (range 13-80), underwent laparoscopic cholecystectomy (LC) for symptomatic gallstones. Thirty patients were admitted as emergency (20 acute cholecystitis, 10 acute pancreatitis). The procedure was performed ...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1995-04-01 00:00:00
abstract::Tubal occlusion through a culdotomy incision offers a method of surgical sterilization acceptable to women in some countries where abdominal sterilization is not acceptable. This technic requires skilled gynecologic surgeons, who are a limited resource in many developing countries. On the other hand, gynecologic surge...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1977-02-01 00:00:00
abstract::Total parenteral nutrition or elemental diet has frequently replaced the use of a proximal stoma. Since 1969, data on patients receiving these non-residue nutritional methods have been collated daily; there were 63 patients where the surgeon believed that a proximal stoma would otherwise have been indicated. In 35 pat...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1986-01-01 00:00:00
abstract::An 85-year-old woman with no history of abdominal surgery complained of abdominal pain and vomiting and was referred to us with a diagnosis of intestinal obstruction a few days later. Upon admission to our facility, she presented with marked abdominal swelling and prominent kyphosis. Because of the kyphosis, most of t...
journal_title:International surgery
pub_type: 杂志文章
doi:10.9738/INTSURG-D-12-00003
更新日期:2013-07-01 00:00:00
abstract::This paper reports an unusual case of orthopedic trauma in a 29-year-old man who experienced concomitant bilateral anterior shoulder fracture dislocation with associated brachial plexus and axillary artery injury. We also highlight the mechanism underlying this rare workplace injury related to use of a forklift. ...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2007-03-01 00:00:00
abstract::The therapeutic value of extended lymph node dissection (D2) for gastric cancer remains controversial. Limited lymph node dissection, however, leaves cancer cells in the second tier of nodes (N2) in patients with N2 metastasis. This retrospective study was, therefore, undertaken to clarify which patients would be most...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1997-07-01 00:00:00
abstract::This paper reports a case of ectopic abdominal pregnancy following total hysterectomy and reviews the literature. Pregnancy following total hysterectomy is a rare event. Ectopic pregnancy following supracervical hysterectomy can be explained in view of the remaining patent cervical canal. In cases of total hysterectom...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1983-07-01 00:00:00
abstract::In this report we describe our experience using the transabdominal approach for the reduction and repair of incarcerated or strangulated hernias of the inguinal or femoral region. This technique allows for the division of the constricting ring under direct vision as atraumatically as possible and permits a simplified ...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1992-10-01 00:00:00
abstract::A free jejunal autograft reconstruction after debulking high stage larynx and hypopharynx tumors has become a popular method in our 10-year experience. We retrospectively studied the efficacy and outcome. Nine patients (M/F, 8/1) underwent a total of 10 free jejunal autograft reconstructions. The median age was 58.6 y...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2006-07-01 00:00:00
abstract::The presence of the umbilical cord in the birth canal either by prolapse or as a funis presentation is a potential obstetrical catastrophe. The contact hysteroscope is a tool which permits rapid and decisive assessment of the position of the cord or of the presenting part. ...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1988-01-01 00:00:00
abstract::The incidence of gastroesophageal junction adenocarcinoma is increasing. About 30% of the tumors cannot be completely resected, and 40% of the patients relapse after complete resection. There is much controversy over the role of neoadjuvant therapy, the approach route, lymphadenectomy, and the extent of esophageal res...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2006-05-01 00:00:00
abstract::The goal of this study is to identify invariable risk factors predicting the morbidity and mortality of a serious complication of peptic ulcer perforation (PUP). One hundred fifty-four patients were operated for PUP. We selected 147 patients who underwent primary repair and omentoplasty for PUP. The Boey score used to...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2007-05-01 00:00:00
abstract::Synchronous primary anorectal melanoma and colorectal adenocarcinoma is extremely rare, with only 5 cases reported in the literature. Here, a case is reported and the currently available literature is summarized. A 72-year-old white male presented with changes in his bowel habits and unintentional weight loss. Colonos...
journal_title:International surgery
pub_type: 杂志文章,评审
doi:10.9738/INTSURG-D-14-00243
更新日期:2015-05-01 00:00:00
abstract::A totally implantable system was used for prolonged intravenous treatment in patients whose peripheral veins could no longer be punctured. Our experience showed this device, which was used for short periods in 20 patients, to be an effective solution to the problem of permanent venous access. ...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1985-07-01 00:00:00
abstract:OBJECTIVE:Our hypothesis was that a low concentration (30%) of phenol would be more effective than a high concentration (80%) in the treatment of pilonidal disease. The purpose of our study was to compare the effects of high and low doses of liquid phenol in the treatment of pilonidal disease. SUMMARY OF BACKGROUND DA...
journal_title:International surgery
pub_type: 杂志文章
doi:10.9738/INTSURG-D-15-00120.1
更新日期:2016-03-23 00:00:00
abstract::The aim of this study is to analyze the risk factors for complications and recurrence in pilonidal sinus disease. The prospective study consisted of 144 patients with pilonidal sinus disease who were operated on at Dicle University Medical Faculty, Department of General Surgery, between February 2008 and December 2010...
journal_title:International surgery
pub_type: 杂志文章
doi:10.9738/CC86.1
更新日期:2012-07-01 00:00:00
abstract::For a better quality of life in rectal cancer patients, high dose radiotherapy following abdominoperineal resection of the rectum with a pelvic partition is another surgical option replacing extended abdominoperineal resection. In addition to pelvic partition with polyglycolic acid mesh, the tissue expander was insert...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1994-01-01 00:00:00
abstract::Ocular chemical burns are frustrating disorders. The conjunctival surface provides a defense mechanism protecting against infection, desiccation, and injury, being centered in the epithelial lining of the ocular surface. A monocular case of severe acid chemical burn is presented. Postinjury-stratified epithelium in th...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2005-01-01 00:00:00
abstract::Acute traumatic abdominal wall hernia (TAWH) is a rare type of hernia that occurs after a low- or high-velocity impact of the abdominal wall against a blunt object. With few cases reported, a consensus in diagnosis and management has not been established in the literature. A systematic review of the literature for adu...
journal_title:International surgery
pub_type: 杂志文章,评审
doi:10.9738/INTSURG-D-14-00079.1
更新日期:2015-03-01 00:00:00
abstract::Four operative cases of lung cancer with intra-atrial extension via the pulmonary vein were reviewed. Three of them had circulatory as well as respiratory symptoms, and their performance status (PS) was extremely poor. In two cases, after assessment of the cardiac involvement using two-dimensional echocardiography and...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1990-01-01 00:00:00
abstract::Duodenoscopic sphincterotomy (DS) is a well established treatment for common bile duct (CBD) stones in post-cholecystectomy patients, but not in patients with gallbladder in situ. The main argument against the procedure in the latter set of patients has been that by performing it, one is leaving behind the diseased ga...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1991-07-01 00:00:00
abstract::Seven patients with gastric leiomyosarcoma (LMS) and leiomyoblastoma (LMB) were seen at the American University of Beirut Medical Center in the period 1970-1983. The natural history, clinical presentation, radiologic findings, histopathologic features and treatment modalities of these patients are discussed. The anato...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1986-07-01 00:00:00
abstract::Radiofrequency ablation of the liver for primary and metastatic disease is used for patients who are not candidates for resection or in conjunction with resection. The technique is simple, and the morbidity rate is low. A case of intrahepatic pseudoaneurysm after radiofrequency ablation of a centrally located hepatoce...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2008-11-01 00:00:00
abstract::Forty-one symptom-free women treated by operative and irradiation therapy for gynecological cancer 24-108 months previously were examined by small bowel barium meal, large bowel barium enema, intravenous urography and renography in order to determine whether there were any silent complications present after the therap...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1981-07-01 00:00:00
abstract:PURPOSE:The infrequency of right-sided colonic diverticulitis prompted this presentation of our experiences, with emphasis on the diagnostic aspects. PATIENTS AND METHODS:Charts and documentation regarding 20 patients who underwent surgery for diverticulitis of the caecum and/or ascending colon over 22 years were revi...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2000-01-01 00:00:00
abstract::From April 1985 to March 1986 there were 48 cases of laser breast operations. Twelve cases of breast cancer were treated by modified radical mastectomy using a CO2 laser. Another twelve cases of breast cancer were treated conventionally using a scalped and electrocautery for the purpose of comparison. Laser surgery of...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1987-10-01 00:00:00
abstract::Temporary closure of the abdomen with a synthetic mesh and multiple planned relaparotomies are the essentials of the modern strategy for treating severe intra-abdominal sepsis or pancreatic necrosis. One of the complications associated with mesh closure of the abdomen is facial necrosis at the wound edges leading to e...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1997-01-01 00:00:00
abstract::Paragangliomas or chemodectomas are neoplasms that arise from neural crest cells and histologically resemble their adrenal counterpart, the pheochromocytoma. Seventy-one percent of the extra-adrenal paragangliomas are located in the superior or inferior para-aortic area. This tumor usually presents as an abdominal mas...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2006-01-01 00:00:00
abstract::A case of pseudomembranous colitis in a 66-year-old subject is presented. The disease appeared on the fourth postoperative day following prostatectomy. On the first postoperative day ampicillin was administered intramuscularly (4 g/day). On the seventh postoperative day, toxic megacolon complicated the disease and a d...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1980-05-01 00:00:00