Abstract:
:Small-bowel obstruction remains one of the most frequent complications after restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA). Of particular concern is small-bowel adhesion to the pelvic dead space that causes afferent limb obstruction, sometimes necessitating laparotomy. In this report, we describe a technique using an omental pedicle graft (OPG) to fill the pelvic dead space to prevent small-bowel obstruction and the resulting afferent limb obstruction after IPAA. The OPG is created from the left half of the omentum, while maintaining the blood supply from the left gastroepiploic vessels. The omentum is placed into the pelvis along the left paracolic gutter from where the colon has been resected. It is then passed over the pelvic brim and placed behind and along the bilateral sides of the ileal pouch, filling the space. This modified technique was employed in the treatment of four patients with chronic ulcerative colitis, none of whom developed any signs of small-bowel obstruction.
journal_name
Surg Todayjournal_title
Surgery todayauthors
Nakagoe T,Sawai T,Tuji T,Nanashima A,Yamaguchi H,Yasutake T,Ayabe Hdoi
10.1007/BF02483074subject
Has Abstractpub_date
1999-01-01 00:00:00pages
395-7issue
4eissn
0941-1291issn
1436-2813pii
10.1007/BF02483074journal_volume
29pub_type
杂志文章相关文献
SURGERY TODAY文献大全abstract:PURPOSE:Soft pancreatic parenchyma is the most widely recognized risk factor for pancreatic fistula. We conducted this study to clarify if there are preoperative factors related to a soft pancreatic remnant and to establish if they are useful for predicting pancreatic fistula. METHODS:This was a retrospective study of...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-014-1045-7
更新日期:2015-06-01 00:00:00
abstract:PURPOSE:There is evidence that blood transfusion is associated with an increased rate of tumor recurrence. This study was conducted to assess the survival advantage of giving autologous blood instead of allogeneic blood during surgery for esophageal cancer. METHODS:We retrospectively analyzed 62 patients who underwent...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950200191
更新日期:2002-01-01 00:00:00
abstract:PURPOSE:We evaluated the technical and oncological safety of laparoscopic multivisceral resection (MVR) in selected patients with locally advanced colon cancer (LACC). METHODS:We compared the clinical backgrounds, and short- and long-term outcomes of patients who underwent laparoscopic vs. those who underwent open MVR...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-020-01986-9
更新日期:2020-09-01 00:00:00
abstract::The effects of calcium (Ca) on a hyperkalemic cardioplegic solution for continuous cardioplegia were examined in an isolated perfused working rat heart model. The coronary arteries were perfused with a modified Krebs-Henseleit bicarbonate buffer (K-H) solution, containing various concentrations of Ca (0.1, 0.6, 1.2, a...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF00311503
更新日期:1996-01-01 00:00:00
abstract::A rare case of cecal volvulus in cerebral palsy that was preoperatively diagnosed and surgically treated without complications is herein reported. A 45-year old man, who had been treated for cerebral palsy as a result of a neonatal cerebral hemorrhage, was admitted to our hospital because of abdominal pain and vomitin...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-007-3581-x
更新日期:2008-01-01 00:00:00
abstract:PURPOSE:This study was designed to clarify whether laparoscopic antireflux surgery (LARS) improves the esophageal body motility (EBM) in patients with reflux esophagitis. METHODS:Thirty-five patients with gastroesophageal reflux disease (GERD) scheduled to undergo LARS were divided into a mild esophagitis group (ME; n...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-013-0704-4
更新日期:2014-04-01 00:00:00
abstract:PURPOSE:We reviewed the literature regarding the specific methods and strategies for implementing simulation-based training into the modern surgical residency curriculum. Residency programs are still struggling with how best to implement it into their curricula from a practical viewpoint. METHODS:A systematic review w...
journal_title:Surgery today
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s00595-016-1455-9
更新日期:2017-07-01 00:00:00
abstract:PURPOSE:This study was performed to investigate the effect of subcuticular sutures on the incidence of incisional surgical site infection (SSI) after closure of a diverting stoma. METHODS:The study was carried out as a retrospective analysis of prospectively collected data from 51 patients who underwent closure of div...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-010-4405-y
更新日期:2011-07-01 00:00:00
abstract::The antiangiogenic effects of TNP-470 on the neovascularization of tumors were studied by examining ultrastructural alterations in the vasculature and interstitial fluid pressure (IFP) of tumors. Wistar rats were first inoculated subcutaneously (s.c.) with the Walker 256 carcinosarcoma cell line, then either vehicle m...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950050252
更新日期:1998-01-01 00:00:00
abstract::Heart failure mainly caused by ischemic or dilated cardiomyopathy is a life-threatening disorder worldwide. The previous work in cardiac surgery has led to many excellent surgical techniques for treating cardiac diseases, and these procedures are now able to prolong the human lifespan. However, surgical treatment for ...
journal_title:Surgery today
pub_type: 杂志文章,评审
doi:10.1007/s00595-015-1149-8
更新日期:2016-02-01 00:00:00
abstract::The aim of this study was to investigate the expression of the immediate early genes (IEGs), c-fos and c-jun, in the rat kidney and liver in two types of hemorrhage shock/resuscitation models. In the first group, hemorrhagic shock was induced by the withdrawal of blood through the carotid artery. A mean arterial blood...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950050193
更新日期:1998-01-01 00:00:00
abstract:PURPOSE:The roles of angiogenesis and the most prominent angiogenic vascular endothelial growth factor (VEGF) in diseases of the pancreas remain controversial. We compared microvessel density (MVD) and VEGF status in normal pancreatic, chronic pancreatic, and pancreatic cancer (PC) tissues to establish their prognostic...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-011-0045-0
更新日期:2012-01-01 00:00:00
abstract::The antitumor effects of an experimental chemoendocrine therapy combining a new pure antiestrogen ICI 182780 and 5-fluorouracil (5-FU) were studied on MCF-7 human breast cancer cells implanted in nude mice. ICI 182780 had a dose-dependent antitumor activity, which was potentiated by the concomitant use of 5-FU. When c...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF02482240
更新日期:1999-01-01 00:00:00
abstract::Glucagon has a choleretic effect and also stimulates energy-consuming reactions, such as gluconeogenesis and ureogenesis in the liver. The effect of glucagon on energy metabolism in the liver was analyzed in rabbits with obstructive jaundice that had severe liver damage, indicated by significantly lower hepatic energy...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF02215811
更新日期:1994-01-01 00:00:00
abstract::The effect of OK432 on hepatic metastasis, induced by inoculating 1 x 10(6) ACL-15 cells from a rat colon adenocarcinoma cell line into the ileocolic vein of male F344 rats, was investigated in this study. Metastases were detected 14 days after inoculation in the control rats, however, pretreatment 3 days prior to the...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF01636774
更新日期:1994-01-01 00:00:00
abstract::Papillary adenocarcinoma is extremely rare in the squamous epithelium-lined esophagus. The histopathologic and immunohistochemical characteristics were examined in a composite tumor showing distinct papillary adenocarcinoma and squamous cell carcinoma of the esophagus resected from a 66-year-old man. The esophageal tu...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950050601
更新日期:2000-01-01 00:00:00
abstract:PURPOSE:The impact of neoadjuvant therapy (NAT) for rectal cancer on lymph node yield is not well known. This study evaluates the impact of NAT on tumor regression and lymph node harvest. METHODS:The subjects were 40 patients with rectal cancer; 20 receiving high-dose, long-course neoadjuvant therapy, and 20 age- and ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-004-2956-5
更新日期:2005-01-01 00:00:00
abstract::Cytomegalovirus (CMV) colitis in the immunosuppressed patient is common and is usually self-limited by treatment consisting of intravenous anti-viral medications. However, in the immunocompetent patient, CMV colitis is extremely rare and is associated with a high mortality rate that approaches 32 % (Galiatsatos et al....
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-014-1033-y
更新日期:2015-05-01 00:00:00
abstract::Hepatic ischemia was induced by clamping the hepatic artery, portal vein, and bile duct. After 15 min of ischemia, the hepatic glutathione (GSH) content rapidly decreased. On the other hand, after the start of reperfusion, the hepatic GSH levels promptly increased and reached a peak at about 1 h, and thereafter decrea...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/PL00010035
更新日期:1999-01-01 00:00:00
abstract:PURPOSE:Calcitonin is the most sensitive tumor marker of medullary thyroid carcinoma (MTC) and a calcium stimulation test is used to improve this sensitivity. In Japan, the electrochemiluminescence immunoassay (ECLIA) is currently the only test performed to measure serum calcitonin. There is a gender difference in the ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-017-1578-7
更新日期:2018-02-01 00:00:00
abstract:PURPOSE:Prolonged postoperative ileus (POI) is a common complication after open abdominal surgery (OAS). Daikenchuto (DKT), a traditional Japanese medicine that peripherally stimulates the neurogenic pathway, is used to treat prolonged POI in Japan. To analyze whether DKT accelerates the recovery from prolonged POI aft...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-019-01787-9
更新日期:2019-08-01 00:00:00
abstract::Cytomegalovirus (CMV) infection is associated with significant morbidity and mortality in immunocompromised patients. In immunocompetent individuals, the infection is usually subclinical but it can sometimes be life threatening. We describe a case of fatal CMV proctitis in a 71-year-old man following an Ivor-Lewis eso...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-006-3335-1
更新日期:2007-01-01 00:00:00
abstract::Pancreatic complex deep injury extending to the main pancreatic duct (MPD), caused by strong external forces such as traffic accidents, is lethal without emergency surgery. However, the best surgical procedure for this serious injury has not been established. The Bracey procedure is a relatively simple reconstructive ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-018-1667-2
更新日期:2018-09-01 00:00:00
abstract::This report describes the successful treatment of quadruple cancer including Bowen's disease in a 71-year-old man who had been given injections of salvarsan, an arsenic compound, for syphilis more than 40 years earlier. Resection of a skin lesion on his chest subsequently confirmed a diagnosis of Bowen's disease, 3 ye...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF01367469
更新日期:1994-01-01 00:00:00
abstract::Unilateral diaphragmatic agenesis is a rare finding in adult patients. We herein present the case of a 24-year-old male patient who was diagnosed and surgically treated for the complete absence of the left hemidiaphragm. His symptoms included acute respiratory distress, ipsilateral absence of breath sounds, and vague ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-009-4077-7
更新日期:2010-04-01 00:00:00
abstract::This study was conducted to examine the effects of surgical stress on changes in polymorphonuclear leukocyte elastase (PMNE) levels, and to evaluate the relationship of these changes to the development of postoperative complication. A total of 69 patients who underwent alimentary surgery were subsequently divided into...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF02385902
更新日期:1997-01-01 00:00:00
abstract::We report herein an extremely rare case of retroperitoneal neuroblastoma occurring in a mother during her third trimester of pregnancy. A live male infant was delivered by cesarean section at 36 weeks gestation and 23 days later, the mother's tumor was curatively resected. Six months have elapsed since her operation a...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF00311716
更新日期:1993-01-01 00:00:00
abstract::Congenital coronary artery fistulas account for only 0.27%-0.4% of all congenital cardiac defects. We report a case of a right coronary artery (RCA) to a right ventricular(RV) fistula found in 14-year-old girl with clinical signs of heart failure. Echocardiography and cardiac catheterization showed the fistula and a d...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-006-3425-0
更新日期:2007-01-01 00:00:00
abstract:PURPOSE:We evaluated the role of intraoperative frozen section (FS) in the surgical management of solitary thyroid nodules, as its true value is a subject of some controversy. METHODS:We reviewed the records of 206 consecutive patients operated on for solitary thyroid nodules. All patients had undergone both preoperat...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950200167
更新日期:2002-01-01 00:00:00
abstract::During the fetal-neonatal period, a primary cardiac tumor may be completely asymptomatic and such tumors may be incidentally discovered by echocardiography. A four-hour-old male was diagnosed to have a cardiac tumor by post-natal echocardiography and was observed closely. Surgery was indicated immediately at the 3 wee...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-013-0614-5
更新日期:2014-09-01 00:00:00