Avoidance of artifacts on computerized tomograms by selection of appropriate surgical clips.

Abstract:

:Surgical clips (metallic or plastic) are frequently used for hemostasis and tumor marking. This study evaluated the radiographic and computerized tomographic appearance of different clips and their relative interference with computerized tomographic scans. Metallic clips (stainless steel, tantalum, and titanium) can all be seen on plain radiographs. Tantalum clips caused extensive distortion on computerized tomographic scans which would interfere with scan interpretation. Both stainless steel and titanium clips resulted in much less artifact and interference on computerized tomographic scans. Recent studies have suggested that there may be some risk of torsion of stainless steel clips in nuclear magnetic resonance scanners resulting in tissue damage. Absorbable plastic clips cannot be seen on plain film but are visualized on computerized tomographic scans and do not appear to cause scan artifact. Overall, we recommend the use of either titanium hemostatic clips when tumor marking on plain film is required or plastic clips when tumor marking is less important.

journal_name

Am J Surg

authors

Weese JL,Rosenthal MS,Gould H

doi

10.1016/0002-9610(84)90142-9

subject

Has Abstract

pub_date

1984-05-01 00:00:00

pages

684-7

issue

5

eissn

0002-9610

issn

1879-1883

pii

0002-9610(84)90142-9

journal_volume

147

pub_type

杂志文章
  • Tumor DNA content as a prognostic indicator in squamous cell carcinoma of the head and neck region.

    abstract::Our purpose in this study was to determine whether tumor DNA content is a prognostic factor independent of other standard clinical and histologic parameters in squamous cell carcinoma (SCC) of the head and neck region. Tumor DNA content was determined in 76 patients with primary resectable SCC of the oral cavity, lary...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(88)80291-5

    authors: Kokal WA,Gardine RL,Sheibani K,Zak IW,Beatty JD,Riihimaki DU,Wagman LD,Terz JJ

    更新日期:1988-10-01 00:00:00

  • Subtotal vs. total parathyroidectomy with autotransplantation for patients with renal hyperparathyroidism have similar outcomes.

    abstract:BACKGROUND:The optimal surgery for patients with renal hyperparathyroidism has been controversial, as either subtotal parathyroidectomy (subtotal PTX) or total parathyroidectomy with auto-transplantation (total PTX-AT) may be employed. METHODS:Adult patients having subtotal PTX or total PTX-AT for secondary hyperparat...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2017.07.018

    authors: Anderson K Jr,Ruel E,Adam MA,Thomas S,Youngwirth L,Stang MT,Scheri RP,Roman SA,Sosa JA

    更新日期:2017-11-01 00:00:00

  • Intracellular demonstration of growth hormone in human mammary carcinoma cells.

    abstract::Intracellular growth hormone has been demonstrated in human mammary carcinoma cells by using an unlabeled antibody enzyme technic with horseradish peroxidase and antihorseradish peroxidase complex. Intense reaction was seen in both male and female mammary carcinoma cells. Positive staining was observed in nuclei and c...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(78)90102-2

    authors: Ghosh L,Ghosh BC,Das Gupta TK

    更新日期:1978-02-01 00:00:00

  • Effects of a static magnetic field on wound healing: results in experimental rat colon anastomoses.

    abstract:BACKGROUND:Research has shown that pulsed electromagnetic fields (EMFs) promote wound healing in experimental colonic anastomosis; however, the effects of static EMFs in this setting have not been investigated to date. METHODS:Fifty male Wistar rats were used. Ten served as controls for mechanical strength testing, an...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2006.01.024

    authors: Nursal TZ,Bal N,Anarat R,Colakoglu T,Noyan T,Moray G,Haberal M

    更新日期:2006-07-01 00:00:00

  • Verrucous carcinoma, then and now.

    abstract::The salient clinical and pathological features of verrucous carcinoma, as first described by Ackerman in 1948, are reviewed. Two case reports are presented. The first concerns a personal experience with a patient who had five surgical procedures for multifocal oral verrucous carcinoma and remains alive and well 28 yea...

    journal_title:American journal of surgery

    pub_type: 传,历史文章,杂志文章

    doi:10.1016/s0002-9610(98)00232-3

    authors: Spiro RH

    更新日期:1998-11-01 00:00:00

  • Effects of Ohio's opioid prescribing limit for the geriatric minimally injured trauma patient.

    abstract:BACKGROUND:Geriatric patients, age ≥65, frequently require no operation and only short observation after injury; yet many are prescribed opioids. We reviewed geriatric opioid prescriptions following a statewide outpatient prescribing limit. METHODS:Discharge and 30-day pain prescriptions were collected for geriatric p...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2019.10.041

    authors: Young BT,Zolin SJ,Ferre A,Ho VP,Harvey AR,Beel KT,Tseng ES,Conrad-Schnetz K,Claridge JA

    更新日期:2020-03-01 00:00:00

  • Standardized gastroplasty orifice.

    abstract::Consistent weight reduction by gastroplasty requires precise construction of an appropriately sized stoma that will not dilate. The technique described constructs such a stoma around a 32 French Hurst dilator with an external ring of Silastic tubing over polypropylene suture. ...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(81)90206-3

    authors: Laws HL

    更新日期:1981-03-01 00:00:00

  • Bile-pancreatic juice exclusion increases cholinergic M3 and CCK-A receptor expression and interleukin-6 production in ligation-induced acute pancreatitis.

    abstract:BACKGROUND:Using an original model, the Donor Rat Model, we showed that bile-pancreatic juice (BPJ) exclusion from gut exacerbates ligation-induced acute pancreatitis in rats. We also showed that muscarinic cholinergic M3 and CCK-A receptor expression is induced following duct ligation. Increased receptor number potent...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2004.07.008

    authors: Samuel I,Zaheer A,Zaheer S,Fisher RA

    更新日期:2004-11-01 00:00:00

  • Implementation of the acute care surgery model provides benefits in the surgical treatment of the acute appendicitis.

    abstract:BACKGROUND:Several reports have indicated the benefits of the acute care surgery (ACS) model in surgical outcomes. We tried to delineate the impact of the ACS model on surgical efficiency and quality. METHODS:Before the ACS model was implemented, abdominal surgical emergencies were evaluated by an on-call nontrauma ge...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2013.04.016

    authors: Fu CY,Huang HC,Chen RJ,Tsuo HC,Tung HJ

    更新日期:2014-11-01 00:00:00

  • Screening cervical spine MRI after normal cervical spine CT scans in patients in whom cervical spine injury cannot be excluded by physical examination.

    abstract:BACKGROUND:Cervical spine injuries can occur in as many as 10% of patients with blunt trauma with mental status changes from closed head injuries. Despite normal results on cervical spine computed tomography (CT), magnetic resonance imaging (MRI) is often recommended to exclude ligamentous or soft tissue injury. METHO...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2008.07.040

    authors: Steigelman M,Lopez P,Dent D,Myers J,Corneille M,Stewart R,Cohn S

    更新日期:2008-12-01 00:00:00

  • Management of severe hemorrhage in ulcerative colitis.

    abstract::Twenty-five patients with ulcerative colitis were treated between 1959 and 1986 at the Mount Sinai Hospital, with severe gastrointestinal hemorrhage as their major complaint. Twenty-two patients required operation, while three patients were treated medically. Total proctocolectomy with ileostomy was carried out in 5 p...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(06)80064-4

    authors: Robert JH,Sachar DB,Aufses AH Jr,Greenstein AJ

    更新日期:1990-06-01 00:00:00

  • Establishing best practices for structured NSQIP review.

    abstract:INTRODUCTION:We describe an institutional program (INR- Interval NSQIP Review), to augment NSQIP utility through structured, multidisciplinary review of surgical outcomes in order to create near 'real-time' adverse event (AE) monitoring and improve surgeon awareness. METHODS:INR is a monthly meeting of quality analyst...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2020.02.057

    authors: Cunningham AJ,Howell B,Polites S,Krishnaswami S,Hughey E,Terry S,Fox J,Azarow K

    更新日期:2020-05-01 00:00:00

  • The use of vacuum assisted closure therapy in the management of Fournier's gangrene.

    abstract:BACKGROUND:Vacuum Assisted Closure (VAC; Kinetic Concepts, Inc., San Antonio, TX) has been used to successfully treat a variety of complex wounds. This technique was investigated for use in managing Fournier's gangrene following initial debridement. METHODS:Ten patients with Fournier's gangrene were treated in this st...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2008.04.018

    authors: Ozturk E,Ozguc H,Yilmazlar T

    更新日期:2009-05-01 00:00:00

  • The correlation between fundamental characteristics and first-time performance in laparoscopic tasks.

    abstract:BACKGROUND:The ability of characteristics to predict first time performance in laparoscopic tasks is not well described. Videogame experience predicts positive performance in laparoscopic experiences but its mechanism and confounding-association with aptitude remains to be elucidated. This study sought to evaluate for ...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2017.04.015

    authors: Harrington CM,Bresler R,Ryan D,Dicker P,Traynor O,Kavanagh DO

    更新日期:2018-04-01 00:00:00

  • Error tolerance: an evaluation of residents' repeated motor coordination errors.

    abstract:BACKGROUND:The study investigates the relationship between motor coordination errors and total errors using a human factors framework. We hypothesize motor coordination errors will correlate with total errors and provide validity evidence for error tolerance as a performance metric. METHODS:Residents' laparoscopic ski...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2016.07.003

    authors: Law KE,Gwillim EC,Ray RD,D'Angelo AD,Cohen ER,Fiers RM,Rutherford DN,Pugh CM

    更新日期:2016-10-01 00:00:00

  • Two-surgeon technique using saline-linked electric cautery and ultrasonic surgical aspirator in living donor hepatectomy: its safety and efficacy.

    abstract:BACKGROUND:Saline-linked electric cautery (SLC) is introduced as an effective device to reduce blood loss in liver surgery. The aim of the current study was to evaluate the safety and efficacy of a 2-surgeon technique using SLC and the Cavitron Ultrasonic Surgical Aspirator (CUSA; Valleylab, Boulder, CO) in living dono...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2008.01.019

    authors: Takatsuki M,Eguchi S,Yamanouchi K,Tokai H,Hidaka M,Soyama A,Miyazaki K,Hamasaki K,Tajima Y,Kanematsu T

    更新日期:2009-02-01 00:00:00

  • Local parastomal hernia repair with biological mesh is safe and effective.

    abstract:PURPOSE:The goal of this study was to evaluate the efficacy, morbidity and safety of local parastomal hernia repair using biological mesh. PATIENTS AND METHODS:A retrospective analysis of a prospectively maintained database was performed for parastomal hernia repairs. All patients who underwent local parastomal hernia...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2017.05.005

    authors: Hufford T,Tremblay JF,Mustafa Sheikh MT,Marecik S,Park J,Zamfirova I,Kochar K

    更新日期:2018-01-01 00:00:00

  • Percutaneous Denver peritoneovenous shunt insertion.

    abstract::A simplified technique for insertion of a peritoneovenous shunt is described. By using a "peel-away" sheath at both ends of the shunt, the insertion is much quicker and less traumatic to the patient. ...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(06)80078-4

    authors: Weaver DW,Wiencek RG,Bouwman DL

    更新日期:1990-06-01 00:00:00

  • Incidence of and risk factors for anastomotic leakage after laparoscopic anterior resection with intracorporeal rectal transection and double-stapling technique anastomosis for rectal cancer.

    abstract:BACKGROUND:Laparoscopic rectal cancer surgery involving rectal division with intracorporeal stapling devices is technically difficult. This study aimed to identify risk factors for anastomotic leakage associated with laparoscopic anterior resection for rectal cancer. METHODS:We studied 363 patients who underwent lapar...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2010.11.014

    authors: Akiyoshi T,Ueno M,Fukunaga Y,Nagayama S,Fujimoto Y,Konishi T,Kuroyanagi H,Yamaguchi T

    更新日期:2011-09-01 00:00:00

  • Institutional review of the implementation and use of a Clostridium difficile infection bundle and probiotics in adult trauma patients.

    abstract:BACKGROUND:Clostridium difficile infection (CDI) is a common cause of healthcare associated infections contributing to morbidity and mortality. Our objective was to evaluate the impact of the implementation of a CDI bundle along with probiotic utilization. METHODS:A retrospective review of trauma admissions from 2008 ...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2018.01.005

    authors: Bommiasamy AK,Connelly C,Moren A,Dodgion C,Bestall K,Cline A,Martindale RG,Schreiber MA,Kiraly LN

    更新日期:2018-05-01 00:00:00

  • Interdisciplinary cognitive task analysis: a strategy to develop a comprehensive endoscopic retrograde cholangiopancreatography protocol for use in fellowship training.

    abstract:BACKGROUND:Endoscopic retrograde cholangiopancreatography is a challenging procedure performed by surgeons and gastroenterologists. We employed cognitive task analysis to identify steps and decision points for this procedure. METHODS:Standardized interviews were conducted with expert gastroenterologists (7) and surgeo...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2015.05.006

    authors: Canopy E,Evans M,Boehler M,Roberts N,Sanfey H,Mellinger J

    更新日期:2015-10-01 00:00:00

  • The futility of chest roentgenograms following routine central venous line changes.

    abstract:OBJECTIVE:To demonstrate chest roentgenograms after central venous line changes over a guidewire delay the use of the central lines and increases charges with no change of morbidity or the rate of complication. METHODS:Retrospective study using the Surgical Intensive Care database followed by a nonrandomized, prospect...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(98)00142-1

    authors: Cullinane DC,Parkus DE,Reddy VS,Nunn CR,Rutherford EJ

    更新日期:1998-09-01 00:00:00

  • Assessment of patients with failed gastric operations for morbid obesity.

    abstract::The success of gastric restriction procedures for morbid obesity depends on a persistently small gastric pouch and stoma, an intact staple line, and, of equal importance, dietary compliance. Evaluation of patients with either excessive or inadequate weight loss should be directed at determining both the technical adeq...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(83)90200-3

    authors: Halverson JD,Koehler RE

    更新日期:1983-03-01 00:00:00

  • Advanced and recurrent squamous carcinoma of the lower lip.

    abstract::The results of aggressive surgical treatment of primary lip cancer and advanced and recurrent carcinoma of the lip are illustrated and discussed. Early detection of involved lymph nodes before capsular penetration occurs and careful and complete dissection of the submental and submandibular regions are advocated as po...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(76)90326-3

    authors: Brown RG,Poole MD,Calamel PM,Bakamjian VY

    更新日期:1976-10-01 00:00:00

  • Comparing 20 years of national general surgery malpractice claims data: obesity versus morbid obesity.

    abstract:BACKGROUND:We hypothesized that the increasing body mass index of the population has affected general surgery malpractice claims. METHODS:We queried the Physician Insurers Association of America database from 1990 to 1999 (ie, period 1) and 2000 to 2009 (ie, period 2) for claims associated with obesity and morbid obes...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2012.10.023

    authors: Weber CE,Talbot LJ,Geller JM,Kuo MC,Wai PY,Kuo PC

    更新日期:2013-03-01 00:00:00

  • The profile of successful applicants for endocrine surgery fellowships: results of a national survey.

    abstract:BACKGROUND:The American Association of Endocrine Surgeons initiated a fellowship match in 2007. The profile of applicants who successfully match into an endocrine surgery (ES) fellowship has not previously been characterized. METHODS:An institutional review board-approved, web-based survey was distributed to recent an...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2014.03.013

    authors: Kulaylat AN,Kenning EM,Chesnut CH 3rd,James BC,Schubart JR,Saunders BD

    更新日期:2014-10-01 00:00:00

  • Antibiotic prophylaxis in the placement of totally implanted central venous access ports.

    abstract:BACKGROUND:Antibiotic prophylaxis during placement of implanted central venous access ports (CVAP) has not been studied. This retrospective review compared the rate of catheter-related infections (CRIs) with and without perioperative antibiotics. METHODS:This was a single-center study that compared patients treated wi...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2010.07.023

    authors: Scaife CL,Gross ME,Mone MC,Hansen HJ,Litz CL,Nelson ET,Anderson CJ,Wagner G,Gawlick U,Nelson EW

    更新日期:2010-12-01 00:00:00

  • Ultrasound is now better than mammography for the detection of invasive breast cancer.

    abstract:OBJECTIVE:This study investigated the use of ultrasound (US) as a first-line diagnostic tool. METHODS:All women attending our breast center underwent bilateral whole-breast US in addition to all other investigations, and results were documented prospectively and preoperatively. RESULTS:Of 796 patients with breast can...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/j.amjsurg.2004.06.032

    authors: Benson SR,Blue J,Judd K,Harman JE

    更新日期:2004-10-01 00:00:00

  • Splenectomy for cytopenias associated with systemic lupus erythematosus.

    abstract::Splenectomy was performed in 20 patients with refractory cytopenias associated with systemic lupus erythematosus. An immediate and sustained increase in platelet count (greater than 150,000 cells/mm3) was achieved in 12 of 18 patients whose principal indication for operation was thrombocytopenia. Of seven patients wit...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/s0002-9610(88)80097-7

    authors: Coon WW

    更新日期:1988-03-01 00:00:00

  • Factors influencing patency of femoropopliteal artery bypass grafts.

    abstract::An analysis of 276 femoropopliteal bypass procedures performed in 264 patients at the Columbia-Presbyterian Medical Center over the past two decades showed a direct relationship of graft patency to preoperative popliteal artery runoff. Fuctional results were better than patency results. Sympathectomy and anticoagulati...

    journal_title:American journal of surgery

    pub_type: 杂志文章

    doi:10.1016/0002-9610(76)90279-8

    authors: Buda JA,Weber CJ,McAllister FF,Voorhees AB Jr

    更新日期:1976-07-01 00:00:00