Peristomal varices--life threatening or luminal?

Abstract:

:Bleeding from the edge of an ileostomy site is a common problem. In those who have undergone a proctocolectomy with ileostomy formation in conjunction with a risk of chronic liver disease (even with normal liver function tests), this may be due to peristomal varices. If this is the case, significant, difficult-to-control and potentially life-threatening bleeding is likely in the future and may require transfusion. Improvements in radiological imaging techniques can give quick, sensitive and specific information to diagnose and guide management in this group. In those patients with major bleeding episodes, an initial conservative management policy should be adopted with the knowledge that, if bleeding persists, propanolol therapy, portosystemic shunt insertion or even liver transplantation may be indicated.

journal_name

Ann R Coll Surg Engl

authors

Farquharson AL,Bannister JJ,Yates SP

doi

10.1308/147870806X129223

subject

Has Abstract

pub_date

2006-09-01 00:00:00

pages

W6-8

issue

5

eissn

0035-8843

issn

1478-7083

journal_volume

88

pub_type

杂志文章
  • Surgical aspects of carcinoma of the thyroid gland.

    abstract::The distribution of histological types, presenting symptoms, and treatment in a series of 29 cases of carcinoma of the thyroid gland are described. The treatment policy adopted in such cases is outlined. ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Hargreaves AW

    更新日期:1981-09-01 00:00:00

  • Cement burn of the skin during hip replacement.

    abstract::We present the first reported case of a partial thickness burn to the skin from discarded bone cement during a routine total hip replacement (THR). The patient required plastic surgical attention for 5 months before the skin was healed. We summarise the reported incidents of cement burns to various other structures an...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588407X168262

    authors: Burston B,Yates P,Bannister G

    更新日期:2007-03-01 00:00:00

  • The avian egg and the retina.

    abstract::A mathematical model for study of blood flow has been derived from the avian egg, utilizing the theories of crystallography and photosynthesis. The model is employed to explain the form of the eye and the function of the cells of the human retina, with special reference to colour vision and the pathology of migraine. ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Malcolm JE

    更新日期:1973-05-01 00:00:00

  • Conservative management of pneumatosis intestinalis and massive pneumoperitoneum in the acute abdomen: a case report.

    abstract::We present a case of massive pneumoperitoneum in association with pneumatosis intestinalis that was successfully managed without surgery despite a clinical picture of an acute abdomen and biochemical evidence of inflammation and systemic upset. Recognition of non-surgical pneumoperitoneum is important to avoid unneces...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/147870808X257193

    authors: Brill SE,Skipworth J,Stoker DL

    更新日期:2008-03-01 00:00:00

  • Healthcare associated infection: novel strategies and antimicrobial implants to prevent surgical site infection.

    abstract::This report is based on a Hygienist Panel Meeting held at St Anne's Manor, Wokingham on 24-25 June 2009. The panel agreed that greater use should be made of antiseptics to reduce reliance on antibiotics with their associated risk of antibiotic resistance. When choosing an antiseptic for clinical use, the Biocompatibil...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 共识发展会议,杂志文章

    doi:10.1308/003588410X12699663905276

    authors: Leaper D,McBain AJ,Kramer A,Assadian O,Sanchez JL,Lumio J,Kiernan M

    更新日期:2010-09-01 00:00:00

  • Experience with the 'Triple Test' in pancreatic disease.

    abstract::The results of the secretin-pancreozymin test, duodenal aspirate cytology and hypotonic duodenography (the Triple Test), performed during a single duodenal intubation in patients with pancreatic or ampullary carcinoma, chronic pancreatitis and non-pancreatic disease were analysed retrospectively. Thirty-five of 36 car...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Thompson HH,Brown CL,Murray RS,Wingate DL,Ritchie HD

    更新日期:1983-05-01 00:00:00

  • Ischaemic lumbosacral plexopathy following aorto-iliac bypass graft: case report and review of literature.

    abstract::A 77-year-old man had aorto-iliac bypass for an abdominal aortic aneurysm (AAA). This was complicated by occlusion that needed extension of the graft to the right femoral artery. He was unable to move his right leg with numbness after surgery. This was caused by extensive lumbosacral plexopathy on the right side. Lumb...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章,评审

    doi:10.1308/147870807X188470

    authors: Abdelhamid MF,Sandler B,Awad RW

    更新日期:2007-07-01 00:00:00

  • Simulated laparoscopic cholecystectomy.

    abstract::A new simulator specifically designed for practising techniques in laparoscopic cholecystectomy is described. The simulator is inexpensive and utilises pig gallbladders. It allows a surgeon to practice without the need for assistance. ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Majeed AW,Reed MW,Johnson AG

    更新日期:1992-01-01 00:00:00

  • Ureteric stenting for repair of accidental ureteric injuries.

    abstract::Intra-operative injury to the ureter is a well known but fortunately uncommon complication of any major pelvic surgical procedure. If recognised on table, it can be repaired by either a substitution ureteroplasty or end-to-end anatomical repair depending upon the extent of tissue loss. Either of these anastomoses coul...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Chitale SV,Webb RJ

    更新日期:2001-07-01 00:00:00

  • Confidence and conflicts of duty in surgery.

    abstract::This paper offers an exploration of the right to confidentiality, considering the moral importance of private information. It is shown that the legitimate value that individuals derive from confidentiality stems from the public interest. It is re-assuring, therefore, that public interest arguments must be made to just...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章,评审

    doi:10.1308/003588410X12628812458932

    authors: Coggon J,Wheeler R

    更新日期:2010-03-01 00:00:00

  • A waiting list initiative in general surgery--experience in a large district general hospital.

    abstract::In a waiting list initiative scheme 566 operations were performed on 447 patients in 104 sessions over a period of six months. In addition the names of 78 other patients were deleted from the waiting list. Special attention was paid to pre-operative education and assessment of patients by information sheets and 'quest...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Parmar JR

    更新日期:1993-01-01 00:00:00

  • Paediatric day care surgery: a hidden burden for primary care?

    abstract::The aims of this study were to identify prospectively 'concealed' postoperative problems, to assess the burden of paediatric day care surgery on primary care services and to define a normal recovery period for common children's procedures. At their first postoperative clinic visit, patients and parents were asked dire...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: de la Hunt MN

    更新日期:1999-05-01 00:00:00

  • Management of the giant-cell tumours of the distal radius.

    abstract:BACKGROUND:Giant-cell tumour of the distal radius is a rare neoplasm that affects the peri-articular metaphysial region of the bone. Curettage alone or with bone grafting has been reported to be associated with high incidence of local recurrence in these tumours. In the present series, we report the results of curettag...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588404772614632

    authors: Khan MT,Gray JM,Carter SR,Grimer RJ,Tillman RM

    更新日期:2004-01-01 00:00:00

  • Anterior cruciate reconstruction with the ABC carbon and polyester prosthetic ligament.

    abstract::Twenty-one knees with isolated chronic deficiency of the anterior cruciate ligament have been treated by reconstruction using the ABC carbon and polyester bioprosthetic composite ligament; 16 were reviewed at an average of 34.6 months. The Lysholm score indicated a good or excellent result in nine knees (56%) with a s...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Campbell AC,Rae PS

    更新日期:1995-09-01 00:00:00

  • Treatment of osteoporosis: missed opportunities in the hospital fracture clinic.

    abstract:AIM:To identify what proportion of patients who, having sustained an initial distal radial fragility fracture and a subsequent femoral neck fracture, had had their osteoporosis addressed in the interval between the two events. PATIENTS AND METHODS:The hospital electronic information system was used to identify all pat...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/147870804371

    authors: Smith MG,Dunkow P,Lang DM

    更新日期:2004-09-01 00:00:00

  • Morbidity associated with surgical treatment of ureteric calculi in a teaching hospital in Kuwait.

    abstract:BACKGROUND:Ureteric lithiasis is a common urological problem in Kuwait. Because of the different interventional approaches, we carried out an audit on the morbidity associated with the surgical management of the disorder. PATIENTS AND METHODS:The surgical records were reviewed of all patients with the diagnosis of ure...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588403769162477

    authors: Kehinde EO,Al-Awadi KA,Al-Hunayan A,Okasha GH,Al-Tawheed A,Ali Y

    更新日期:2003-09-01 00:00:00

  • Obstructed hepatic flexure contained in a right-sided inguinoscrotal hernia resulting in caecal perforation.

    abstract::Inguinal hernia often presents as an emergency with obstruction and subsequent strangulation. We report a unique case where an inguinoscrotal sliding type hernia contained the entire hepatic flexure as its lead point, resulting in acute colonic obstruction and caecal wall perforation. ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588413X13629960047551

    authors: Skelly BL,Neill AK

    更新日期:2013-09-01 00:00:00

  • Primary urethral reconstruction results in penile fracture.

    abstract::Objective This study assessed primary urethral reconstruction results in patients with a penile fracture. Materials and methods Between January 2005 and April 2016, patients who underwent primary urethral reconstruction due to penile fracture were called for a follow-up. Epidemiological and clinical presentation data ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/rcsann.2017.0098

    authors: Barros R,Silva M,Antonucci V,Schulze L,Koifman L,Favorito LA

    更新日期:2018-01-01 00:00:00

  • Pinworm infection masquerading as colorectal liver metastasis.

    abstract::Enterobius vermicularis is responsible for a variety of diseases but rarely affects the liver. Accurate characterisation of suspected liver metastases is essential to avoid unnecessary surgery. In the presented case, following a diagnosis of rectal cancer, a solitary liver nodule was diagnosed as a liver metastasis du...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588412X13373405384891

    authors: Roberts KJ,Hubscher S,Mangat K,Sutcliffe R,Marudanayagam R

    更新日期:2012-09-01 00:00:00

  • Aneurysm jig for anastomosis technique.

    abstract::A new jig is described which enables the technique for abdominal aortic aneurysm to be taught and practiced as it is performed by arterial surgeons at the present time. The aneurysm jig enables a plastic simulated aortic aneurysm to be opened as at operation to allow the inlaying of a Dacron tube sutured into place wi...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Greenhalgh RM,Eastcott HH,Mansfield AO,Taylor DE

    更新日期:1987-09-01 00:00:00

  • Recurrence of hepatocellular carcinoma at surgical incision site: case series and review of literature.

    abstract::First reported two decades ago, isolated incisional recurrence of hepatocellular carcinoma is an extremely rare clinical entity. We present two cases of recurrence: one recurring over 10 years after initial resection, and the second presenting with a port site recurrence 3.5 years following laparoscopic radiofrequency...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/rcsann.2017.0097

    authors: Barrett M,Nathan H,Vankayala H,Bieliauskas SL,Viglianti BL,Frankel TL

    更新日期:2017-07-01 00:00:00

  • Preparing a clinical activities database in plastic surgery using existing information systems.

    abstract::The collection of data for audit and clinical activity analysis is time consuming. This report outlines a technique by which data held on hospital data systems, such as the PAS and theatre management systems, can be made available to clinical investigators. The saving in time and effort can be enormous. ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Dunn K,Bazire N,Housley L,Shakespeare P

    更新日期:1994-11-01 00:00:00

  • Non-small cell lung cancer with distal cutaneous metastases in a patient with a previously treated colorectal carcinoma.

    abstract::Cutaneous manifestations of visceral carcinomas are scarce, occurring in around 0.7-12% of internal malignancies. Lung cancer is one of the most common sources of skin metastasis, particularly in male patients. We present a case of cutaneous metastasis in a man with concurrent lung lesions and a previously treated col...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/rcsann.2016.0088

    authors: Thurston D,Hossain T,Waraich N,Shukla A

    更新日期:2016-03-01 00:00:00

  • Unplanned admissions following ambulatory plastic surgery--a retrospective study.

    abstract:INTRODUCTION:Admission for overnight or longer hospital stay from a day-case unit is an unwelcome event. This audit was designed to identify the incidence of unplanned admissions and also to detect the potential factors for such overstays. PATIENTS AND METHODS:Details of plastic surgical day-case patients were obtaine...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588405X60560

    authors: Mandal A,Imran D,McKinnell T,Rao GS

    更新日期:2005-11-01 00:00:00

  • Demystifying damage control in musculoskeletal trauma.

    abstract::Trauma care has evolved rapidly over the past decade. The benefits of operative fracture management in major trauma patients are well recognised. Concerns over early total care arose when applied broadly. The burden of additional surgical trauma could constitute a second hit, fuelling the inflammatory response and pre...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章,评审

    doi:10.1308/rcsann.2016.0111

    authors: Bates P,Parker P,McFadyen I,Pallister I

    更新日期:2016-05-01 00:00:00

  • Pedunculated, well differentiated liposarcoma of the oesophagus mimicking giant fibrovascular polyp.

    abstract::We present a rare case of a big oesophageal liposarcoma causing dysphagia and weight loss in a 75-year-old patient. Endoscopically, a pedunculated lesion with subtotal obstruction of the oesophageal lumen had been detected and thoracoabdominal oesophageal resection with gastric sleeve reconstruction was performed. Sur...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/rcsann.2017.0117

    authors: Mehdorn AS,Schmidt F,Steinestel K,Wardelmann E,Greulich B,Palmes D,Senninger N

    更新日期:2017-09-01 00:00:00

  • Foreign bodies in the respiratory tract. A review of forty-one cases.

    abstract::The nature of inhaled foreign bodies in the respiratory tract and problems in their removal are reviewed with reference to experience in a series of 41 cases, 36 of them in children under 4 years old. Bronchoscopic removal under general anaesthesia is preferred to inhalational therapy and postural drainage. ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Bose P,El Mikatti N

    更新日期:1981-03-01 00:00:00

  • An audit of orthopaedic referrals via Multi-Professional Triage Teams.

    abstract:INTRODUCTION:Multi-Professional Triage Teams (MPTTs) were created to reduce the caseload of hospital orthopaedic clinics and this prospective study evaluated referrals made to a district general hospital orthopaedic department from a lower limb MPTT clinic. PATIENTS AND METHODS:Over 9 months, 277 referrals to a lower ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588408X318174

    authors: Rogers BA,Kabir C,Bradley N

    更新日期:2008-11-01 00:00:00

  • Experience in the surgical management of medullary thyroid carcinoma.

    abstract::The management of 12 patients with medullary thyroid carcinoma is reviewed. All patients underwent total thyroidectomy. Local nodal and extracapsular spread was aggressively resected, followed by radiotherapy. No patient died from uncontrolled local disease. Prolonged survival after radical treatment is demonstrated e...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Lannigan FJ,Watkinson JC,Clarke SE,Maisey MN,Shaheen OH

    更新日期:1991-01-01 00:00:00

  • Computed tomography colonography: a new threat to the spleen?

    abstract::We present a rare and previously undocumented potential complication of computed tomography (CT) colonography. CT colonography is a commonly performed investigation with a relatively low risk of complications. While splenic injury is a well-documented complication after colonoscopy, it has never been reported followin...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/rcsann.2018.0159

    authors: Sehgal R,Whitehead-Clarke T,Tudyka V,Evans S

    更新日期:2019-01-01 00:00:00