Abstract:
:The results of a European survey on pneumatic dilatation in the treatment of achalasia have been compiled from a questionnaire completed by 18 different surgical teams. The total number of patients investigated was 2,161. Surgical treatment was prescribed by 94% of teams, whereas pneumatic dilatation was only prescribed by 56%. The indications for pneumatic dilatation were: inoperability (28%), drug failure (17%), surgical failure (11%). Nine surgeons believe pneumatic dilatation is indicated in all cases (50%), four consider it ineffective and useless (22%), and one expressed no opinion (6%). The arguments in favour of pneumatic dilatation are the fact that the procedure is minor and cost efficient and that it is relatively safe and effective with good long-term results in 75% of cases. Pneumatic dilatation should be used as the initial treatment in achalasia; surgery is only indicated in cases of failure.
journal_name
Int Surgjournal_title
International surgeryauthors
Monges B,Grimaud JC,Richieri JP,Botti G,Salducci Jsubject
Has Abstractpub_date
1985-01-01 00:00:00pages
17-21issue
1eissn
0020-8868issn
2520-2456journal_volume
70pub_type
杂志文章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::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::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::We describe the case of a patient with a diaphragmatic hernia associated with radiofrequency ablation for hepatocellular carcinoma who was successfully treated by laparoscopic surgery. A 62-year-old man with a long history of hepatitis C-induced liver cirrhosis was admitted to our institution because of recurrent post...
journal_title:International surgery
pub_type: 杂志文章
doi:10.9738/INTSURG-D-14-00025.1
更新日期:2014-07-01 00:00:00
abstract::Congenital defects presenting at an adult age are subject to diagnostic errors because of their relative rarity and often odd clinical presentation. We illustrate a 63-year-old male patient with multiple ileal carcinoid tumors along with a carcinoid tumor in Meckel's diverticulum. The Meckel's diverticulum is a congen...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2003-01-01 00:00:00
abstract::At present imaging techniques and laboratory tests are employed very extensively to investigate obscure visceral symptoms. During these investigations it can happen that a liver lesion is discovered. This lesion, solid or cystic, when discovered in the liver of a healthy person, is called hepatic incidentaloma. This s...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1996-04-01 00:00:00
abstract::In order to evaluate the incidence, the diagnostic modalities and significance of blisters of the abdominal aortic aneurysm wall, in a retrospective review, 14 patients (2.6%) having these lesions were identified between 1983 and 1995. At preoperative examination, aortography had less accuracy (1 case = 20%) than CT s...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1997-04-01 00:00:00
abstract::Postoperative complications, such as pancreatic fistulae, after pancreaticoduodenectomy for pancreatic cancers are associated with surgical outcomes of patients with pancreatic cancers. A total of 160 patients with pancreatic cancers undergoing pancreaticoduodenectomy were retrospectively analyzed. Patients were group...
journal_title:International surgery
pub_type: 杂志文章
doi:10.9738/cc17.1
更新日期:2011-07-01 00:00:00
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journal_title:International surgery
pub_type: 杂志文章
doi:10.9738/CC114.1
更新日期:2012-10-01 00:00:00
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journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1985-07-01 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
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journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1996-10-01 00:00:00
abstract::We operated on 138 patients for intestinal obstruction. The different causes are discussed and their pattern of occurrence is compared with that reported from England and other African countries. The 27.6% mortality rate was closely associated with the 28.2% incidence of gangrene. Factors which may lower this high mor...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1976-04-01 00:00:00
abstract::The records of patients treated for vulvar carcinoma at the University of Milan from January 1967 through December 1991 have been studied retrospectively, making an analysis of the results of surgical staging in terms of prognosis, morbidity and long-term survival. All cases have been reevaluated and restaged accordin...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1996-01-01 00:00:00
abstract::We analyzed data on the three-dimensional vascular anatomy of the right colon from the operative documents of 215 patients undergoing oncologic resection for right colon cancer. The right colic artery (RCA) was absent in 146 patients (67.9%), with the ileocolic artery (ICA) crossing the superior mesenteric vein (SMV) ...
journal_title:International surgery
pub_type: 杂志文章
doi:10.9738/cc20.1
更新日期:2011-10-01 00:00:00
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journal_title:International surgery
pub_type: 杂志文章
doi:10.9738/INTSURG-D-14-00095.1
更新日期:2015-02-01 00:00:00
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journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1982-10-01 00:00:00
abstract::The clinicopathological features of 84 muscularis propria (mp) gastric cancers, defined as gastric cancer invading the muscularis propria of the stomach, were reviewed retrospectively, and compared with 267 early gastric cancers (m/sm cancer) and 333 gastric cancers invading beyond the subserosal layer (ss-si cancer)....
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1999-01-01 00:00:00
abstract::Among the causes of male infertility, the varicocele accounts for 40%. Videolaparoscopic varicocelectomy was used for the treatment of 800 men as day surgery cases. The operation enabled high bilateral ligation, with an average operating time of 1.5 hours. Operative difficulties were minor being colon adhesions, vascu...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2006-09-01 00:00:00
abstract::The proportion of patients on dialysis with multiple access procedures, failed transplant(s), or no suitable sites for conventional arteriovenous (AV) fistula is increasing. We report on 4 patients at our institution requiring unusual measures to achieve vascular access for dialysis. All 4 patients had temporary femor...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2009-04-01 00:00:00
abstract::Preoperative hyperthermo-chemo-radiotherapy (HCR) has been performed on patients with esophageal carcinoma, especially in advanced cases with invasion to the neighbouring structures (a3 carcinoma), and is considered to have contributed to the favorable postoperative prognosis. 163 patients with operated locally advanc...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1996-01-01 00:00:00
abstract::Laparoscopic Heller myotomy with antireflux procedure seems the procedure of choice in the treatment of patients with esophageal achalasia. Persistent or recurrent symptoms occur in 10% to 20% of patients. Few reports on reoperation after failed Heller myotomy have been published. No author has reported the realizatio...
journal_title:International surgery
pub_type: 杂志文章,评审
doi:
更新日期:2009-10-01 00:00:00
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journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1976-03-01 00:00:00
abstract::Between April 1989 and November 1991, 500 consecutive patients (393 women and 107 men, aged 17 to 87 years) underwent laparoscopic cholecystectomy at our institution. The most common indication for surgery was chronic calculous cholecystitis. Twelve (2.4%) patients underwent emergency surgery, and the rest had electiv...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1993-10-01 00:00:00
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journal_title:International surgery
pub_type: 杂志文章
doi:10.9738/INTSURG-D-13-00058.1
更新日期:2013-10-01 00:00:00
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journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1984-10-01 00:00:00
abstract::The first Spigelian hernia was described in 1764. From April 1995 to April 2004, 29 patients underwent 35 Spigelian hernia repair operations in our department. The choice of primary closure or additional mesh was based on the condition of the local tissue. If the tissue appeared of good quality, primary closure was pe...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2006-09-01 00:00:00
abstract::Intussusception is a rare cause of adult intestinal obstruction. Clinical manifestations are not specific, which makes a preoperative diagnosis difficult to establish and often causes delay. We report a case of acute intestinal obstruction due to ileocolic intussusception. An emergency laparoscopy was performed reveal...
journal_title:International surgery
pub_type: 杂志文章
doi:10.9738/INTSURG-D-12-00005.1
更新日期:2013-10-01 00:00:00
abstract::Fracture of the penis is a rare injury, only 135 patients having been reported by 1985. Our recent experience with six patients who underwent emergency surgery, has been documented. The results of treatment were excellent with complete recovery of function. The study recommends operative management as the treatment of...
journal_title:International surgery
pub_type: 杂志文章,评审
doi:
更新日期:1988-01-01 00:00:00
abstract::NO is an important mediator in the generalized inflammatory response of the body during sepsis and septic shock. We investigated the possible effects of L-arginine and aminoguanidine on plasma NO levels and the interaction between NO levels and lung tissue damage and blood gases in sepsis. Fifty Wistar male rats were ...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2008-01-01 00:00:00