Abstract:
:We performed spirometry on 114 morbidly obese patients considered for gastric bypass surgery to assess its efficacy as a preoperative screening test. One hundred eight subjects underwent surgery, and 61 patients returned for repeat spirometry 1 year later. The average preoperative forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), and mid flow (FEF25-75%) were 100% of predicted. Spirometry identified no more of our obese subjects as abnormal than would have been identified in a group of healthy, nonobese individuals. Each surgical case was reviewed. An abnormal preoperative spirogram did not identify the patients who experienced postoperative complications. Weight loss was associated with very small increases in FVC (300 ml) and FEV1 (245 ml). Preoperative spirometric testing is not indicated in morbidly obese patients with no other identifiable risk factors for postoperative respiratory complications.
journal_name
Surgeryjournal_title
Surgeryauthors
Crapo RO,Kelly TM,Elliott CG,Jones SBsubject
Has Abstractpub_date
1986-06-01 00:00:00pages
763-8issue
6eissn
0039-6060issn
1532-7361pii
0039-6060(86)90305-3journal_volume
99pub_type
杂志文章相关文献
SURGERY文献大全abstract:BACKGROUND:Traumatic injury is strongly associated with long-term mental health disorders, but the risk factors for developing these disorders are poorly understood. We report on a multi-institutional collaboration to collect long-term patient-centered outcomes after trauma, including screening for post-traumatic stres...
journal_title:Surgery
pub_type: 杂志文章,多中心研究
doi:10.1016/j.surg.2018.07.017
更新日期:2018-12-01 00:00:00
abstract:BACKGROUND:Surgery for pancreatic necrosis is associated with a high morbidity and mortality. The aim of this study was to review the incidence of early and late complications after pancreatic necrosectomy in a large contemporary series of patients. METHODS:The clinical outcomes of 88 patients who underwent pancreatic...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2005.01.003
更新日期:2005-05-01 00:00:00
abstract:BACKGROUND:Adaptation after massive smallbowel resection (SBR) is associated with increased cell turnover, increased rates of enterocyte proliferation, and apoptosis. Epidermal growth factor receptor (EGFR) inhibition attenuates adaptation and increases apoptosis. Intestinal levels of bax appear to correlate with EGFR ...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2004.04.004
更新日期:2004-08-01 00:00:00
abstract:BACKGROUND:Anastomotic leakage represents a major complication after anterior resection of the rectum. The incidence of anastomotic leakage varies considerably among clinical studies in part owing to the lack of a standardized definition of this complication. The aim of the present article was to propose a definition a...
journal_title:Surgery
pub_type: 杂志文章,评审
doi:10.1016/j.surg.2009.10.012
更新日期:2010-03-01 00:00:00
abstract:BACKGROUND:Less invasive operations such as laparoscopic surgery have been developed for treating gastrointestinal malignancies. However, the advantages of video-assisted thoracoscopic surgery for esophageal cancer (VATS-e) with regard to postoperative morbidity and mortality remains controversial. METHODS:We investig...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2011.12.006
更新日期:2012-05-01 00:00:00
abstract:BACKGROUND:Classic surgical treatment of upper third gastric carcinoma is based on an extended total gastrectomy, including splenectomy. The purpose of this study was to perform a prospective randomized clinical trial comparing the early and late results of total gastrectomy (TG) versus total gastrectomy plus splenecto...
journal_title:Surgery
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1067/msy.2002.121891
更新日期:2002-04-01 00:00:00
abstract:BACKGROUND:Lateral neck lymph node (LN) metastases (N1b) have been identified as independent risk factors of recurrence in patients with papillary thyroid carcinoma (PTC). OBJECTIVE:This study aimed to determine the predictive factors of recurrence in N1b PTC patients and to clarify the postoperative event patterns. ...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2015.08.033
更新日期:2016-03-01 00:00:00
abstract::Coexistent caval and portal hypertension was recognized on preoperative angiographic study of a patient with cirrhosis and variceal bleeding. This hemodynamic situation can preclude adequate reduction of portal hypertension by portasystemic shunt and can result in fatal postoperative bleeding. Resection of a very larg...
journal_title:Surgery
pub_type: 杂志文章
doi:
更新日期:1980-05-01 00:00:00
abstract:BACKGROUND:Giant duodenal ulcer (GDU) is generally thought to require surgical intervention. Proton pump inhibitors have beneficial effects in peptic ulcer disease, but their role in GDU disease is unknown. We examined the use of omeprazole in GDU management. METHODS:Twenty-eight patients were diagnosed with GDU. One ...
journal_title:Surgery
pub_type: 临床试验,杂志文章
doi:
更新日期:1999-10-01 00:00:00
abstract:BACKGROUND:Adrenal venous sampling (AVS) is used in the workup of primary hyperaldosteronism (PA). The purpose of this study was to determine the success rate of AVS and to examine the decision-making process after "less than ideal" AVS. METHODS:A total of 60 patients underwent 62 AVS for PA. Biochemical evidence of a...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2006.07.026
更新日期:2006-12-01 00:00:00
abstract:BACKGROUND:Major operative injury initiates immunologic changes that may result in a systemic inflammatory response, leading to organ dysfunction/sepsis. Catecholamines seem to be key mediators. The effects of beta(2) receptor blockade in vitro and in vivo before and after operative injury were studied to clarify their...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2008.09.013
更新日期:2009-02-01 00:00:00
abstract:BACKGROUND:The objective of the current study was to define the incidence, as well as time course of mortality within the first year after liver transplantation. METHODS:Data on adult, first-time liver transplant recipients transplanted between February 2002 and June 2016 were obtained from the United Network for Orga...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2018.04.039
更新日期:2018-10-01 00:00:00
abstract:BACKGROUND:This study reports national estimates of population characteristics and outcomes for patients with esophageal atresia with or without tracheoesophageal fistula (EA/TEF) and evaluates the relationships between hospital volume and outcomes. METHODS:Patients admitted within 30 days of life who had Internationa...
journal_title:Surgery
pub_type: 杂志文章,多中心研究
doi:10.1016/j.surg.2014.03.016
更新日期:2014-08-01 00:00:00
abstract:BACKGROUND:The hypermetabolic response to severe burn is characterized by muscle protein catabolism. Current opinion states that the hypermetabolic state resolves soon after complete wound closure. Clinically, we have witnessed that burned children appear to be hypermetabolic and catabolic long after full healing of th...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1067/msy.2000.108059
更新日期:2000-08-01 00:00:00
abstract:BACKGROUND:Peptide receptor radionuclide therapy is a valid therapeutic option for pancreatic neuroendocrine neoplasms. The aim of this study was to describe an initial experience with the use of peptide receptor radionuclide therapy as a neoadjuvant agent for resectable or potentially resectable pancreatic neuroendocr...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2017.11.007
更新日期:2018-04-01 00:00:00
abstract:BACKGROUND:Preoperative noninvasive localization studies of the neck and mediastinum are beneficial before reoperation. However, the role of selective venous sampling (SVS) for parathyroid hormone (PTH) in reoperative parathyroid surgery has never been clearly defined. The purpose of this study was to evaluate the accu...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1067/msy.2002.128477
更新日期:2002-12-01 00:00:00
abstract::This study was designed to show whether weight-losing cancer patients have an elevated glycerol turnover. Four groups of patients were examined: weight-losing cancer patients, weight-losing patients without cancer, cancer patients without weight loss, and weight-stable and well-nourished hospitalized control patients....
journal_title:Surgery
pub_type: 杂志文章
doi:
更新日期:1985-02-01 00:00:00
abstract::From 1965 to 1985, of 1108 patients with advanced gastric cancer who underwent gastric resection in our department, 216 patients (19.5%) had synchronous peritoneal dissemination (PD) or liver metastasis (LM). The 1-year survival rate was 22.5% for PD, 14.7% for LM, and 4.8% for PD plus LM (p less than 0.01). With PD, ...
journal_title:Surgery
pub_type: 杂志文章
doi:
更新日期:1991-11-01 00:00:00
abstract::The incidence and management of complications of injection sclerotherapy are reviewed in 304 consecutive patients with esophageal varices followed up prospectively for a 10-year period. The 304 patients were injected on 1336 occasions. Three hundred eleven local esophageal complications occurred in 140 patients (compl...
journal_title:Surgery
pub_type: 杂志文章
doi:
更新日期:1989-02-01 00:00:00
abstract:BACKGROUND:Despite the accumulation of favorable results from laparoscopic liver resection (LLR), centrally located tumors close to the hilum, major hepatic veins, or inferior vena cava (IVC) are still considered contraindications for LLR. We evaluated the feasibility and safety of LLR for centrally located tumors. ME...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2012.10.004
更新日期:2013-04-01 00:00:00
abstract:BACKGROUND:Understanding predictors of mortality in bariatric surgery enables surgeons to use these factors for analysis of risk-adjusted mortality and aids in the surgical decision making and informed consent process. OBJECTIVES:To evaluate the effect of patient characteristics (age, gender, race, and payer type), pr...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2011.05.020
更新日期:2011-08-01 00:00:00
abstract:BACKGROUND:To help control the coronavirus disease 2019 pandemic, elective procedures have been cancelled in most US hospitals by government order. The purpose of this study is to estimate national hospital reimbursement and net income losses owing to elective surgical procedure cancellation during the coronavirus dise...
journal_title:Surgery
pub_type: 杂志文章,多中心研究
doi:10.1016/j.surg.2020.07.014
更新日期:2020-11-01 00:00:00
abstract:BACKGROUND:Noncommunicable diseases, including those requiring surgical care, are increasingly straining low- and middle-income countries. Globally, 11% of all disability-adjusted life-years lost result from conditions requiring surgery; however, little is known about country-specific burden. We piloted a household-bas...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2015.05.011
更新日期:2015-09-01 00:00:00
abstract::The immune response to an intravenous bolus of sheep erythrocytes, a large particulate antigen, was examined in weanling Sprague-Dawley rats after varying reduction in spleen size by splenic artery ligation (SAL) or partial amputation (pSx), and the results were compared with splenectomized (Sx) and sham-operated cont...
journal_title:Surgery
pub_type: 杂志文章
doi:
更新日期:1978-07-01 00:00:00
abstract:BACKGROUND:The purpose of this study was to determine performance retention after initial and ongoing Fundamentals of Laparoscopic Surgery (FLS) skills training. METHODS:Surgery residents (postgraduate year [PGY] 1-5; n = 91) initially underwent proficiency-based training during a 2-month period for all 5 FLS tasks. S...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2009.05.009
更新日期:2009-08-01 00:00:00
abstract:BACKGROUND:Because retrospective clinical studies yield conflicting results and experimental data are completely absent, this study was performed to determine whether anastomotic repair in the intestine deteriorates with age. METHODS:Ileal and colonic anastomoses were constructed in two groups of healthy rats, ages 2 ...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/s0039-6060(96)80207-8
更新日期:1996-01-01 00:00:00
abstract:BACKGROUND:There are few population-based studies addressing the survival after resection for esophageal cancer. This study represents an update of a nationwide Swedish cohort initiated in 1987. METHODS:Based on data from the Swedish Patient Register, Swedish Cancer Register, and histopathologic records, 1,008 patient...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2012.03.025
更新日期:2012-11-01 00:00:00
abstract::We report here the first development of a continuous cell line in tissue culture of an animal pancreatic duct adenocarcinoma that is histologically similar to human pancreatic duct adenocarcinoma. A primary pancreatic duct adenocarcinoma, induced in a male Syrian golden hamster after 23 weeks of weekly subcutaneous in...
journal_title:Surgery
pub_type: 杂志文章
doi:
更新日期:1982-07-01 00:00:00
abstract::Reliable cancer statistics reveal an unexplained increase in the incidence and rate of death from melanoma. Increased exposure to ultraviolet light does not seem to be a factor. Hormones may affect the incidence but do not influence survival. The recognition of the biologic evolution of different types of melanomas an...
journal_title:Surgery
pub_type: 杂志文章,评审
doi:
更新日期:1983-04-01 00:00:00
abstract::Previous studies performed in our laboratory with a constant-pressure model of hemorrhagic shock in the anesthetized rat have failed to find any significant effect of shock on the glycogen or high-energy phosphate content of the soleus muscle that would be consistent with inadequate oxygen supply. The present study ex...
journal_title:Surgery
pub_type: 杂志文章
doi:
更新日期:1985-10-01 00:00:00