Lower gastrointestinal bleeding with negative or inconclusive radiographic studies: the role of colonoscopy.

Abstract:

:The records of more than 1,000 patients who underwent colonoscopy were reviewed. The study group consisted of 55 of these 1,000 patients who had persistent unexplained bleeding per rectum and negative radiographic examinations. Colonoscopy was helpful in defining the site of bleeding in approximately 50 per cent of the patients studied.

journal_name

Am J Surg

authors

Todd GJ,Forde KA

doi

10.1016/0002-9610(79)90332-5

subject

Has Abstract

pub_date

1979-11-01 00:00:00

pages

627-8

issue

5

eissn

0002-9610

issn

1879-1883

pii

0002-9610(79)90332-5

journal_volume

138

pub_type

杂志文章
  • Trauma-associated pneumonia in adult ventilated patients.

    abstract:BACKGROUND:The clinical pulmonary infection score (CPIS) and bronchoalveolar lavage (BAL) are 2 tools that have been validated to diagnose pneumonia in critically ill patients. However, the role of the CPIS in diagnosing trauma-associated pneumonia (TAP) remains in question. METHODS:This prospective observational stud...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2010.10.010

    authors: Patel CB,Gillespie TL,Goslar PW,Sindhwani M,Petersen SR

    更新日期:2011-07-01 00:00:00

  • Esophageal manometry and 24-hour pH monitoring in the diagnosis of pulmonary aspiration secondary to gastroesophageal reflux.

    abstract::Twenty-three consecutive patients who had persistent respiratory symptoms of unexplained etiology were evaluated to determine the presence of gastroesophageal reflux (GER) and its relationship to their respiratory complaints. Lower esophageal sphincter (LES) and upper esophageal sphincter (UES) pressures and the chara...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(92)90041-o

    authors: Patti MG,Debas HT,Pellegrini CA

    更新日期:1992-04-01 00:00:00

  • A simple method for percutaneous cannulation of the internal jugular vein.

    abstract::A safe and rapid technic for internal jugular vein cannulation is described. The success rate is almost as high and the serious complication rate is much lower than subclavian vein cannulation. ...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(78)90148-4

    authors: Stevens JC,Hamit HF

    更新日期:1978-05-01 00:00:00

  • Improving surgical residents' communication in disclosing complications: A qualitative analysis of simulated physician and patient surrogate conversations.

    abstract:BACKGROUND:In this study, we explore surgical resident communication with simulated patient surrogates (SPs), in an Objective Structured Clinical Examination (OSCE). METHODS:We use discourse analysis (DA), a qualitative approach to analyzing language, to evaluate our residents' interactions with simulated patient surr...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2017.10.041

    authors: Branson CF,Chipman JG

    更新日期:2018-02-01 00:00:00

  • Surgical management of renal cell carcinoma with inferior vena cava tumor thrombus.

    abstract:BACKGROUND:The successful excision of a renal cell carcinoma (RCC) invading the inferior vena cava (IVC) remains a technical intraoperative challenge and requires a careful preoperative surgical management planning. Although a radical operation remains the mainstay of the therapy for RCC, the optimal management of the ...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(02)00782-1

    authors: Kaplan S,Ekici S,Doğan R,Demircin M,Ozen H,Paşaoğlu I

    更新日期:2002-03-01 00:00:00

  • Late follow-up of carotid endarterectomy with venous patch angioplasty.

    abstract::Ninety carotid endarterectomies with venous patch angioplasty were performed in 83 patients between July 1980 and December 1985. The primary indication for patching was a small-caliber internal carotid artery (ICA) with a diameter less than 3.0 mm in 54 arteriotomies (60%). Patency of the endarterectomy was evaluated ...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(91)90201-n

    authors: Hans SS

    更新日期:1991-07-01 00:00:00

  • Benefits of pulmonary artery catheter and transesophageal echocardiographic monitoring in laparoscopic cholecystectomy patients with cardiac disease.

    abstract:BACKGROUND:Because the abdominal insufflation and desufflation associated with laparoscopic procedures may adversely effect a compromised myocardium, patients with significant cardiopulmonary disease should be closely monitored during these procedures. The utility of intraoperative pulmonary artery catheter (PAC) and t...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(99)80137-8

    authors: Portera CA,Compton RP,Walters DN,Browder IW

    更新日期:1995-02-01 00:00:00

  • Shunt surgery versus endoscopic sclerotherapy for variceal hemorrhage: late results of a randomized trial.

    abstract::Between September 1982 and April 1988, 60 cirrhotic patients with prior variceal hemorrhage were randomized to undergo the placement of an elective shunt (distal splenorenal: 26; nonselective: 4) or long-term endoscopic sclerotherapy (n = 30). Eighty-six percent of patients had alcoholic cirrhosis, and 33% were classi...

    journal_title:American journal of surgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0002-9610(05)80400-3

    authors: Rikkers LF,Jin G,Burnett DA,Buchi KN,Cormier RA

    更新日期:1993-01-01 00:00:00

  • A rapid technic for quantitating wound bacterial count.

    abstract::An improved technic has been developed to predict rapidly the critical number of bacteria in tissues. This technic gave reliable and accurate measurements for wounds containing more than 2 X 10(5) organisms per gram of tissue. It is fortuitous that 10(6) bacteria is the critical number of bacteria that will induced cl...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(77)90174-x

    authors: Magee C,Haury B,Rodeheaver G,Fox J,Edgerton MT,Edlich RF

    更新日期:1977-06-01 00:00:00

  • Tertiary trauma care in a rural state.

    abstract::Trauma patients in rural areas usually have no access to regional trauma systems or designated trauma centers. Efforts to provide quality trauma care in small hospitals may seriously overextend local capabilities. The urban trauma center retains an important role in trauma care even when the initial care must be provi...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(05)80767-6

    authors: Cone JB

    更新日期:1990-12-01 00:00:00

  • Comparison of open and minimally invasive thymectomies at a single institution.

    abstract:BACKGROUND:Most thymectomies are performed via sternotomy. Minimally invasive thymectomy (MIT) has been described but its potential benefits and drawbacks remain unclear. METHODS:A retrospective chart review comparing thymectomies performed via sternotomy to MIT at a single institution between 2005 and 2009. RESULTS:...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2010.01.001

    authors: Youssef SJ,Louie BE,Farivar AS,Blitz M,Aye RW,Vallières E

    更新日期:2010-05-01 00:00:00

  • Posterior triangle metastases of squamous cell carcinoma of the upper aerodigestive tract.

    abstract::The trend toward function-conserving surgery in the treatment of squamous cell carcinoma of the head and neck has led to a progression from radical neck dissection to modified neck dissection and selective neck dissection has growing support. These surgical modifications have resulted from an effort to spare structure...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(05)80340-x

    authors: Davidson BJ,Kulkarny V,Delacure MD,Shah JP

    更新日期:1993-10-01 00:00:00

  • Biliary carcinoembryonic antigen levels are a marker for cholangiocarcinoma.

    abstract:BACKGROUND:Cholangiocarcinoma develops in 5% to 15% of patients with choledochal cysts, sclerosing cholangitis, and intrahepatic stones. The detection of cholangiocarcinoma in patients with premalignant biliary conditions has been difficult. Serum levels of carcinoembryonic antigen (CEA) have been neither sensitive nor...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/S0002-9610(99)80090-7

    authors: Nakeeb A,Lipsett PA,Lillemoe KD,Fox-Talbot MK,Coleman J,Cameron JL,Pitt HA

    更新日期:1996-01-01 00:00:00

  • Reconstruction of the portal vein using a peritoneal patch-graft.

    abstract:BACKGROUND:Reconstruction of the portal vein with autologous veins requires extra incisions. Prosthetic material is associated with an increased risk of infection. We therefore created an animal model of portal vein reconstruction using the peritoneum. METHODS:A 2.5 x 2.5 cm piece of the peritoneum was resected from L...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(01)00552-9

    authors: Yoshioka M,Onda M,Tajiri T,Akimaru K,Mineta S,Hirakata A,Takubo K

    更新日期:2001-03-01 00:00:00

  • Fiberoptic intraoperative illumination of the stomach as an aid in the management of acute gastric hemorrhage.

    abstract::Intragastric illumination using a flexible light source is described as a technical aid in the management of gastric bleeding. The flexible light source can be recommended for illumination of the proximal intragastric area to facilitate surgical control of bleeding from Mallory-Weiss lacerations, ulcers, varices, and ...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(77)90173-8

    authors: Delany HM,Moss CM

    更新日期:1977-06-01 00:00:00

  • Effects of concurrent sepsis with clinically significant pulmonary embolic disease.

    abstract::Forty-one patients with significant pulmonary emboli were reviewed. The presence of heart disease and obesity was found with relatively constant frequency throughout the groups presented. Postoperative infections (wounds or abscess) were frequently associated with fatal or significant pulmonary embolism, particularly ...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(79)90067-9

    authors: West B,Garrison RN,Flint LM Jr

    更新日期:1979-03-01 00:00:00

  • Platelet aggregability after splenectomy in patients with normosplenism and hypersplenism.

    abstract::The relationship between platelet count and aggregability was serially evaluated after splenectomy in patients with normosplenism and hypersplenism, and the results were compared with those found in patients undergoing only upper abdominal surgery. The preoperative count and aggregability of platelets were significant...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(78)90242-8

    authors: Nagasue N,Inokuchi K,Kobayashi M,Kanashima R

    更新日期:1978-08-01 00:00:00

  • Carcinoid tumors of the ileum.

    abstract::Thirty patients with carcinoid tumors of the ileum over a recent 10-year period have been analyzed. Seventeen patients were symptomatic and 13 others were found to have tumors incidentally at autopsy or celiotomy. Patients with symptoms almost invariably had metastatic disease, yet preoperative diagnosis was rarely ac...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(83)90272-6

    authors: Peck JJ,Shields AB,Boyden AM,Dworkin LA,Nadal JW

    更新日期:1983-07-01 00:00:00

  • Postoperative respiratory failure: An update on the validity of the Agency for Healthcare Research and Quality Patient Safety Indicator 11 in an era of clinical documentation improvement programs.

    abstract:BACKGROUND:Administrative data can be used to identify cases of postoperative respiratory failure (PRF). We aimed to determine if recent changes to the Agency for Healthcare Research and Quality Patient Safety Indicator 11 (PSI 11) and adoption of clinical documentation improvement programs have improved the validity o...

    journal_title:American journal of surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.amjsurg.2019.11.019

    authors: Stocking JC,Utter GH,Drake C,Aldrich JM,Ong MK,Amin A,Marmor RA,Godat L,Cannesson M,Gropper MA,Romano PS

    更新日期:2020-07-01 00:00:00

  • Popliteal-to-tibial in situ saphenous vein bypass for limb salvage in diabetic patients.

    abstract::This study has summarized our results with popliteal-tibial in situ saphenous vein bypass in 26 patients, 25 of whom were diabetic, over a 2 year period. Both above- and below-knee popliteal inflow sites were used for bypass of limb-threatening ischemia. Distal calf or pedal outflow sites were required in all but two ...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(87)90191-7

    authors: Rhodes GR,Rollins D,Sidawy AN,Skudder P,Buchbinder D

    更新日期:1987-08-01 00:00:00

  • Improved cannula for operative (cystic duct) cholangiography.

    abstract::A new S-shaped cystic duct metal cannula was developed and used successfully in 200 cystic duct cholangiograms. It has the advantage of being easy to manipulate because the configuration does not obscure the vision and the resistance is less than that of plastic tubes, facilitating injection with lower pressure. It is...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(79)90106-5

    authors: Berci G,Shore JM

    更新日期:1979-06-01 00:00:00

  • The fate of unscreened women in colon cancer: impact on staging and prognosis.

    abstract:BACKGROUND:Several nationwide reports show lower female participation in colon cancer screening. We therefore assessed for outcome differences in women of screening age presenting for surgical treatment of colon cancer patients. METHODS:All patients over 50 years undergoing surgery for first-onset colon cancer at Mass...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2014.09.033

    authors: Amri R,Bordeianou LG,Sylla P,Berger DL

    更新日期:2015-06-01 00:00:00

  • Laparoscopic improves perioperative outcomes of antireflux surgery at US academic centers.

    abstract:BACKGROUND:Open and laparoscopic antireflux surgeries are standard for the treatment of gastroesophageal reflux disease (GERD). The in-hospital outcomes of laparoscopic and open antireflux procedures were analyzed and compared at US academic medical centers. METHODS:Using International Classification of Diseases, Nint...

    journal_title:American journal of surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.amjsurg.2008.07.041

    authors: Varela JE,Hinojosa MW,Nguyen NT

    更新日期:2008-12-01 00:00:00

  • Preoperative imaging for early-stage cutaneous melanoma: predictors, usage, and utility at a single institution.

    abstract:BACKGROUND:Preoperative imaging for early-stage cutaneous melanoma is not recommended by current guidelines. Our goal was to investigate our institutional usage and utility. METHODS:Patients with clinically node-negative cutaneous melanoma undergoing surgery with sentinel lymph node biopsy were identified retrospectiv...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2013.08.017

    authors: Haddad D,Garvey EM,Mihalik L,Pockaj BA,Gray RJ,Wasif N

    更新日期:2013-12-01 00:00:00

  • Comparison of outcomes of open versus laparoscopic Nissen fundoplication performed in a single practice.

    abstract:BACKGROUND:We reviewed Nissen fundoplications performed in a single practice from January 1989 to March 1997, encompassing our transition from open to laparoscopic procedures. Because all operations were done by two surgeons in the same two hospitals, the study is well controlled for comparisons. METHODS:Records of 27...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/S0002-9610(98)00049-X

    authors: Eshraghi N,Farahmand M,Soot SJ,Rand-Luby L,Deveney CW,Sheppard BC

    更新日期:1998-05-01 00:00:00

  • Congenital arteriovenous malformation of the head and neck.

    abstract::A discussion of congenital arteriovenous malformation of the head and neck based on five patients followed from three to twenty years is presented. Definition of the lesion and its progression as followed by angiography is described. The poor response to surgery is ascribed to the ischemic nature of the area of involv...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(78)90255-6

    authors: DesPrez JD,Kiehn CL,Vlastou C,Bonstelle C

    更新日期:1978-10-01 00:00:00

  • Admission characteristics of trauma patients in whom delirium develops.

    abstract:BACKGROUND:The purpose of this study was to describe the admission characteristics of trauma victims that are predictive of the development of delirium during hospitalization. METHODS:In this case-control study, data (demographics, injury type, medical histories, admission laboratory values, medications, and outcomes)...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2003.12.027

    authors: Blondell RD,Powell GE,Dodds HN,Looney SW,Lukan JK

    更新日期:2004-03-01 00:00:00

  • Didactic lecture versus instructional standardized patient interaction in the surgical clerkship.

    abstract:BACKGROUND:Medical schools increasingly employ the standardized patient interaction (SPI) as a teaching and testing modality to prepare students for USMLE Step 2 Clinical Skills (Step 2 CS). However, little is known about the perceptions medical students have toward SPIs. We hypothesized that the SPI would increase the...

    journal_title:American journal of surgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/j.amjsurg.2004.09.013

    authors: Carter MB,Wesley G,Larson GM

    更新日期:2005-02-01 00:00:00

  • Aggressive metastasectomy for pulmonic sarcomatous metastases: a follow-up study.

    abstract::Pulmonary metastases are the primary cause of death due to bone and soft tissue sarcomas. We have previously shown that an aggressive approach and a new technique of multiple pulmonary metastasectomies have resulted in improved survival for patients with pulmonary metastases. In this follow-up study, an expanded datab...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(05)81150-x

    authors: Saltzman DA,Snyder CL,Ferrell KL,Thompson RC,Leonard AS

    更新日期:1993-11-01 00:00:00

  • Evaluation of breast surgical oncology complications after single agent versus dual agent HER2 targeted neoadjuvant chemotherapy.

    abstract:BACKGROUND:The aim of this study was to determine whether differing neoadjuvant chemotherapy (NAC) regimens for HER2 positive breast cancer (HER2+ BC) are associated with differing surgical complications. Our goal was to evaluate postoperative complications in HER2+ BC patients receiving NAC with Herceptin (trastuzumab...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2020.06.053

    authors: Cullom ME,Amin AL,Balanoff CR,Wagner JL,Larson KE

    更新日期:2020-11-01 00:00:00