Fungating carcinoma of the stomach: en bloc multiple organ resection and abdominal wall reconstruction.

Abstract:

:A patient with carcinoma of the stomach invading multiple adjacent organs and fungating through the anterior abdominal wall was treated by en bloc multiple organ resection and abdominal wall reconstruction. The patient is alive and well at the time of writing, six months after the operation. The rationale for embarking on multiple organ resection for gastric cancer is discussed. However, such an aggressive surgical approach should only be applied to carefully selected patients who are medically fit and have no evidence of widespread systemic metastases.

journal_name

Postgrad Med J

authors

Chu KM,Lai DT,Stern HS,Sheldon DM

doi

10.1136/pgmj.71.835.303

subject

Has Abstract

pub_date

1995-05-01 00:00:00

pages

303-5

issue

835

eissn

0032-5473

issn

1469-0756

journal_volume

71

pub_type

杂志文章
  • Adenocarcinoma of the gastro-oesophageal junction with a synchronous carcinoid of the duodenum.

    abstract::Duodenal carcinoids are rare tumours. There is an increased incidence of primary carcinomas, especially in the gastrointestinal tract, which occur synchronously with gastrointestinal tract carcinoids. However, the synchronous occurrence of adenocarcinoma of the gastro-oesophageal junction with a duodenal carcinoid has...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pmj.77.906.255

    authors: McCabe HL

    更新日期:2001-04-01 00:00:00

  • Learning curves in surgery: variables, analysis and applications.

    abstract::Learning curves graphically represent the relationship between learning effort and learning outcome. Learning curves are increasingly used in research, the design of randomised controlled trials, the assessment of competency, healthcare education and training programme design. In this review we have outlined the princ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,评审

    doi:10.1136/postgradmedj-2018-135880

    authors: Valsamis EM,Chouari T,O'Dowd-Booth C,Rogers B,Ricketts D

    更新日期:2018-09-01 00:00:00

  • Percutaneous endoscopic gastrostomy in elderly patients.

    abstract::Percutaneous endoscopic gastrostomy (PEG) was performed on 28 elderly patients (mean age 82 years) who were dysphagic and intolerant of naso-gastric feeding. Twenty-six patients were recovering from a stroke; the interval between the onset of stroke and PEG averaged 63 days. The procedure was successful and well toler...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.67.786.371

    authors: Finucane P,Aslan SM,Duncan D

    更新日期:1991-04-01 00:00:00

  • Development of Hodgkin's disease in the course of liver cirrhosis and impaired monocyte function.

    abstract::The monocyte function, as measured by phagocytosis and killing of Candida albicans and Candida pseudotropicalis by peripheral blood monocytes, was found impaired in a patient with cirrhosis of the liver on two separate determinations before the occurrence of bleeding from oesophageal varices. Unexpectedly, Hodgkin's d...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.60.705.482

    authors: Dan M,Hassner A,Jedwab M,Shibolet S

    更新日期:1984-07-01 00:00:00

  • Hypokalaemia induced by thiazide diuretics in the treatment of hypertension: a cause for concern, not nihilism.

    abstract::Thiazide diuretics used alone to treat hypertension can cause hypokalaemia in a substantial proportion of patients. The possibility exists that any benefit of reducing high blood pressure by such treatment may be offset by an increased mortality due to arrhythmias initiated by hypokalaemia. ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:

    authors: Poole-Wilson PA

    更新日期:1983-01-01 00:00:00

  • Acute pancreatitis and Cushing's syndrome.

    abstract::A case of acute necrotizing pancreatitis in a 53-year-old man with an ectopic adrenocorticotrophin (ACTH) producing bronchial carcinoma is described. The aetiology of acute pancreatitis in relation to steroid therapy and malignancy is discussed and it is suggested that excess endogenous steroid production may also cau...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.60.707.618

    authors: Clague HW,Warren B,Krasner N

    更新日期:1984-09-01 00:00:00

  • Detection of hepatic encephalopathy.

    abstract::The most sensitive index of hepatic encephalopathy in 29 patients following a porta-caval shunt appeared to be the assessment of a close relative who had known the patient pre-operatively. They noticed that 19 of the 20 patients were mentally slower; 11 were markedly aggressive and 8 had become placid and uncaring abo...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.62.725.163

    authors: Gazzard BG,Price H,Dawson AM

    更新日期:1986-03-01 00:00:00

  • The journal club and medical education: over one hundred years of unrecorded history.

    abstract::Sir William Osler organized a journal club at McGill University in 1875, and several authors suggest that journal clubs were found in certain European countries (in particular, Germany and England) prior to that time. The evolution and development of the journal club, however, has not been recorded in the medical lite...

    journal_title:Postgraduate medical journal

    pub_type: 历史文章,杂志文章

    doi:10.1136/pgmj.63.740.475

    authors: Linzer M

    更新日期:1987-06-01 00:00:00

  • Peliosis of the spleen: possible association with chronic renal failure and erythropoietin therapy.

    abstract::Splenic peliosis was identified at necropsy in a 62-year-old woman receiving continuous ambulatory peritoneal dialysis for end-stage renal failure, and erythropoietin therapy for uraemia and anaemia. The immediate cause of death was arrhythmia related to ischaemic heart disease, following an episode of intramuscular h...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,评审

    doi:10.1136/pgmj.71.838.493

    authors: Lam KY,Chan AC,Chan TM

    更新日期:1995-08-01 00:00:00

  • Parasites in fine needle breast aspirates--assessment of host tissue response.

    abstract::Parasites in the human breast are uncommon but not rare. Cysticercus and filariasis in fine needle breast aspirates have been documented and their cytomorphology is well characterised. However, the host tissue response to these parasites and the factors responsible for their initiation are not clear. Over a 21 year pe...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pmj.78.917.165

    authors: Sahai K,Kapila K,Verma K

    更新日期:2002-03-01 00:00:00

  • Lysozyme: a brief review.

    abstract::Serum lysozyme (muramidase) estimation is a simple, convenient and useful laboratory investigation. A review of the literature shows that lysozyme has been implicated as an aetiological factor in various disorders, and credited with being a prognostic indicator in acute myeloid leukaemia, but these promises have not b...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.53.619.257

    authors: Mir MA

    更新日期:1977-05-01 00:00:00

  • Blood pressure, plasma volume, extracellular volume and glomerular filtration rate during treatment with labetalol in essential hypertension.

    abstract::In 17 patients with essential hypertension administration of labetalol alone resulted in a significant reduction in supine systolic and diastolic blood pressure of 14% and 17%, respectively. Seven patients attained a diastolic pressure less than equal to 95 mmHg. A significant postural fall in systolic blood pressure ...

    journal_title:Postgraduate medical journal

    pub_type: 临床试验,杂志文章

    doi:

    authors: Rasmussen S,Nielsen PE

    更新日期:1980-01-01 00:00:00

  • A randomised controlled trial of subcutaneous sodium salicylate therapy for osteoarthritis of the thumb.

    abstract:BACKGROUND:Current treatment for osteoarthritis (OA) is limited. Many patients with OA of the hand have areas of tender subcutaneous thickening in the forearm and upper scapular region. A pilot study showed an improvement in pain from OA at the first carpometacarpal joint after injection of such areas with 0.5% sodium ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1136/pgmj.2009.087643

    authors: Smith AS,Doré CJ,Dennis L,Julius A,Mackworth-Young CG

    更新日期:2010-06-01 00:00:00

  • Vertebral osteomyelitis due to Pseudomonas aeruginosa.

    abstract::A case of vertebral osteomyelitis due to Pseudomonas aeruginosa is described and the problems of diagnosis and treatment discussed. ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.53.620.347

    authors: Denham MJ,Goodwin CS

    更新日期:1977-06-01 00:00:00

  • The management of postherpetic neuralgia.

    abstract::Postherpetic neuralgia is defined as pain persisting, or recurring, at the site of shingles at least three months after the onset of the acute rash. Thus defined, at least half of shingles sufferers over the age of 65 years develop postherpetic neuralgia. In addition to increasing age, less important risk factors for ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,评审

    doi:10.1136/pgmj.73.864.623

    authors: Bowsher D

    更新日期:1997-10-01 00:00:00

  • The normal range: it is not normal and it is not a range.

    abstract::The NHS 'Choose Wisely' campaign places greater emphasis on the clinician-patient dialogue. Patients are often in receipt of their laboratory data and want to know whether they are normal. But what is meant by normal? Comparator data, to a measured value, are colloquially known as the 'normal range'. It is often assum...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/postgradmedj-2018-135983

    authors: Whyte MB,Kelly P

    更新日期:2018-11-01 00:00:00

  • The prevalence and nosocomial acquisition of Clostridium difficile in elderly hospitalized patients.

    abstract::Rectal swabs obtained from 10 of 49 chronic-care geriatric patients were positive for Clostridium difficile, for a prevalence rate of 20.4%. Simultaneous sampling of 29 patients in an acute geriatric ward revealed four colonized patients, for a prevalence rate of 13.7%. A prospective study of C. difficile colonization...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.69.807.45

    authors: Rudensky B,Rosner S,Sonnenblick M,van Dijk Y,Shapira E,Isaacsohn M

    更新日期:1993-01-01 00:00:00

  • The value of 5-aminosalicylic acid in inflammatory bowel disease for patients intolerant or allergic to sulphasalazine.

    abstract::The use of sulphasalazine in inflammatory bowel disease is often limited by intolerance or allergy. In previous studies 5-aminosalicylic acid (5ASA), the active ingredient of sulphasalazine, coated with an acrylic resin, has been shown to be as effective as sulphasalazine in maintaining remission. In this study coated...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.61.722.1047

    authors: Donald IP,Wilkinson SP

    更新日期:1985-12-01 00:00:00

  • Associations of the NOS3 rs1799983 polymorphism with circulating nitric oxide and lipid levels: a systematic review and meta-analysis.

    abstract:BACKGROUND:Circulating nitric oxide (NO) and lipid levels are closely associated with coronary artery disease (CAD). It is unclear whether the rs1799983 polymorphism in endothelial nitric oxide synthase (NOS3) gene is associated with plasma levels of NO and lipids. This systematic review and meta-analysis (Preferred Re...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,meta分析

    doi:10.1136/postgradmedj-2019-136396

    authors: Luo Z,Jia A,Lu Z,Muhammad I,Adenrele A,Song Y

    更新日期:2019-07-01 00:00:00

  • Polyglandular autoimmune syndrome type III associated with coeliac disease and sarcoidosis.

    abstract::A female patient demonstrating a previously not reported constellation of polyglandular autoimmune syndrome type III (including autoimmune thyroiditis, Graves' ophthalmopathy, insulin-dependent diabetes mellitus and vitiligo), coeliac disease and sarcoidosis is described. This may be a random association but might als...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.69.807.72

    authors: Papadopoulos KI,Hallengren B

    更新日期:1993-01-01 00:00:00

  • Verrucous carcinoma of the female breast.

    abstract::Verrucous carcinoma is a rare skin malignancy of squamous cell origin. It is characterised by negligible cellular atypia and a low mitotic rate. These are reflected in slow locally invasive behaviour and very infrequent metastatic spread. The tumour is also recognised in oral and anogenital sites. Cutaneous lesions pr...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.75.889.674

    authors: Munro NA,Smith C,Purushotham AD

    更新日期:1999-11-01 00:00:00

  • Aortic aneurysm in a patient with long-standing hypothyroidism.

    abstract::Hypothyroidism over a lifetime is rare. Such a case is reported due to post-coupling dyshormonogenesis in a patient who had developed an aortic aneurysm. It is proposed that the aortic aneurysm could have arisen as a direct consequence of the hypothyroidism. Furthermore, Reilly bodies, which are deposits of mucopolysa...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.58.685.706

    authors: Savage C,Deanfield JE,Jung RT

    更新日期:1982-11-01 00:00:00

  • Subconjunctival haemorrhage: a feature of acute severe asthma.

    abstract::Bilateral subconjunctival haemorrhage was observed on 5 separate occasions in 4 patients presenting a fulminant form of acute severe asthma. Four of these episodes required ventilatory support. All patients recovered from their asthma attack after treatment with bronchodilators, corticosteroids, and oxygen. The incide...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.61.717.579

    authors: Rodriguez-Roisin R,Torres A,Agustí AG,Ussetti P,Agustí-Vidal A

    更新日期:1985-07-01 00:00:00

  • Cerebellar disturbance in psittacosis.

    abstract::A previously fit man developed psittacosis with marked cerebellar symptoms and signs. He was febrile but not confused, and he responded rapidly to treatment with erythromycin. Even if respiratory symptoms are minimal, psittacosis and other atypical pneumonias should be considered in any patient presenting with fever a...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.64.751.382

    authors: Shee CD

    更新日期:1988-05-01 00:00:00

  • Vaginal vein thrombosis in pregnancy.

    abstract::Vaginal vein thrombosis in a pregnant woman is reported. This entity should be differentiated from vaginal arteriovenous fistula which may cause severe antepartum, intrapartum and post-partum haemorrhage. The humoral and mechanical factors which favour the occurrence of varicosities and thrombosis are briefly describe...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.59.692.394

    authors: Gitstein S,Ballas S,Peyser MR

    更新日期:1983-06-01 00:00:00

  • Stents in the oesophagus.

    abstract::The use of self-expanding metal stents can markedly improve the care of patients with inoperable oesophageal malignancy. The stents can be easily introduced without the need for general anaesthesia. They have fewer complications during insertion than rigid stents and fewer complications than laser therapy. With these ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.71.838.453

    authors: Murphy GJ

    更新日期:1995-08-01 00:00:00

  • Tuberculous perforation of the small bowel.

    abstract::Small bowel perforation occurs in up to 2 percent of patients with abdominal tuberculous. Patients present with an acute abdomen. Resection of the diseased segment and 18 months treatment with anti-tuberculosis drugs is recommended. ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.61.713.251

    authors: Aston NO,de Costa AM

    更新日期:1985-03-01 00:00:00

  • Acyclovir treatment of herpes simplex encephalitis: experience in a district hospital.

    abstract::Herpes simplex encephalitis may be underdiagnosed in Britain. We report eight patients treated at one hospital over three years. Fever, impaired consciousness or focal neurological signs were seen in all patients at presentation but herpes simplex encephalitis was rarely considered as the initial diagnosis. The electr...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.63.746.1037

    authors: Gulliford MC,Chandrasekera CP,Cooper RA,Murphy RP

    更新日期:1987-12-01 00:00:00

  • The management of thyroid disease in pregnancy.

    abstract::The management of hyperthyroidism and hypothyroidism in pregnancy is discussed and illustrated with appropriate cases. The dangers of the usage of high doses of antithyroid drugs and of propranolol are described. ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.55.643.340

    authors: Edwards OM

    更新日期:1979-05-01 00:00:00

  • Male pseudohermaphroditism due to 5 alpha-reductase-2 deficiency in an Arab kindred.

    abstract::Six Arabs subjects (three postpubertal, two prepubertal and one pubertal) from three interrelated Omani families with male pseudohermaphroditism due to 5 alpha-reductase-2 deficiency were evaluated. These subjects had been raised as girls since birth as they were born with a clitoral-like phallus and ambiguous externa...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.73.866.802

    authors: al-Attia HM

    更新日期:1997-12-01 00:00:00