Abstract：
:A retrospective analysis of 1,856 patients treated by esophageal achalasia in 23 different surgical departments from seven countries is reported. The predominant symptom was dysphagia (100%), pain, vomiting and weight loss (76.1%). The most useful diagnostic methods were: barium meal (85%), manometry (100%), endoscopy (100%) and 99mTc (100%). Conservative treatment (5.45%) was useful in 5.8% only. Dilatation (16.9%) produced amelioration in 65.9%. Thoracotomy was used in 20.9% and middle line laparotomy in 79.2%. Heller esophagomyotomy was performed in 99.52% associated with anterior fundoplasty in 79.8% and postero-lateral (Mark IV) in 9.75%. Most of the patients were controlled through barium meal, esophagoscopy, esophageal manometry, pHmetry and 99mTc ingestion. Good results after Heller's myotomy with anterior fundoplication were 81.7% and poor 7.2%. Recurrence of achalasia was present in 184 patients. A new esophagomyotomy was performed on 58.6% and distal esophageal resection in 62 (35.3%). In total, 988 patients were reviewed once a year. Absence of gastroesophageal reflux was shown in 73.9% of the explored patients.
journal_name
Int Surgjournal_title
International surgeryauthors
Moreno González E,Garcia Alvarez A,Landa Garcia I,Gómez Gutierrez M,Rico Selas P,Garcia Garcia I,Jover Navalón JM,Arias Diaz Jsubject
Has Abstractpub_date
1988-04-01 00:00:00pages
69-77issue
2eissn
0020-8868issn
2520-2456journal_volume
73pub_type
杂志文章abstract：:Two cases of sigmoid perforation and fistula occurred as late complications after insertion of a nonresorbable prosthesis by the open preperitoneal inguinal route. These infrequent complications are favoured by peritoneal defects and use of materials which can cause extensive sclerous reactions. Indications for this t...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1997-07-01 00:00:00
abstract：OBJECTIVE:To compare the safety and effectiveness of laparosonic coagulating shears (LCS) and electrosurgery for use in laparoscopically assisted vaginal hysterectomy (LAVH). STUDY DESIGN:In this prospective study, patients undergoing LAVH performed by one of the authors from October 1997 to January 1998 were assigned...
journal_title：International surgery
pub_type： 临床试验,杂志文章,随机对照试验
doi：
更新日期：2000-01-01 00:00:00
abstract：:No topic in the field of vascular surgery evokes more controversy than the management of the patient with asymptomatic carotid artery stenosis. The fact remains, however, that patients can and do develop stroke without any antecedent TIA, and there is no definite and predictable way to identify the stroke-prone group....
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1984-07-01 00:00:00
abstract：:Induction of transplant tolerance is a clinically desirable goal. To provide unbiased insight into transplant tolerance, we analyzed gene expression profiling in peripheral blood mononuclear cells from recipients of living-donor liver transplants (LDLTs) who had retained an immune tolerance with a well-functioning gra...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2007-09-01 00:00:00
abstract：:To inhibit local recurrence of rectal cancer, it is very important to ensure that there is a sufficient circumferential resection margin. We evaluated pathology studies of combined radical resection of seminal vesicles in the treatment of rectal cancer. We analyzed data from 7 cases of combined radical resection of th...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/1362.1
更新日期：2011-01-01 00:00:00
abstract：:Salivary gland neoplasms represent the most complex and diverse group of tumors encountered by the head and neck oncologist. Their diagnosis and management is complicated by their relative infrequency. The significance of the study was to analyze the different types of salivary gland tumors, the modalities of treatmen...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2004-07-01 00:00:00
abstract：:The results of a survey conducted in a group of 60 women, three years after they underwent induction of mid-trimester abortion by extra-amniotic infusion of isotonic saline solution, are presented. The aim of this method for induction of abortion can affect the patients' fertility and the outcome of their subsequent p...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1979-08-01 00:00:00
abstract：:Hemobilia is the process of bleeding into the biliary tree and is an unusual cause of upper gastrointestinal hemorrhage. When this event results from a cystic artery pseudoaneurysm, it is a particularly rare phenomenon; fewer than 20 cases are described in the literature. Alongside the literature review, we report a c...
journal_title：International surgery
pub_type： 杂志文章,评审
doi：10.9738/CC52.1
更新日期：2012-04-01 00:00:00
abstract：:Seven cases of symptomatic non-parasitic congenital cysts of the liver are reported. Preoperative correct diagnosis can be established with non-invasive examinations, essentially with echotomography. Laparoscopy can represent a decisive investigation, permitting the direct view of the cysts. Surgical treatment of non-...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1982-10-01 00:00:00
abstract：:A new classification of proximal bile duct tumors mainly based on endo- and exobiliary neoplastic invasion, indicating radical or palliative surgery is proposed. Fifty-eight patients underwent radical (12) or palliative (46) surgery. The 5-year survival rate of patients treated radically is 40% compared to 0% in patie...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1985-01-01 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：:14 cases of silent perforation of the uterus by the Lippes loop are presented. Loop perforations are usually asymptomatic and can be treated conservatively. If complications occur, they require surgical intervention with posterior colpotomy being the procedure of choice if the loop is in the pelvic cavity. Laparoto...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1973-05-01 00:00:00
abstract：BACKGROUND:The surgical treatment of cancer of the cardia is controversial and results are often disappointing. Concern exists not only with regards to the surgical approach but also to the extent of the resection. The authors analyze their experience over a 20-year period adopting almost exclusively a "limited" esopha...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1997-04-01 00:00:00
abstract：:The activities of cathepsin B, D and G, and their distribution in the walls of normal aorta and those of aneurysms of abdominal aorta were studied. The immunohistochemical reaction for these cathepsins was positive in the aneurysm wall both in the cells and in the extracellular matrix. It was more apparent than in nor...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1997-10-01 00:00:00
abstract：:Hernia repair is one of the most frequent operative procedures performed throughout the world. The technique has continued to evolve and we now are performing these repairs utilizing mesh as a patch and also as a plug. The mesh plug concept has been advocated by Rutkow and others. With this change in technique, we hav...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1999-01-01 00:00:00
abstract：:Operative stabilization of massive chest wall instability is described in 38 patients. 35 patients were young combat casualties with penetrating chest injuries operated upon at front hospitals with limited resources, two patients sustained automobile accidents with blunt thoracic trauma resulting in an extensive flial...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1990-10-01 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：:Primary lymphoma of the spleen is a relatively rare clinical entity. The majority of patients reported with this entity not only have splenic involvement but also have had lymph node and/or liver involvement. The patient reported presented with splenomegaly and was otherwise asymptomatic. Only splenic involvement was ...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1992-04-01 00:00:00
abstract：:Endoscopic retrograde pancreatogram (ERP) has been recommended in patients with suspected pancreatic fistula to visualize the fistula tract and the ductal anatomy. Recently we have treated five men with chronic alcoholic pancreatitis complicated by pancreaticopleural or pancreaticoperitoneal fistula. The limited value...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1996-04-01 00:00:00
abstract：:To test whether serotonin release from the argentaffin cells of the intestinal tract can elicit peptic ulcer, rats were given intraduodenal infusions of N/10 and N/20 hydrochloric acid. Serotonin measured in the portal venous blood of rats which had had an intraduodenal infusion of N/20 HCl for five minutes was signif...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1976-06-01 00:00:00
abstract：:The objective of this study was to assess the diagnostic value of preoperative cytology and galactography in women with nipple discharge using a simple intraductal aspiration method. From May 1997 to February 2002, 172 patients with unilateral, spontaneous nipple discharge without palpable masses underwent intraductal...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2003-04-01 00:00:00
abstract：:Simultaneous pancreas and kidney transplantation (SPK) is considered an extremely effective and well-established therapeutic option for selected patients with end-stage renal disease (ESRD), secondary to type 1 diabetes. Vascular complications in pancreas transplantation are more common than in any other solid organ t...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2008-07-01 00:00:00
abstract：:Splenitis can complicate blood-borne sepsis in hemodialysis patients. Symptoms include left upper quadrant pain and tenderness in addition to generalized systemic manifestation of infection. Clinical diagnosis is difficult and there is no specific investigation to confirm it. Computed tomography scan of the spleen can...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2002-10-01 00:00:00
abstract：:Extensive studies have been carried out to understand the vascular anatomy of fasciocutaneous flaps both in human cadavers and in experimental models. Seldom has angiographic study been undertaken in clinical cases. Before peroperative clinical angiography, microangiographic study was performed on rabbits to understan...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2006-11-01 00:00:00
abstract：:Bronchobiliary fistula (BBF) is a rare condition which occurs most commonly as a complication of hydatid cyst liver disease. The following report describes a patient who presented with biliptysis 6 months following decortication of an empyema that had occurred following partial hepatectomy of a colon cancer metastasis...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/INTSURG-D-13-00095.1
更新日期：2014-07-01 00:00:00
abstract：BACKGROUND:Extended cholecystectomy is the common operation for gallbladder carcinoma. When extended cholecystectomy is performed, the liver bed can be generously resected from the fundus to the body of the gallbladder; however, the thickness of the liver parenchyma to be removed is limited to the neck of the gallbladd...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1998-01-01 00:00:00
abstract：:Cases with concurrent pheochromocytoma and renal artery stenosis, two "surgically curable" hypertensive disorders, are rare. The stenosis is generally secondary to direct compression or stretching of the renal artery by the tumor. Five such cases are reported. Sometimes the tumor and the renal artery stenosis occur in...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1985-04-01 00:00:00
abstract：:Heterotopic pancreas (HP) is a rare entity which is defined as the presence of pancreatic tissue lacking anatomical and vascular continuity with the pancreas. It is most commonly found along foregut derivatives, such as the stomach, duodenum, and jejunum. It is frequently encountered incidentally in asymptomatic patie...
journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/INTSURG-D-14-00182.1
更新日期：2015-04-01 00:00:00
abstract：:99mTc-MIBI-guided detection of abnormal parathyroid glands in primary hyperparathyroidism (1-HPT) has become a popular and effective technique, but its efficacy for detecting the ectopic glands of secondary hyperparathyroidism (2-HPT) is still controversial. Of the 2-HPT cases from 2000 to 2004, 14 ectopic parathyroid...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2009-04-01 00:00:00
abstract：:Mechanical trauma, thermal injury, tissue ischemia during the operation, postoperative infections, and foreign body reactions are important factors for adhesion formation. Bleeding and bile leakage after liver resections can also cause intra-abdominal adhesions. We aimed to evaluate the intra-abdominal adhesions after...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2007-01-01 00:00:00
