Abstract:
BACKGROUND:Re-bleeding after management of a first haemorrhage following pancreatic surgery is an ever-present danger and often presents diagnostic and management dilemmas. METHODS:All cases of post-pancreatectomy haemorrhage (PPH) following pancreatoduodenectomy were identified from a tertiary referral, clinical database (April 2004-April 2013). Only those suffering a second re-bleeding episode were included in the final case notes review. RESULTS:A total of 301 patients underwent pancreatoduodenectomy during the study period (most common indication: pancreatic adenocarcinoma; 49.5%). Twenty-two (7.3%) patients suffered a PPH (five early). Of these cases, three suffered a re-bleeding event (one mortality). Endoscopy, interventional radiology and surgery were employed in each case. CONCLUSION:PPH presents major clinical challenges and is associated with significant morbidity and mortality. Early detection of the site and type of bleeding are critical and multimodal therapy is usually required. Interventional radiology techniques are making a major contribution to overall management.
journal_name
ANZ J Surgjournal_title
ANZ journal of surgeryauthors
Staerkle RF,Gundara JS,Hugh TJ,Maher R,Steinfort B,Samra JSdoi
10.1111/ans.13976subject
Has Abstractpub_date
2018-05-01 00:00:00pages
E435-E439issue
5eissn
1445-1433issn
1445-2197journal_volume
88pub_type
杂志文章abstract:BACKGROUND:To formulate clinical pathways for identifying clinically significant prostate cancer (csPC) and avoiding insignificant prostate cancer (isPC) in those without suspicious regions of interest on multi-parametric magnetic resonance imaging (mpMRI) of the prostate. METHODS:A retrospective review identified pat...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.16583
更新日期:2021-01-21 00:00:00
abstract::There are currently over 700 active female Fellows of the Royal Australasian College of Surgeons, accounting for just less than 10% of the surgical workforce. The first female Fellow of the College was Lillian Violet Cooper, of Queensland, who was admitted to Fellowship on 17 June 1927. Over the following half century...
journal_title:ANZ journal of surgery
pub_type: 历史文章,杂志文章,评审
doi:10.1111/ans.13369
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:Post-operative nausea and vomiting (PONV) is often encountered following corrective scoliosis surgery in children, frequently attributed to high-dose opiate administration. PONV is a frequent cause of prolonged hospital stay. Mechanisms related to transient partial duodenal compression by narrow angulation o...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.16438
更新日期:2020-11-26 00:00:00
abstract:BACKGROUND:Several previous studies have shown that Gastrografin can be utilized to triage patients with adhesive small bowel obstruction (ASBO) to an operative or a non-operative course. Previous studies assessing the therapeutic effect of Gastrografin have been confounded by post-administration radiology alerting the...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,随机对照试验
doi:10.1111/j.1445-2197.2005.03491.x
更新日期:2005-08-01 00:00:00
abstract:BACKGROUND:This study reviewed the demographics, presentation, management, complications and outcomes of acute epiglottitis post Haemophilus influenzae type-b vaccine introduction in Australia. METHODS:Retrospective review of acute epiglottitis at four Victorian tertiary centres from 2011 to 2016 was conducted. Patien...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.14787
更新日期:2018-11-01 00:00:00
abstract::The CLEAR (critical literature evaluation and research) module was developed to meet an identified need in both trainees and Fellows for the basic tools to allow them to plan research projects and evaluate research papers. This paper describes briefly the way in which the module was developed and presents results of p...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1046/j.1445-1433.2003.02892.x
更新日期:2004-01-01 00:00:00
abstract:BACKGROUND:The role of minimally invasive approach for pancreaticoduodenectomy has not yet been well defined in Australia. We present our early experience with laparoscopic pancreaticoduodenectomy (LPD) from Brisbane, Australia. METHODS:Retrospective review in a prospectively collected database of patients undergoing ...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.14020
更新日期:2018-05-01 00:00:00
abstract:BACKGROUND:Laparoscopic fundoplication is an effective treatment for gastro-oesophageal reflux disease (GERD). We aimed to assess quality of life (QoL), long-term residual symptoms, patient satisfaction and use of acid-suppression medication at 5, 10 and 20 years after surgery. METHODS:We identified a cohort of 100 pa...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.15471
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:Hepatectomy has been the gold standard procedure for curative treatment of benign and malignant hepatobiliary lesions for over a century. The aim of this study is to report on the 16-year experience of a single institution. METHODS:All patients admitted to The Queen Elizabeth Hospital, South Australia, for ...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.15304
更新日期:2019-09-01 00:00:00
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journal_title:ANZ journal of surgery
pub_type: 杂志文章
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更新日期:2013-12-01 00:00:00
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journal_title:ANZ journal of surgery
pub_type: 杂志文章
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更新日期:2002-09-01 00:00:00
abstract:BACKGROUND:The purpose of this study is to determine the safety of a one-incision technique for distal biceps repair with modified repair entry point in regards to the distance from the posterior interosseous nerve (PIN). Secondly, we present the clinical results of patients having undergone this procedure. METHODS:Te...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.13684
更新日期:2017-05-01 00:00:00
abstract::Although the published work in health care increasingly promotes aviation as a high-reliability industry to be emulated, there is little empirical research to justify equating the dynamics of health care's operating environment with that of aviation. This article examines some of the potential key areas of difference ...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2008.04619.x
更新日期:2008-08-01 00:00:00
abstract::Despite the many possible modes of presentation, congenital anomalies of the inferior vena cava are increasingly being found in asymptomatic patients. Although plain chest radiography may reveal enough suggestive signs, the diagnosis is usually confirmed by ultrasound, computed tomography and magnetic resonance imagin...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1046/j.1445-2197.2003.02502.x
更新日期:2003-05-01 00:00:00
abstract:BACKGROUND:Patients fulfilling Amsterdam-1 criteria without mismatch repair deficiency (termed familial colorectal cancer type X (FCC type X)) were reported to have lower cancer risks than classic Lynch syndrome. This study investigates the polyp and cancer burden of this population and demonstrates relationships with ...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2010.05606.x
更新日期:2011-07-01 00:00:00
abstract::Susan Nixon died in 1881 following a surgical error. Her surgeon, Dr W. E. Warren, excised a normal 7-month gravid uterus under the misapprehension that he was removing a tubular pregnancy. It is believed that Mrs Nixon was the first woman in Australia to have an abdominal hysterectomy and the second to have a live Ca...
journal_title:ANZ journal of surgery
pub_type: 传,历史文章,杂志文章
doi:10.1111/j.1445-2197.2005.03501.x
更新日期:2005-08-01 00:00:00
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journal_title:ANZ journal of surgery
pub_type: 杂志文章,评审
doi:10.1046/j.1445-2197.2002.t01-1-02577.x
更新日期:2002-12-01 00:00:00
abstract:BACKGROUND:The 2009 American Thyroid Association (ATA) three-tiered risk stratification, and its updated version in 2015, provided clearer guidance on the use of radioactive iodine (RAI) ablation in differentiated thyroid cancer (DTC) patients. This study examines the impact of these guidelines on RAI use in our instit...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.15522
更新日期:2019-11-01 00:00:00
abstract:BACKGROUND:Sacral neuromodulation (SNM) has emerged as a treatment option for faecal incontinence (FI). However, its objective effect on symptoms and anorectal function is inconsistently described. This study aimed to systematically review the impact of SNM on clinical symptoms and gastrointestinal physiology in patien...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,评审
doi:10.1111/ans.13257
更新日期:2016-04-01 00:00:00
abstract:BACKGROUND:Precursor colonic polyps of varied subtypes correlate with the known neoplastic pathways. When patients present with synchronous pre-malignant polyps of multiple histologies, multiple genetic mechanisms are likely to be active, potentially resulting in a more unstable, tumourigenic mucosa. METHODS:We hypoth...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
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更新日期:2020-05-01 00:00:00
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journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2005.03616.x
更新日期:2005-12-01 00:00:00
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journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2005.03285.x
更新日期:2005-01-01 00:00:00
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journal_title:ANZ journal of surgery
pub_type: 临床试验,杂志文章
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更新日期:2013-10-01 00:00:00
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journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2005.03592.x
更新日期:2005-11-01 00:00:00
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journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.15553
更新日期:2020-04-01 00:00:00
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journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2005.03552.x
更新日期:2005-10-01 00:00:00
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journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.13641
更新日期:2016-07-01 00:00:00
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journal_title:ANZ journal of surgery
pub_type: 杂志文章
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更新日期:2017-07-01 00:00:00
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journal_title:ANZ journal of surgery
pub_type: 杂志文章
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更新日期:2013-04-01 00:00:00
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journal_title:ANZ journal of surgery
pub_type: 杂志文章,评审
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更新日期:2007-01-01 00:00:00