Carotid artery disease following external cervical irradiation.

Abstract:

:A retrospective study of 910 patients surviving at least five years after cervical irradiation for Hodgkin's disease, non-Hodgkin's lymphoma, or primary head an neck neoplasms showed the incidence of stroke following cervical irradiation was 63 of 910 patients (6.3%) during a mean period of observation of nine years. This represents a trend toward an increased risk for this population observed over the same period of time (p = 0.39). A prospective study of 118 similar patients currently living five years after cervical radiotherapy was performed to determine the incidence of carotid artery disease occurring as a consequence of neck irradiation. Abnormal carotid phonangiograms (CPA) were found in 25% of the patients and abnormal oculoplethysmographs (OPG) were found in 17%. These studies represent significant carotid lesions that are not expected in such a population. It is concluded that the carotid stenoses demonstrated are most likely a consequence of prior irradiation. Patients that are five-year survivors of cervical irradiation should have noninvasive vascular laboratory studies performed as part of their routine follow-up examinations in order to detect these carotid lesions while they are occult.

journal_name

Ann Surg

journal_title

Annals of surgery

authors

Elerding SC,Fernandez RN,Grotta JC,Lindberg RD,Causay LC,McMurtrey MJ

doi

10.1097/00000658-198111000-00009

subject

Has Abstract

pub_date

1981-11-01 00:00:00

pages

609-15

issue

5

eissn

0003-4932

issn

1528-1140

journal_volume

194

pub_type

杂志文章
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    pub_type: 杂志文章

    doi:10.1097/00000658-197711000-00020

    authors: Flanigan DP,Tullis JP,Streeter VL,Whitehouse WM Jr,Fry WJ,Stanley JC

    更新日期:1977-11-01 00:00:00

  • Effect of resection margins on the recurrence of Crohn's disease in the small bowel. A randomized controlled trial.

    abstract:OBJECTIVE:The authors assess the effect of surgical margin width on recurrence rates after intestinal resection of Crohn's Disease (CD). BACKGROUND:The optimal width of margins when resecting DC of the small bowel is controversial. Most studies have been retrospective and have had conflicting results. METHODS:Patient...

    journal_title:Annals of surgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000658-199610000-00014

    authors: Fazio VW,Marchetti F,Church M,Goldblum JR,Lavery C,Hull TL,Milsom JW,Strong SA,Oakley JR,Secic M

    更新日期:1996-10-01 00:00:00

  • Metabolic consequences of (regional) total pancreatectomy.

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-199108000-00007

    authors: Dresler CM,Fortner JG,McDermott K,Bajorunas DR

    更新日期:1991-08-01 00:00:00

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    abstract:OBJECTIVE:To describe the incidence and risk factors for mortality and morbidity in patients with cirrhosis undergoing elective or emergent abdominal surgeries. BACKGROUND:Postoperative morbidity and mortality are higher in patients with cirrhosis; variation by surgical procedure type and cirrhosis severity remain unc...

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    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000003674

    authors: Johnson KM,Newman KL,Green PK,Berry K,Cornia PB,Wu P,Beste LA,Itani K,Harris AHS,Kamath PS,Ioannou GN

    更新日期:2019-10-23 00:00:00

  • Surgical Transgastric Necrosectomy for Necrotizing Pancreatitis: A Single-stage Procedure for Walled-off Pancreatic Necrosis.

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    journal_title:Annals of surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1097/SLA.0000000000003048

    authors: Driedger M,Zyromski NJ,Visser BC,Jester A,Sutherland FR,Nakeeb A,Dixon E,Dua MM,House MG,Worhunsky DJ,Munene G,Ball CG

    更新日期:2020-01-01 00:00:00

  • The emerging role of epidural anesthesia in arteriography and in vascular operations.

    abstract::Continuous epidural anesthesia offers special advantages for patients with vascular disease. In 193 patients who had this technique employed for aortofemoral arteriography, profound pain relief was provided and the accompanying vasodilation produced superior demonstration of collateral and small distal vessels. Eleven...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198206000-00015

    authors: Fuchs JC,Fagraeus L,Lumb PD

    更新日期:1982-06-01 00:00:00

  • Short-term surgical outcomes from a randomized controlled trial to evaluate laparoscopic and open D3 dissection for stage II/III colon cancer: Japan Clinical Oncology Group Study JCOG 0404.

    abstract:OBJECTIVE:A randomized controlled trial to confirm the non-inferiority of laparoscopic surgery to open surgery in terms of overall survival was conducted, and short-term surgical outcomes are demonstrated. BACKGROUND:The efficacy and safety outcome of laparoscopic surgery for clinical stages II/III colon cancer underg...

    journal_title:Annals of surgery

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/SLA.0000000000000499

    authors: Yamamoto S,Inomata M,Katayama H,Mizusawa J,Etoh T,Konishi F,Sugihara K,Watanabe M,Moriya Y,Kitano S,Japan Clinical Oncology Group Colorectal Cancer Study Group.

    更新日期:2014-07-01 00:00:00

  • Thrombotic thrombocytopenic purpura (TTP) and splenectomy: a current appraisal.

    abstract::Thrombotic thrombocytopenic purpura (TTP) is a disease process characterized by microangiopathic anemia, fever, neurologic manifestations, renal abnormalities, and thrombocytopenia. These clinical findings are caused by vascular occlusions of the microcirculation. At present the utilization of splenectomy, in the trea...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-197811000-00021

    authors: Rutkow IM

    更新日期:1978-11-01 00:00:00

  • Association Among Blood Transfusion, Sepsis, and Decreased Long-term Survival After Colon Cancer Resection.

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000001990

    authors: Aquina CT,Blumberg N,Becerra AZ,Boscoe FP,Schymura MJ,Noyes K,Monson JRT,Fleming FJ

    更新日期:2017-08-01 00:00:00

  • Identifying patients at high risk for venous thromboembolism requiring treatment after outpatient surgery.

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0b013e3182519ccf

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    更新日期:2012-06-01 00:00:00

  • Pylorus Resection Does Not Reduce Delayed Gastric Emptying After Partial Pancreatoduodenectomy: A Blinded Randomized Controlled Trial (PROPP Study, DRKS00004191).

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    journal_title:Annals of surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/SLA.0000000000002480

    authors: Hackert T,Probst P,Knebel P,Doerr-Harim C,Bruckner T,Klaiber U,Werner J,Schneider L,Michalski CW,Strobel O,Ulrich A,Diener MK,Büchler MW

    更新日期:2018-06-01 00:00:00

  • Barrett's esophagus with high-grade dysplasia. An indication for prophylactic esophagectomy.

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    pub_type: 杂志文章

    doi:10.1097/00000658-199607000-00010

    authors: Heitmiller RF,Redmond M,Hamilton SR

    更新日期:1996-07-01 00:00:00

  • Hyperparathyroidism in the elderly.

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198302000-00003

    authors: Tibblin S,Pålsson N,Rydberg J

    更新日期:1983-02-01 00:00:00

  • Management and outcome of abdominal shotgun wounds. Trauma score and the role of exploratory laparotomy.

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    journal_title:Annals of surgery

    pub_type: 临床试验,杂志文章

    doi:10.1097/00000658-199503000-00009

    authors: Cairns BA,Oller DW,Meyer AA,Napolitano LM,Rutledge R,Baker CC

    更新日期:1995-03-01 00:00:00

  • Enhancement of gene therapy specificity for diffuse colon carcinoma liver metastases with recombinant herpes simplex virus.

    abstract:OBJECTIVE:The authors determined whether a recombinant herpes simplex virus (HSV) vector could destroy human colon carcinoma cells in vitro and whether the vector would selectively replicate in colon carcinoma liver metastases but not surrounding hepatocytes in vivo. BACKGROUND:The HSV vector hrR3 is defective in the ...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-199609000-00008

    authors: Carroll NM,Chiocca EA,Takahashi K,Tanabe KK

    更新日期:1996-09-01 00:00:00

  • The reservoir ileostomy: early experience with 54 patients.

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-197702000-00008

    authors: Gelernt IM,Bauer JJ,Kreel I

    更新日期:1977-02-01 00:00:00

  • Early effects of catecholamine therapy on mucosal integrity, intestinal blood flow, and oxygen metabolism in porcine endotoxin shock.

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-199808000-00014

    authors: Sautner T,Wessely C,Riegler M,Sedivy R,Götzinger P,Losert U,Roth E,Jakesz R,Függer R

    更新日期:1998-08-01 00:00:00

  • Prognostic Value of a Four-miRNA Signature in Patients with Lymph Node Positive Locoregional Esophageal Squamous Cell Carcinoma Undergoing Complete Surgical Resection.

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000003369

    authors: Wen J,Wang G,Xie X,Lin G,Yang H,Luo K,Liu Q,Ling Y,Xie X,Lin P,Chen Y,Zhang H,Rong T,Fu J

    更新日期:2019-04-30 00:00:00

  • Chest Wall Resection for Recurrent Breast Cancer in the Modern Era: A Systematic Review and Meta-analysis.

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    journal_title:Annals of surgery

    pub_type: 杂志文章,meta分析

    doi:10.1097/SLA.0000000000002310

    authors: Wakeam E,Acuna SA,Keshavjee S

    更新日期:2018-04-01 00:00:00

  • Primary payer status affects mortality for major surgical operations.

    abstract:OBJECTIVES:Medicaid and Uninsured populations are a significant focus of current healthcare reform. We hypothesized that outcomes following major surgical operations in the United States is dependent on primary payer status. METHODS:From 2003 to 2007, 893,658 major surgical operations were evaluated using the Nationwi...

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    pub_type: 杂志文章

    doi:10.1097/SLA.0b013e3181e8fd75

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    更新日期:2010-09-01 00:00:00

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    更新日期:1986-04-01 00:00:00

  • Predictive Value of Endoscopic Features for a Complete Response After Chemoradiotherapy for Rectal Cancer.

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  • Single-incision Laparoscopic Appendectomy Versus Conventional Laparoscopic Appendectomy: Experiences From 1208 Cases of Single-incision Laparoscopic Appendectomy. Experiences From 1208 Cases of Single-incision Laparoscopic Appendectomy.

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    pub_type: 杂志文章

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    pub_type: 杂志文章

    doi:10.1097/00000658-197711000-00005

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    更新日期:1977-11-01 00:00:00

  • Staging laparotomy in Hodgkin's disease.

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    journal_title:Annals of surgery

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    doi:10.1097/00000658-198005000-00008

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    pub_type: 杂志文章

    doi:10.1097/SLA.0b013e3181d355f7

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    更新日期:2010-04-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1097/00000658-197409000-00008

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