Duodenal stricture: a complication of chronic fibrocalcific pancreatitis.

Abstract:

:Over the past 10 years, one of us (M.C.A.) has treated 92 patients who required operation for symptoms associated with alcohol-induced chronic fibrocalcific pancreatitis. Four of these patients had duodenal obstruction. All four had had lateral pancreaticojejunostomy to relieve pancreatic ductal obstruction and associated chronic abdominal pain; three of the four also required biliary diversion for stenosis of the intrapancreatic portion of the common bile duct. Each duodenal stricture required reoperation and gastrojejunostomy to bypass the site of obstruction. A review of the English language literature revealed that duodenal obstruction in patients with chronic fibrocalcific pancreatitis is uncommon, only 58 previous cases having been reported. All of those patients had pancreatic ductal obstruction, and more than half had concomitant distal biliary stenosis. Two thirds of the duodenal obstructions were treated by gastroenterostomy, and one third were resected. Duodenal obstruction in patients with chronic pancreatitis and biliary stricture appears to reflect an advanced form of the disease. Combined lateral pancreaticojejunostomy and biliary diversion has emerged as the preferred surgical procedure for this problem. Careful preoperative assessment for evidence of duodenal stenosis also is needed in this group of patients, and gastroenterostomy is indicated in appropriate cases.

journal_name

South Med J

journal_title

Southern medical journal

authors

Taylor SM,Adams DB,Anderson MC

subject

Has Abstract

pub_date

1991-03-01 00:00:00

pages

338-41

issue

3

eissn

0038-4348

issn

1541-8243

journal_volume

84

pub_type

杂志文章,评审
  • Predictive factors for septic shock in patients with ventilator-associated pneumonia.

    abstract:BACKGROUND:Ventilator-associated pneumonia (VAP) is one of the most frequent infections in intensive care units (ICUs), and nearly 50% of patients with VAP develop septic shock. Septic shock is an independent predictor for mortality in these patients. OBJECTIVE:To investigate the predictors for septic shock in VAP pat...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/SMJ.0b013e3181827891

    authors: Aydogdu M,Gursel G

    更新日期:2008-12-01 00:00:00

  • The history of lupus erythematosus.

    abstract::This article explores the history of lupus erythematosus from the origins of the name to the most modern therapeutic advances. The review includes information about the origin of the name "lupus," the first clear description of the skin lesions, the discovery of the systemic and discoid forms, and further advances whi...

    journal_title:Southern medical journal

    pub_type: 历史文章,杂志文章

    doi:10.1097/SMJ.0b013e318073c9eb

    authors: Mallavarapu RK,Grimsley EW

    更新日期:2007-09-01 00:00:00

  • Fate of ovary transposed during treatment of Hodgkin's disease.

    abstract::Although successful transposition of the ovaries at the time of staging laparotomy for Hodgkin's disease is well documented, little comment has been made on potential complications. This case report of a primary ovarian neoplasm (benign) developing in a transposed ovary serves to alert physicians as to possible ovaria...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198307000-00039

    authors: Andersen WA,Chambers J,Wanebo HJ,Taylor PT

    更新日期:1983-07-01 00:00:00

  • The double contrast barium enema: why bother?

    abstract::Despite a wealth of publications extolling the virtues of the double contrast barium enema (DCBE), it is clear that change is only gradual and that in many institutions the single contrast, full column barium enema (BE) is still the routine method of colonic investigation. Much of this may be due to a persistent belie...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198201000-00012

    authors: Young J

    更新日期:1982-01-01 00:00:00

  • Thoracic splenosis.

    abstract::Thoracic splenosis is rare, with fewer than two dozen reported cases. Patients uniformly have a history of splenectomy with combined abdominal and thoracic trauma. Clinical signs and symptoms are usually absent, and the condition is most often discovered on routine chest radiography. The interval between trauma and cl...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199811000-00013

    authors: Buchino JJ,Buchino JJ

    更新日期:1998-11-01 00:00:00

  • Acute neutrophilic meningitis treated successfully with corticosteroids.

    abstract::This report describes a cocaine user who presented with polymorphonuclear pleocytosis in cerebrospinal fluid mimicking bacterial meningitis. Thorough investigation of the cerebrospinal fluid did not reveal evidence of bacteria or fungi. Clinical deterioration was observed in spite of empiric treatment with antibiotics...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/01.SMJ.0000082002.66513.EA

    authors: Alexopoulou A,Deutsch M,Dourakis SP

    更新日期:2003-09-01 00:00:00

  • Meropenem versus imipenem/cilastatin in the treatment of hospitalized patients with skin and soft tissue infections.

    abstract::Meropenem is a new carbapenem antibiotic shown to resist degradation by renal dehydropeptidase I. In a multicenter, open-label, prospective trial, we compared the efficacy and safety of meropenem with imipenem/cilastatin in patients with skin and soft tissue infections. Patients received either 500 mg of meropenem eve...

    journal_title:Southern medical journal

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1097/00007611-199504000-00003

    authors: Nichols RL,Smith JW,Geckler RW,Wilson SE

    更新日期:1995-04-01 00:00:00

  • Accuracy of staining technique for detecting mycobacterial infection.

    abstract::The acid-fast smear has been regarded as a poor screening technique of decreasing reliability for correct identification of diseased patients in representative hospital populations. In this report, laboratory data are reviewed from three institutions: a tertiary care facility, a regional reference laboratory, and a su...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198402000-00005

    authors: Alonso K

    更新日期:1984-02-01 00:00:00

  • Transesophageal echocardiography during resection of renal cell carcinoma involving the inferior vena cava.

    abstract::We present a case of renal cell carcinoma extending into the inferior vena cava and resulting in total occlusion. Perioperative transesophageal echocardiography allowed us to assess cardiac function, follow the extent of vascular involvement, and prevent embolization of tumor and air. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199402000-00027

    authors: Hasnain JU,Watson RJ

    更新日期:1994-02-01 00:00:00

  • Adult hypophosphatasia.

    abstract::We have described a case of hypophosphatasia with a mild progressive course. This condition and its familial propensity may be more prevalent than recognized. Thus, family members of a patient with hypophosphatasia should be screened for this disorder. Enthusiastic pharmacologic, hormonal, and/or dietary supplemental ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198312000-00030

    authors: Coto H,Douglas JE

    更新日期:1983-12-01 00:00:00

  • Treatment decisions in "white coat" hypertension: do we need the whole 24 hours?

    abstract::Twenty-four hour ambulatory blood pressure monitoring (24BP) is an emerging technology used to further evaluate elevated blood pressure readings obtained during office visits. We wondered whether a less costly approach than 24BP would lead clinicians to similar treatment decisions. Eleven faculty general internists se...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199006000-00003

    authors: Rucker L,Mabourakh S,Onishi R

    更新日期:1990-06-01 00:00:00

  • Cashew nut dermatitis.

    abstract::The urushiol dermatitis caused by plants of the Anacardiaceae family is the most common cause of acute allergic contact dermatitis. We have reported a case of cashew nut urushiol dermatitis due to ingestion of homemade cashew nut butter contaminated by cashew nut shell oil. With the precautions taken today to avoid co...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199404000-00026

    authors: Rosen T,Fordice DB

    更新日期:1994-04-01 00:00:00

  • Panic attacks associated with citalopram.

    abstract::Citalopram is the newest selective serotonin reuptake inhibitor (SSRI) available in the United States. It is currently approved by the Food and Drug Administration for the treatment of major depression. However, a number of studies have found it to be effective in the treatment of panic disorder as well. While there h...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Brauer HR,Nowicki PW,Catalano G,Catalano MC

    更新日期:2002-09-01 00:00:00

  • A whiff of death: fatal volatile solvent inhalation abuse.

    abstract::Inhalation abuse of volatile solvents, previously known generically as "glue sniffing," is typically pursued by adolescents. A wide range of legal, easily obtained products containing volatile substances are available for abuse. We report two illustrative cases of fatal volatile substance abuse: gasoline sniffing in a...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Steffee CH,Davis GJ,Nicol KK

    更新日期:1996-09-01 00:00:00

  • Kounis syndrome.

    abstract::The association between acute coronary events and acute allergic reactions has been recognized for several years. The first reported case occurred in 1950, during an allergic reaction to penicillin. In 1991, Kounis and Zavras described the syndrome of allergic angina and allergic myocardial infarction, currently known...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/SMJ.0b013e3181f8c56f

    authors: Lopez PR,Peiris AN

    更新日期:2010-11-01 00:00:00

  • Diagnosis of scabies.

    abstract::Mineral oil scrapings from an infant with a persistent, puzzling, generalized eruption revealed the mite, Sarcoptes scabiei. Various diagnostic technics and treatment for scabies are discussed. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197505000-00008

    authors: Hazelrigg DE,Jarratt M

    更新日期:1975-05-01 00:00:00

  • Assessment and significance of Arthur Conan Doyle's medical writings.

    abstract::Doyle's medical writings represent a valuable contribution to both the scientific and nonscientific aspects of medicine of the late 19th Century. Up to the present, accounts of these writings have been few, and none of them have been evaluative of their scientific merit. Analysis of Doyle's writings on infectious dise...

    journal_title:Southern medical journal

    pub_type: 传,历史文章,杂志文章

    doi:10.1097/00007611-198211000-00023

    authors: Rodin AE,Key JD

    更新日期:1982-11-01 00:00:00

  • Pulmonary contusion in children: diagnosis and management.

    abstract:BACKGROUND:Pulmonary contusion (PC) is the most common injury identified in pediatric blunt chest trauma. The disagreement over management principles of children with PC may complicate care of these patients. METHODS:We reviewed the literature and our institutional experience. RESULTS:Pulmonary contusion is most ofte...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-199812000-00002

    authors: Allen GS,Cox CS Jr

    更新日期:1998-12-01 00:00:00

  • Benign and malignant neoplasms in a family with Peutz-Jeghers syndrome: study of three generations.

    abstract::Three members of a family with Peutz-Jeghers syndrome had intussusception due to intestinal hamartomas. In addition, the grandfather had carcinoma of the jejunum, and the granddaughter had benign ovarian sex cord/stromal tumor causing sexual precocity. Benign and malignant tumors, not often associated with Peutz-Jeghe...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199110000-00011

    authors: Laughlin EH

    更新日期:1991-10-01 00:00:00

  • Deceptive liver histology delays diagnosis of cardiac ascites.

    abstract::Cardiac ascites is a rare condition. Diagnosis is aided by liver histology, which characteristically shows diffuse hepatic congestion affecting the centrilobular region. In our case of refractory ascites due to constrictive pericarditis, diagnosis was delayed because centribular hepatic congestion was absent histologi...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199211000-00023

    authors: Kirsch M,Fleshler B

    更新日期:1992-11-01 00:00:00

  • Cimetidine usage for unlabeled conditions in an ambulatory care service.

    abstract::With the intent of cost containment, we conducted a survey of cimetidine usage in the Ambulatory Care Service of our Veterans Administration Medical Center. During a period of six months, this drug was prescribed for 132 patients. Only about 20% received cimetidine for FDA approved conditions. Treated conditions not a...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198410000-00019

    authors: Thomas CT,Thomas E,Reddy KR,Martin E,Stapleton JA

    更新日期:1984-10-01 00:00:00

  • Acute abdominal pain precipitated by phenformin-associated lactic acidosis.

    abstract::Phenformin-associated lactic acidosis is an important though unusual cause of acute abdominal pain. Its clinical picture suggests other catastrophic abdominal entities. A representative case is presented. Aids to arriving at this diagnosis are presented and the specific therapy is outlined. The pathophysiology of this...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197803000-00039

    authors: Bartecchi CE,Williams JD

    更新日期:1978-03-01 00:00:00

  • Large fluid-filled thoracic mass in a young man.

    abstract::As this case illustrates, lung cancer should be included in the differential diagnosis in a young person with fever, purulent sputum, and a large cystic mass on chest roentgenogram. An aggressive diagnostic approach including biopsy is recommended if symptoms do not respond to early treatment. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198810000-00031

    authors: Hebert C,George RB

    更新日期:1988-10-01 00:00:00

  • Water Load Test in Children with Chronic Abdominal Pain or Obesity Compared with Nonobese Controls.

    abstract:OBJECTIVE:Satiety is the perception of satisfied fullness and represents a summation of neural and hormonal influences. Satiety can be assessed by drink tests, including water load. The objective of our study was to confirm the difference in water load volume between nonobese control children and children with function...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000000612

    authors: Arrouk R,Karpinski A,Lavenbarg T,Belmont J,McCallum RW,Hyman P

    更新日期:2017-03-01 00:00:00

  • Sharpening the tandem walking test for screening peripheral neuropathy.

    abstract:OBJECTIVE:Few tests of functional motor behavior are useful for rapidly screening people for lower extremity peripheral neuropathy. The goal of this study was to improve the widely used tandem walking (TW) test. METHODS:We tested "normal" (control) adult and ambulatory patients with peripheral neuropathy (PN) with the...

    journal_title:Southern medical journal

    pub_type: 临床试验,杂志文章

    doi:10.1097/SMJ.0000000000000009

    authors: Cohen HS,Mulavara AP,Peters BT,Sangi-Haghpeykar H,Kung DH,Mosier DR,Bloomberg JJ

    更新日期:2013-10-01 00:00:00

  • Disseminated histoplasmosis and Wegener's granulomatosis.

    abstract::Disseminated histoplasmosis is an unusual complication in endemic areas and has been reported in patients with an immunodeficient state, either from human immunodeficiency virus (HIV) infection or transplantation. In the non-HIV population, rare cases of disseminated histoplasmosis have been reported in patients with ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199812000-00012

    authors: Manepalli AN,Rush L

    更新日期:1998-12-01 00:00:00

  • Loss of transferase enzyme activity of transfused erythrocytes in galactosemia.

    abstract::Rapid loss of erythrocyte galactose-1-phosphate uridyl transferase in hemolysates from an infant 26 days after transfusion led to investigation of the possiblity of an unstable enzyme or other variant of galactosemia. However, the child was found to have the classic type of galactosemia. The seeming transferase instab...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197503000-00010

    authors: Schwartz RP,Roesel RA,Blankenship PR,Hall WK

    更新日期:1975-03-01 00:00:00

  • Current status and future role of health screening.

    abstract::To date, screening has largely failed to fulfill the hope that early detection would lead to more effective early treatment and to improved health status in the population served. The future role of screening can be much more positive but only if (1) screening is directed only at diseases and conditions for which earl...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: North AF Jr

    更新日期:1977-10-01 00:00:00

  • Pediatricians' attitudes toward maternal employment and substitute child care.

    abstract::In 1979 more than 54% of women with children less than 18 years old were in the labor force. The purpose of this study was to study the attitudes of pediatricians toward maternal employment and substitute child care arrangements. To survey their attitudes toward maternal employment and substitute child care, we sent a...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198406000-00016

    authors: Sinal SH,Herndon A

    更新日期:1984-06-01 00:00:00

  • Laryngeal neoplasm mortality in Oklahoma: 1950-1970.

    abstract::A survey of death certificates of victims with laryngeal cancer in Oklahoma for the period 1950 to 1970 attempts to corroborate findings of the current literature. Sex-race specific death rates per 100,000 for white, nonwhite, and American Indian populaces displayed a distinct sex and racial pattern: respectively, 38....

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197607000-00033

    authors: Cuchiara AJ,Asal NR

    更新日期:1976-07-01 00:00:00