Abstract:
:We evaluated 67 patients with acute bleeding of the lower gastrointestinal tract, for diagnostic accuracy of colonoscopy, and scintigraphy. Fifty-nine patients were stable after initial resuscitation and underwent colonoscopy. The source of hemorrhage was identified in 30 patients (50.8%). Tc-labeled red blood cells scintigram was undergone in 23 patients with a sensitivity of 43.4%. The identification of the bleeding source reached 75.4% when colonoscopy was used in combination with scintigraphy. Eleven patients with lower gastrointestinal bleeding requiring transfusion of 5 units of red blood cells or more had a diagnostic exploratory laparotomy, and the diagnosis was ascertained during operation in nine. The postoperative mortality rate was 18.1%. We conclude that in patients with active gastrointestinal bleeding, colonoscopy in combination with scintigraphy detect at a higher rate the cause and the site of bleeding and possibly improve the prognosis.
journal_name
Int Surgjournal_title
International surgeryauthors
Kouraklis G,Misiakos E,Karatzas G,Gogas J,Skalkeas Gsubject
Has Abstractpub_date
1995-04-01 00:00:00pages
138-40issue
2eissn
0020-8868issn
2520-2456journal_volume
80pub_type
杂志文章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::The history of inguinal herniorrhaphy certainly presents some peculiar aspects. Until the 18th century this disease was studied with interest and found a place in the books of several important authors, but in practice it was treated by empiricists and barbers. We must recognize however that some of their surgical met...
journal_title:International surgery
pub_type: 历史文章,杂志文章
doi:
更新日期:1986-07-01 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::Malignant fibrous histiocytoma (MFH) is the most common soft tissue sarcoma in late adult life. It occurs most frequently in the extremities (70%), followed by the retroperitoneum (16%). The occurrence of MFH in the spermatic cord is extremely rare (approximately 50 cases in the literature). We are reporting one case ...
journal_title:International surgery
pub_type: 杂志文章,评审
doi:
更新日期:2009-07-01 00:00:00
abstract::Video-thoracoscopy was used to evaluate and manage patients after thoracic trauma. It was used in 29 patients. Indications included retained hemothorax in 16 patients, empyema in 11, evaluation for the source of thoracic bleeding in 1, and an airleak in 1. The mechanism of injury was blunt trauma in 8 cases, 10 with s...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1998-07-01 00:00:00
abstract::About 5% of patients with chronic liver disease develop massive refractory ascites. These patients cease to respond to diuretic therapy and may develop prerenal azotemia. There is a small but definite role for the peritoneo-venous shunt in these patients. In our study of 36 patients, managed with locally made, single-...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2004-04-01 00:00:00
abstract::To assess the efficacy of using autologous stromal vascular fraction (SVF) to promote healing of controlled fistula tracts in the management of postoperative upper gastrointestinal leakage. This is an experimental study conducted on 10 experimental rabbits. Animal models were divided into the SVF group which received ...
journal_title:International surgery
pub_type: 杂志文章
doi:10.9738/INTSURG-D-14-00120.1
更新日期:2015-04-01 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:BACKGROUND:The prognostic value of intra-operative peritoneal lavage cytology and chemotherapy was evaluated retrospectively. METHOD:Lavage cytology was performed in 257 patients. Prognosis was investigated in 85 of pT3 and pT4 patients with radical gastrectomy. Intra-operative chemotherapy was selected according to t...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1999-07-01 00:00:00
abstract::The aim of this study was to determine the clinical presentation, morbidity, and mortality and to identify the factors that might affect the outcome of emergency repair in elderly patients. A study of 143 patients (> 65 years old) who underwent emergency surgical repair for incarcerated external hernias during the per...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2003-10-01 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::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::The authors give a brief review of the pathologic anatomy, the incidence and distribution, the probable etiologic factors in the development of spondylolysis and spondylisthesis, and a description of the clinical syndrome of this abnormality. It is pointed out that there are two distinct parts to the clinical syndrome...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1984-10-01 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::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::Causes of early readmissions following lung transplantation are not well understood, and the impact is poorly reported. We reviewed 221 consecutive lung transplantations and identified patients readmitted within 90 days. A case control analysis was performed to determine the characteristics that predict readmission an...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2010-10-01 00:00:00
abstract::Seventy-seven colostomies were performed in 74 patients: 35 for high anorectal agenesis, 34 for Hirschsprung's disease, 2 for necrotizing enterocolitis, 2 for small left colon syndrome, and 1 for volvulus neonatorum with perforation. There were 55 boys and 19 girls with a mean age of 0.8 years. The different types of ...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1992-07-01 00:00:00
abstract::Laparoscopic surgery for malignant diseases is associated with a risk for port site recurrence (PSR), and this problem remains to be resolved. This study was performed to evaluate the role that Seprafilm and Interseed (TC7) play in the prevention of PSR, using a nude mouse model of PSR. Nude mice with 2-mm port sites ...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2004-10-01 00:00:00
abstract::We report the case of a 57-year-old woman with Budd-Chiari syndrome, hepatocellular carcinoma (HCC), and intrahepatic cholangiocarcinoma (ICC). She underwent partial hepatectomy for HCC in April 2000. After surgery, alpha-fetoprotein (AFP) and protein induced by vitamin K absence II (PIVKA-II) returned to normal level...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2005-04-01 00:00:00
abstract::Charnley's compression clamps have hastened the union of cancellous bones but not much success has been obtained in the slender shafts of cortical bones. The principles of biophysics show that a fracture site under compression acts as a hinge joint. If friction is increased in such "joints" along indicated axes, immob...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1977-01-01 00:00:00
abstract::The study was undertaken to investigate the use of one-stage circumferential ring-constriction release with Z-plasties regarding the safety, aesthetic appearance, and limb function. A thorough review was conducted on all English publications in PubMed during the period of 2001 through 2011. Titles and abstracts were i...
journal_title:International surgery
pub_type: 杂志文章,评审
doi:10.9738/INTSURG-D-13-00230.1
更新日期:2015-02-01 00:00:00
abstract::A retrospective study of 46 patients who received bupivacaine local injections after hemorrhoidectomy were compared to a matching group of 46 patients of similar age and sex distribution who underwent the same operation. Pain medications requirement on the same day of operation and on subsequent days were measured and...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1998-01-01 00:00:00
abstract::Cardiac metastases are uncommon and difficult to diagnose clinically; thus, they are most often found only at autopsy. Here we present a case of isolated right atrial cardiac metastasis found 7 weeks after the resection of the primary tumor, which was an adenocarcinoma of the lung. The patient presented with intractab...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2001-07-01 00:00:00
abstract::From 1979 to 1987, 1103 thoracotomies were performed in patients with lung cancer: 824 (74.7%) radical resections, 141 (12.7%) palliative resections and 138 (12.5%) exploratory thoracotomies. Among the 965 patients who underwent resection, 539 patients were N0, 190 patients N1 and 236 patients N2. Among patients with ...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1990-01-01 00:00:00
abstract::This is a review of ectopic localizations of the parathyroid gland in one case. A hard mobile mass (2 x 2.5 cm) was detected on the right side of the neck of a patient who had previously been given a diagnosis of hyperparathyroidism. Computed tomography showed an adenoma (25 x 35 mm) in the paratracheal region on the ...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2004-01-01 00:00:00
abstract::The prophylactic use of the antifibrinolytic drug, PAMBA, in a small intravenous dose preoperatively, combined with local irrigation postoperatively, effectively reduces blood loss. The drug is safe and relatively free of adverse side effects, but attentive postoperative care is warranted. ...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1979-03-01 00:00:00
abstract::Incidence of cholelithiasis in the teaching hospital population of India has been reported. The study suggests that North Indians are more prone to cholelithiasis than South Indians. Apparently this variation is related to dietary and geographical factors. ...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1977-03-01 00:00:00
abstract::A case of carcinoid syndrome in a patient receiving treatment for a malignant non-B-cell tumor of the pancreas is presented, and a survival of >14 years is noted. The probable cause is discussed. The literature is reviewed. It was found that such a presentation is rare, and long-term survival in these cases exceedingl...
journal_title:International surgery
pub_type: 杂志文章,评审
doi:
更新日期:2009-01-01 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::Primary tracheobronchial nonbronchogenic carcinoma tumors are uncommon. The presence of these tumors may cause asthmatic-like symptoms and marked respiratory distress. When seen, the patients are usually very apprehensive and present difficult decisions regarding treatment and surgery, especially with regard to anesth...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2002-04-01 00:00:00