Abstract:
BACKGROUND:To determine the current surgical management of bleeding duodenal ulcers in our program, faculty (FAC) and residents (RES) were surveyed. METHODS:FAC (n = 33) and RES (n = 42) were surveyed regarding their surgery of choice between oversew (OS) or acid-reducing procedures (ARPs) in 4 scenarios. FAC who had recertified in general surgery (RECERT) were compared with young FAC who had not and RES (RES/young FAC). Two-group comparisons were performed. RESULTS:Seventy-three percent of FAC and 62% of RES responded. RES perform more ARPs on hemodynamic (HD), unstable, elderly patients than FAC (P = .013). On the elderly patient, RES/young FAC perform more ARPs in a HD stable (P = .07) and unstable condition (P = .18). HD unstable patients would undergo OS more frequently than stable patients (P = .016). CONCLUSIONS:In this survey, the choice of optimal surgical procedure for an acute bleeding ulcer varies among surgeons based on years of surgical experience and individual patient factors.
journal_name
Am J Surgjournal_title
American journal of surgeryauthors
Reuben BC,Neumayer LAdoi
10.1016/j.amjsurg.2006.08.021subject
Has Abstractpub_date
2006-11-01 00:00:00pages
e42-5issue
5eissn
0002-9610issn
1879-1883pii
S0002-9610(06)00525-3journal_volume
192pub_type
杂志文章abstract::An improved technique is presented for placement of the upper arm graft fistula for hemodialysis. This approach brings the graft anteriorly across the front of the biceps muscle, thereby allowing easier puncture and greater comfort for the patient during dialysis treatment. ...
journal_title:American journal of surgery
pub_type: 杂志文章
doi:10.1016/0002-9610(86)90478-2
更新日期:1986-03-01 00:00:00
abstract::A hundred consecutive patients who underwent cholecystectomy and exploration of the common bile duct were studied. The traditional indications for exploration resulted in a yield of 55 percent positive explorations. There were nine patients with retained stones, three of whom died. The high mortality rate of patients ...
journal_title:American journal of surgery
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abstract:BACKGROUND:Despite significant advantages to patients, less than 5% of all colorectal surgeries for cancer are performed laparoscopically. A minimally invasive colorectal cancer program was created in our Veterans' Affairs hospital with the intent of increasing access and improving quality of patient care while maintai...
journal_title:American journal of surgery
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journal_title:American journal of surgery
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更新日期:2013-02-01 00:00:00
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journal_title:American journal of surgery
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journal_title:American journal of surgery
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journal_title:American journal of surgery
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journal_title:American journal of surgery
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journal_title:American journal of surgery
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journal_title:American journal of surgery
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journal_title:American journal of surgery
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doi:10.1016/j.amjsurg.2005.07.012
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journal_title:American journal of surgery
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journal_title:American journal of surgery
pub_type: 杂志文章
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更新日期:1986-07-01 00:00:00
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journal_title:American journal of surgery
pub_type: 杂志文章
doi:10.1016/0002-9610(82)90010-1
更新日期:1982-09-01 00:00:00
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journal_title:American journal of surgery
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更新日期:2011-10-01 00:00:00
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journal_title:American journal of surgery
pub_type: 杂志文章
doi:10.1016/j.amjsurg.2006.08.050
更新日期:2006-12-01 00:00:00
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journal_title:American journal of surgery
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journal_title:American journal of surgery
pub_type: 临床试验,杂志文章
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更新日期:1999-06-01 00:00:00
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journal_title:American journal of surgery
pub_type: 杂志文章
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更新日期:1991-07-01 00:00:00
abstract:BACKGROUND:Advantages of laparoscopic cholecystectomy (LC) such as less pain and short hospital stay make it the treatment of choice for cholelithiasis. There are limited data about LC under spinal anesthesia. This study was designed to evaluate LC under spinal anesthesia. METHODS:Twenty-nine patients underwent surger...
journal_title:American journal of surgery
pub_type: 临床试验,杂志文章
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更新日期:2008-04-01 00:00:00
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journal_title:American journal of surgery
pub_type: 杂志文章
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更新日期:1978-02-01 00:00:00
abstract::Initial manifestations of AIDS in the head and neck area occur frequently. In fact, up to 40 percent of patients may have involvement of the head and neck. The most common malignancies are Kaposi's sarcoma and non-Hodgkin's lymphoma. Since AIDS-related malignancies are a relatively new problem for radiation oncologist...
journal_title:American journal of surgery
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