Abstract:
:The objective of this study was to determine the effects of a diabetic disposition on pulmonary gas exchange by examining 72 patients who underwent coronary artery bypass grafting (CABG), using the arterial/alveolar oxygen tension ratio [(a/A)PO2] as a criterion. Patients were divided into a diabetic (DM) group and a nondiabetic (non-DM) group. The postoperative blood gases and hemodynamic data measured when the blood glucose level was at a maximum on the day of CABG were used as the postoperative pulmonary gas exchange indices, and the physicians who managed these patients were unaware of this study. The preoperative (a/A)PO2 ratio was 0.66 +/- 0.03 (SE) in the DM group and 0.78 +/- 0.02 in the non-DM group (P < 0.01), while the postoperative ratios were 0.42 +/- 0.03 and 0.52 +/- 0.03, respectively (P = 0.01). The correlation coefficient (r) for regression analysis of the relation between the postoperative PaO2/FIO2 ratio and the postoperative (a/A)PO2 ratio was 0.99 in the DM group (P < 0.01) and 0.88 in the non-DM group (P < 0.01). The r values of the relation between (a/A)PO2 and (A-a)PO2 were -0.68 (P < 0.00) and -0.84 (P < 0.01), while those for the respiratory index were -0.87 (P < 0.01), and -0.93 (P < 0.01), respectively. Thus, pulmonary oxygen transfer was compromised before and after CABG in the DM group compared to the non-DM group. Moreover, the PaO2/FIO2, being the simplest pulmonary gas exchange index to calculate, was a reliable substitute for the (a/A)PO2 ratio during the early postoperative management of CABG patients.
journal_name
Surg Todayjournal_title
Surgery todayauthors
Seki S,Yoshida H,Ooba O,Teramoto S,Komoto Ydoi
10.1007/BF00311906subject
Has Abstractpub_date
1993-01-01 00:00:00pages
592-7issue
7eissn
0941-1291issn
1436-2813journal_volume
23pub_type
杂志文章相关文献
SURGERY TODAY文献大全abstract::The immune function of peripheral blood cells and cells from the pleural and abdominal effusions of patients with advanced cancer was compared to that of peripheral blood cells from controls. The parameters examined included lymphocyte subsets, natural killer (NK) cell activity, and anti-Daudi and lymphokine-activated...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF00730624
更新日期:1993-01-01 00:00:00
abstract:PURPOSE:Cor triatriatum sinister, more commonly referred to as cor triatriatum (CT), is characterized by a common pulmonary venous chamber (proximal chamber) separated from the left atrium (distal chamber) by a fibromuscular septum. This report of our experience updates the surgical results of this anomaly in the Asian...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-006-3341-3
更新日期:2007-01-01 00:00:00
abstract::We report a case of metachronous multiple lung adenocarcinoma at the cut-end, diagnosed 4 years after sublobar resection for adenocarcinoma in situ (AIS), on the basis of discordance of epidermal growth factor receptor (EGFR) mutation status between the first and second tumor. The patient was an 81-year-old Japanese m...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-014-1077-z
更新日期:2015-10-01 00:00:00
abstract::This report describes the use of side-to-end anastomosis in a colostomy for an acute malignant large-bowel obstruction. A 59-year-old man presented with a colonic obstruction due to advanced descending colon cancer. The preoperative imaging studies revealed a complete obstruction of the descending colon at the site of...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-008-3817-4
更新日期:2009-01-01 00:00:00
abstract::Intussusception is uncommon in the proximal gastrointestinal tract, although a few case reports have been published on gastroduodenal intussusception associated with an anatomical abnormality or intussusceptions at a site of gastrojejunostomy after gastric surgery. We herein present a case of gastrogastric intussuscep...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-010-4439-1
更新日期:2011-10-01 00:00:00
abstract::A 50-year-old woman was admitted to our hospital because of abdominal distension and fullness. Computed tomography and magnetic resonance imaging showed bilateral ovarian tumors. Although these ovarian tumors were suspected of being metastatic, the primary tumor site could not be detected before the bilateral salpingo...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-009-4174-7
更新日期:2010-11-01 00:00:00
abstract:PURPOSE:Hepatic hydatid cysts (HHCs) are a parasitic infestation caused by several species of Echinococcus. We examined the clinical features of HHCs and evaluated the results of various surgical procedures. METHODS:One hundred and sixty-nine patients aged between 17 and 84 years underwent surgery for HHCs within a 12...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-006-3398-z
更新日期:2007-01-01 00:00:00
abstract::The results of previous studies indicate that only CD4+ T cells generated via the indirect pathway play an essential role in causing discordant skin xenograft rejection. The present study was conducted in an attempt to clarify further the roles of effector T cells generated via direct pathways on discordant xenograft ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950070064
更新日期:2000-01-01 00:00:00
abstract:PURPOSE:In the present study, we investigated the effect of troglitazone, a selective ligand and agonist of PPAR-gamma, on the metastatic potential of human colon cancer cells. METHODS:High- and low-PPAR-gamma expression clones of the colon cancer cell line, HT29, namely clones 21 and 3 respectively, were used. We inv...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950200049
更新日期:2002-01-01 00:00:00
abstract::Although lateral internal sphincterotomy is widely accepted as the treatment of choice for anal fissures, we report our experience of successfully treating 195 consecutive patients with posterior chronic anal fissures by performing fissurectomy with midline sphincterotomy and anoplasty (FPSA). The surgical technique i...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF02388152
更新日期:1997-01-01 00:00:00
abstract::The improvement of heart function in a patient on hemodialysis with dilated cardiomyopathy by renal transplantation is herein reported. The patient was a 35-year-old woman. Hemodialysis had been initiated 3 months before, but she experienced difficulty with hemodialysis maintenance and exhibited congestive heart failu...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF00308977
更新日期:1993-01-01 00:00:00
abstract::We herein report a case of IgG4-related autoimmune pancreatitis (AIP). A 72-year-old male with jaundice visited our hospital complaining of epigastralgia. A blood chemistry analysis revealed elevated serum levels of total bilirubin and DUPAN-II. Computed tomography (CT) revealed irregularly shaped pancreatic masses wi...
journal_title:Surgery today
pub_type: 杂志文章,评审
doi:10.1007/s00595-013-0553-1
更新日期:2014-06-01 00:00:00
abstract::Fibrolamellar hepatocellular carcinoma (FHCC), a rare variant of hepatocellular carcinoma, is becoming more prevalent; however, up until 1999, only 18 cases had been reported in Japan. We recently diagnosed a case of FHCC in a 46-year-old Japanese man who had visited four hospitals before being finally admitted to our...
journal_title:Surgery today
pub_type: 杂志文章,评审
doi:10.1007/s005950200015
更新日期:2002-01-01 00:00:00
abstract::A 55-year-old moderately obese man who was admitted to a local hospital following a traffic accident reported having experienced an episode of sharp and sudden pleuritic pain in the left anterior lower chest 2 days earlier. A computed tomographic scan on admission demonstrated a nonhomogeneous mass in the anterior lef...
journal_title:Surgery today
pub_type: 杂志文章,评审
doi:10.1007/s005950070088
更新日期:2000-01-01 00:00:00
abstract::Portal venous blood flow (PVF), hepatic arterial blood flow (HAF), and systemic arterial pressure (SAP) were examined after prostaglandin E1 (PGE1) was injected into the vena cava superior (VCS) of liver-transplanted pigs. The injection of PGE1 at 0.2 micrograms/kg/min for 2 min on the day of transplantation and 3 day...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF01833727
更新日期:1994-01-01 00:00:00
abstract::An extremely rare case of a lymphoepithelial cyst (LEC) of the pancreas is described herein. A pancreatic cystic tumor was initially detected in a 50-year-old man at a medical checkup. On admission, his serum carbohydrate antigen (CA) 19-9 level was 8100 U/ml and a computed tomography scan revealed a well-circumscribe...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950070074
更新日期:2000-01-01 00:00:00
abstract::We investigated the long-term results and ongoing management issues of 39 Japanese children who underwent liver transplantation in Brisbane, Australia. Whole liver grafts were used in 15 patients (Wh group) and reduced-size grafts were used in 24 patients (Re group). The 1-year and 3-year survival rates were 74% and 6...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF01427032
更新日期:1994-01-01 00:00:00
abstract:PURPOSE:Postoperative hypoxemia is a frequent complication of surgery for acute type A aortic dissection. We tried to determine the factors associated with postoperative hypoxemia. METHODS:Between 1997 and 2003, 114 patients underwent surgery for acute type A aortic dissection. Multivariate logistic regression analysi...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-006-3226-5
更新日期:2006-01-01 00:00:00
abstract::We report herein the case of a 20-year-old woman in whom an enormous aneurysmal portahepatic venous fistula was found. The portal aneurysm developed in the anterior inferior segment of the right hepatic lobe, and communicated with the right portal vein and the right hepatic vein. Due to the enormous size of the shunt,...
journal_title:Surgery today
pub_type: 杂志文章,评审
doi:10.1007/BF00311468
更新日期:1995-01-01 00:00:00
abstract:PURPOSE:LigaSure, a bipolar electronic vessel sealing system, has become popular in abdominal surgery but few clinical studies have been conducted to evaluate its effectiveness in radical gastrectomy for gastric cancer. METHODS:In this multicenter, prospective, randomized controlled trial, patients with curative gastr...
journal_title:Surgery today
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1007/s00595-014-0930-4
更新日期:2014-09-01 00:00:00
abstract::From August 1986 to February 2000, three patients were given a pericardial-peritoneal window using a subxiphoidal approach, for pericardial effusion associated with chronic exudative pericarditis. Complete drainage without recurrence was achieved in two patients with a large pericardial-peritoneal window (4 cm diamete...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950200064
更新日期:2002-01-01 00:00:00
abstract:PURPOSE:This study was performed to evaluate the operative conditions for an abdominal wall-lifting laparoscopic cholecystectomy (ALLC) using a new preoperative grading system. METHODS:One hundred forty-five patients who underwent a cholecystectomy for cholecystolithiasis from January 1997 to December 1999 were retros...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950200005
更新日期:2002-01-01 00:00:00
abstract::Glucagon has a choleretic effect and also stimulates energy-consuming reactions, such as gluconeogenesis and ureogenesis in the liver. The effect of glucagon on energy metabolism in the liver was analyzed in rabbits with obstructive jaundice that had severe liver damage, indicated by significantly lower hepatic energy...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF02215811
更新日期:1994-01-01 00:00:00
abstract::We report herein the case of a ruptured liver abscess that resulted in pneumoperitoneum. A patient with diabetes mellitus presented with symptoms of acute abdomen. The plain abdominal radiograph and computed tomography findings revealed abdominal free air and a gas-containing liver abscess, whereby a diagnosis of a ru...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950170226
更新日期:2001-01-01 00:00:00
abstract:PURPOSE:Geriatric surgery poses specific challenges due to patient vulnerability in relation to aging. We analyzed perioperative challenges concerning super-elderly patients with breast cancer. METHODS:Between 2013 and 2018, 908 patients with breast cancer were treated surgically. Of these, two patient groups were com...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-019-01812-x
更新日期:2019-10-01 00:00:00
abstract:PURPOSE:This study was performed to investigate the effect of subcuticular sutures on the incidence of incisional surgical site infection (SSI) after closure of a diverting stoma. METHODS:The study was carried out as a retrospective analysis of prospectively collected data from 51 patients who underwent closure of div...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-010-4405-y
更新日期:2011-07-01 00:00:00
abstract::Situs inversus totalis is a rare congenital anomaly that often occurs concomitantly with other disorders. We report a case of situs inversus totalis with malignant lymphoma of the stomach, which was successfully treated by surgery followed by chemotherapy and irradiation. The patient was a 51-year-old woman who presen...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s10595-002-2530-z
更新日期:2003-01-01 00:00:00
abstract::We report herein the unusual case of a 66-year-old woman found to have adenocarcinoma arising in a tailgut cyst. The patient had been observed for 6 months following the discovery of a presacral cystic mass measuring 10 x 9 cm for which she had refused surgery. The serum tumor marker, carcinoembryonic antigen, became ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF02482826
更新日期:1998-01-01 00:00:00
abstract::For vascular occlusive disease, an autologous vein graft is the most suitable conduit for arterial reconstruction. Intimal hyperplasia, resulting from the migration and proliferation of vascular smooth muscle cells, is a major obstacle to patency after vein grafting. The degree to which the function of nitric oxide (N...
journal_title:Surgery today
pub_type: 杂志文章,评审
doi:10.1007/s00595-013-0555-z
更新日期:2014-02-01 00:00:00
abstract::Because of the low incidence rate of combined hepatocellular-cholangiocarcinoma (combined HCC-CC), the clinicopathological features of a recurrent tumor of this disease remain to be elucidated. We describe a 47-year-old Japanese woman with a 5-cm diameter mass lesion in the liver. A hepatectomy and dissection of the l...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950200140
更新日期:2002-01-01 00:00:00