abstract：:Ten patients who had a cricopharyngeal myotomy and diverticulum suspension for pharyngoesophageal diverticulum have been studied clinically, radiologically, and manometrically. There were no deaths or morbidity and all patients have achieved marked improvement of their symptoms. Before operation all patients but one h...

journal_title：Surgery

authors： Duranceau A,Rheault MJ,Jamieson GG

更新日期：1983-10-01 00:00:00

abstract：:A prospective study to evaluate the accuracy of early diagnosis and the efficacy of early operation for biliary tract stone disease was performed. One hundred fifty-two consecutive patients with signs and symptoms compatible with biliary colic or acute cholecystitis were admitted to the hospital and promptly evaluated...

journal_title：Surgery

authors： Saltzstein EC,Peacock JB,Mercer LC

更新日期：1983-10-01 00:00:00

abstract：:In this study we evaluated the capacity of selective angiography to reduce the number of exploratory procedures with negative results for suspected peripheral vascular injury. During the 4-year period ending December 1982, 316 trauma patients were evaluated for possible vascular injuries of the extremities. Exploratio...

journal_title：Surgery

authors： Sirinek KR,Gaskill HV 3rd,Dittman WI,Levine BA

更新日期：1983-10-01 00:00:00

abstract：:The multiple endocrine neoplasia (MEN) IIb syndrome has been differentiated from MEN IIa by the presence of various phenotypic characteristics such as mucosal neuromas, marfanoid habitus, congenital skeletal anomalies, and prominent corneal nerves, as well as the lack of parathyroid involvement. Analysis of a kindred ...

journal_title：Surgery

authors： Talpos GB,Jackson CE,Yott JB,Van Dyke DL

更新日期：1983-10-01 00:00:00

abstract：:During a 30-month period 73 patients underwent operation for choledocholithiasis. Thirty-three of these patients (45%) had cholangitis preoperatively. When compared to patients with common duct stones who had no preoperative cholangitis, patients with cholangitis were older (P less than 0.001), more likely to present ...

journal_title：Surgery

authors： Pitt HA,Postier RG,Cameron JL

更新日期：1983-09-01 00:00:00

abstract：:Experimental data suggesting that oxygen-derived free radicals may play a role in the myocardial injury associated with ischemia and reperfusion are presented. In several studies of prolonged global myocardial ischemia, the administration of free radical scavenging agents, such as superoxide dismutase, catalase, and m...

journal_title：Surgery

authors： Gardner TJ,Stewart JR,Casale AS,Downey JM,Chambers DE

更新日期：1983-09-01 00:00:00

abstract：:We found that human malignant melanoma cells had varying thermal sensitivity and that some exhibited natural thermal resistance, a heretofore unrecognized phenomenon. Samples of 73 melanoma cell suspensions were heated at 42 degrees C for 1 hour before plating in the soft agar clonogenic assay or the thymidine assay f...

journal_title：Surgery

authors： Storm FK,Roe DJ,Hildebrand-Zanki S,Worth GD,Morton DL,Kern DH

更新日期：1983-08-01 00:00:00

abstract：:Patients with primary and recurrent carcinomas of the breast were studied by the human tumor stem cell assay to determine if (1) colonies would form from breast cancer specimens, (2) growth in the culture would equate with aggressiveness of disease, (3) the assay would yield specific information on drug responsiveness...

journal_title：Surgery

authors： Sutherland CM,Mather FJ,Carter RD,Cerise EJ,Krementz ET

更新日期：1983-08-01 00:00:00

abstract：:Although cyclosporine (CsA) has been thought to act primarily on the afferent phase of the immune response, we can demonstrate that it also acts at the efferent phase. The effect of CsA on lymphocyte recruitment (LR), regional blood flow (RBF), and vascular permeability (VP) was studied in paired, healed, subcutaneous...

journal_title：Surgery

authors： Hanto DW,Harty JT,Hoffman R,Simmons RL

更新日期：1983-08-01 00:00:00

abstract：:The unexpected finding of hyperamylasemia in a patient with isolated head injury prompted a study of amylase levels in patients with various degrees of cranial trauma. None of seven patients with isolated maxillofacial trauma had hyperamylasemia. This group was studied to discount injury to salivary glands as a source...

journal_title：Surgery

authors： Bouwman DL,Altshuler J,Weaver DW

更新日期：1983-08-01 00:00:00

abstract：:Seven surgically proven cases of a traumatic rupture of the right hemidiaphragm with a hepatic herniation were preoperatively diagnosed by radionuclide liver-spleen imagings, and they were retrospectively analyzed. All injuries resulted from blunt traumatic injury including automobile accidents, and there were associa...

journal_title：Surgery

authors： Kim EE,McConnell BJ,McConnell RW,Duke JH,Dillon M

更新日期：1983-07-01 00:00:00

abstract：:The acquired failure of host immunocompetence that may result from significant protein and caloric malnutrition has been associated with an increased incidence of septic complications in patients undergoing operation. Wound infection in patients undergoing vascular surgical procedures may lead to exposure or contamina...

journal_title：Surgery

authors： Casey J,Flinn WR,Yao JS,Fahey V,Pawlowski J,Bergan JJ

更新日期：1983-06-01 00:00:00

abstract：:We have treated 13 patients with limb-threatening ischemia caused by acute arterial thrombosis with selective arterial infusion of streptokinase. The indications for thrombolytic therapy included medical contraindication to surgery, surgically inaccessible thrombi, arterial thrombosis following percutaneous translumin...

journal_title：Surgery

authors： Rush DS,Gewertz BL,Lu CT,Neely SM,Ball DG,Beasley M,Zarins CK

更新日期：1983-06-01 00:00:00

abstract：:Little is known about the response of surface cells and glandular cells of the gastric mucosa to various injurious agents. This study examines the effects of bile acid and salicylate on oxygen consumption and membraneolysis of isolated gastric mucosal surface cells and compares these responses to those of cells consti...

journal_title：Surgery

authors： Tanaka K,Fromm D

更新日期：1983-05-01 00:00:00

abstract：:Local low-dose streptokinase infusion (5000 to 6000 IU/hr) as compared to systemic streptokinase infusion (loading dose 250,000 IU/hr, maintenance dose 100,000 IU/hr) successfully relieved a total thrombotic abdominal aortic occlusion. No complications of bleeding or distal embolization occurred during streptokinase t...

journal_title：Surgery

authors： Cunningham MW,May S,Tucker WY,Gerlock AJ Jr

更新日期：1983-04-01 00:00:00

abstract：:Reliable cancer statistics reveal an unexplained increase in the incidence and rate of death from melanoma. Increased exposure to ultraviolet light does not seem to be a factor. Hormones may affect the incidence but do not influence survival. The recognition of the biologic evolution of different types of melanomas an...

journal_title：Surgery

authors： Adam YG,Efron G

更新日期：1983-04-01 00:00:00

abstract：:Postendarterectomy platelet deposition and thrombus formation may play an important role not only in vessel wall healing but also in the small incidence of postoperative cerebral ischemia and postoperative stenosis. A study has been performed using a canine model to investigate the healing response to carotid endarter...

journal_title：Surgery

authors： Lusby RJ,Ferrell LD,Englestad BL,Price DC,Lipton MJ,Stoney RJ

更新日期：1983-03-01 00:00:00

abstract：:Since 1966, 29 patients with recurrent carotid artery stenosis have been encountered. The mean (+/- SEM) internal between initial carotid endarterectomy and secondary presentation was 67.5 +/- 9.2 months (range 6 to 180 months). There was a disproportionate number of women with recurrent stenosis. The mean age at init...

journal_title：Surgery

authors： Clagett GP,Rich NM,McDonald PT,Salander JM,Youkey JR,Olson DW,Hutton JE Jr

更新日期：1983-02-01 00:00:00

abstract：:In this study, we have compared a bioassay procedure with high-pressure liquid chromatography (HPLC) for the determination of metronidazole levels in serum and urine. Plasma and urine of volunteers with normal or impaired renal function were obtained at various intervals after a single intravenous dose of 500 mg metro...

journal_title：Surgery

authors： Turgeon PL,Dufresne LR,Ogilvie RI,Kreeft JH

更新日期：1983-01-01 00:00:00

abstract：:In a prospective study the accuracy of B-mode ultrasound imaging alone was compared with its use in conjunction with bidirectional Doppler ultrasound, carotid phonoangiography, and oculoplethysmography to independently assess contrast arteriograms of carotid arteries studied for presumed extracranial vascular disease....

journal_title：Surgery

authors： Kerstein MD

更新日期：1983-01-01 00:00:00

abstract：:Prevention of ischemic bowel complications following abdominal aortic reconstruction requires identification of the patient at high risk for developing the complication; on precise, gentle, meticulous operative technique; on knowledge of bowel blood supply; on determining when the IMA must be reconstructed or when it ...

journal_title：Surgery

authors： Ernst CB

更新日期：1983-01-01 00:00:00

abstract：:We studied parathyroid hormone (PTH) release from cell suspensions of fresh and cryopreserved human parathyroid tissue. A sensitive PTH assay with midregion specificity and adaptation of "micro" methods of cell plating permitted conservation of tissue (200 microliters aliquots) and high reproducibility (5 to 10 aliquo...

journal_title：Surgery

authors： Saxe AW,Chen SL,Marx SJ,Brennan MF

更新日期：1982-11-01 00:00:00

abstract：:The utility of fine-needle aspiration biopsy to detect carcinoma in thyroid nodules was evaluated by a decision-analysis approach in 102 patients. The procedure caused no morbidity. Cytologic diagnoses were categorized as unsatisfactory (4), no abnormality detected (61), atypical (13), suspicious for malignancy (14), ...

journal_title：Surgery

authors： Norton LW,Wangensteen SL,Davis JR,Paplanus SH,Werner SC

更新日期：1982-10-01 00:00:00

abstract：:Patients with stages O and I malignant melanomas of the trunk and proximal limbs, having had wide excisions only without lymph node dissections, were reviewed to determine whether the presence or absence of muscle fasciae correlated with prognosis. Prior to 1969 most patients seen at The University of Texas M. D. Ande...

journal_title：Surgery

authors： Kenady DE,Brown BW,McBride CM

更新日期：1982-10-01 00:00:00

abstract：:Peripheral parenteral nutrition avoids the use of central lines and is a useful means of nutritional support for selected patients. Amino acids alone have been used for peripheral parenteral nutrition and have been shown to give near nitrogen equilibrium. The addition of small amounts of dextrose to amino acids furthe...

journal_title：Surgery

authors： Fairfull-Smith RJ,Stoski D,Freeman JB

更新日期：1982-10-01 00:00:00

abstract：:Most cases of familial hyperparathyroidism are due to diffuse chief cell hyperplasia. No documented cases of familial disease associated with single adenomas in which multiple glands have been biopsied have been reported. The family described here had solitary adenomas proven in four members. Biopsy of other glands sh...

journal_title：Surgery

authors： Allo M,Thompson NW

更新日期：1982-09-01 00:00:00

abstract：:The clinical results of vascularized pancreas transplants have improved somewhat during the last 5 years, the but technical problems of handling the pancreatic duct remain difficult. Clinical isolated islet allografts have rarely if ever succeeded. Rejection appears to be a more severe problem in pancreas or islet tra...

journal_title：Surgery

authors： Barker CF,Naji A,Perloff LJ,Dafoe DC,Bartlett S

更新日期：1982-08-01 00:00:00

abstract：:Resident evaluation is highly subjective and continues to be a problem. Personality traits and characteristics account for 28% of factors considered; deficits in this area account for 22% of advanced residency terminations. Sixty-four faculty members and 51 residents in six university surgical departments were surveye...

journal_title：Surgery

authors： Greenburg AG,McClure DK,Penn NE

更新日期：1982-08-01 00:00:00

abstract：:Five surgical management problems amenable to solution by decision analysis were developed to test the decision-making skills, or surgical judgment, of residents in three university-based surgical training programs. Incorporated within the problems were indicators of textbook knowledge, basic computational ability and...

journal_title：Surgery

authors： Clarke JR

更新日期：1982-08-01 00:00:00

abstract：:Improvement of renal allograft survival by induction of immunologic unresponsiveness was attempted in 24 patients by the pretransplant administration of donor-specific whole blood or buffy coat under continuous azathioprine immunosuppression. All patients and their donors had one or two disparate HLA haplotypes. Cross...

journal_title：Surgery

authors： Anderson CB,Sicard GA,Etheredge EE

更新日期：1982-08-01 00:00:00

abstract：:We report here the first development of a continuous cell line in tissue culture of an animal pancreatic duct adenocarcinoma that is histologically similar to human pancreatic duct adenocarcinoma. A primary pancreatic duct adenocarcinoma, induced in a male Syrian golden hamster after 23 weeks of weekly subcutaneous in...

journal_title：Surgery

authors： Townsend CM Jr,Franklin RB,Gelder FB,Glass E,Thompson JC

更新日期：1982-07-01 00:00:00

abstract：:Direct measurement of the femoral artery pressure before operation has been used to predict the postoperative change in ankle and toe pressure in 102 limbs (83 patients) that underwent aortoiliac surgery for the treatment of atherosclerotic occlusion or stenosis affecting both the aortoiliac and femoral artery segment...

journal_title：Surgery

authors： Faris I,Tønnesen KH,Agerskov K,Noer I,Sager P

更新日期：1982-07-01 00:00:00

abstract：:One hundred five patients with obstructive jaundice have undergone percutaneous transhepatic internal biliary drainage at the Johns Hopkins Hospital. Many of these patients subsequently underwent corrective or palliative surgery, whereas other died of malignant disease after relatively short periods of catheter decomp...

journal_title：Surgery

authors： Pennington L,Kaufman S,Cameron JL

更新日期：1982-06-01 00:00:00

abstract：:A clinical observation that patients with aortoiliac occlusive disease have a high aortic bifurcation serves as the stimulus for this study. A review of 100 consecutive abdominal aortograms revealed that patients with occlusive disease had an average bifurcation angle of 38 degrees and those with normal studies or ane...

journal_title：Surgery

authors： Sharp WV,Donovan DL,Teague PC,Mosteller RD

更新日期：1982-06-01 00:00:00

abstract：:The purpose of this study was to develop a method that would provide baseline data for the ongoing assessment of surgical clerkships at The University of Michigan Medical School. Of specific concern was the comparability of clerkship experiences among five different sites and the degree of variability in student exper...

journal_title：Surgery

authors： Calhoun JG,Davis WK,Erlandson EE,Maxim BR

更新日期：1982-06-01 00:00:00

abstract：:The effectiveness of prosthetic femoropopliteal bypass grafts to salvage limbs and maintain long-term patency in lower extremities with a limited outflow tract is controversial. To evaluate the results of prosthetic grafts and compare them with the results of vein bypass grafts in limbs with a limited outflow tract, w...

journal_title：Surgery

authors： Corson JD,Brewster DC,LaSalle AJ,Darling RC

更新日期：1982-04-01 00:00:00

abstract：:In this study we set out to determine, if relative to net catabolism of skeletal muscle protein as measured by phenylalanine release, the transamination of branched-chain amino acids (valine, isoleucine, and leucine) was greater in nonseptic burn patients than in controls. Arterial and femoral venous amino acid concen...

journal_title：Surgery

authors： Snelling CF,Woolf LI,Groves AC,Moore JP,Duff JH

更新日期：1982-04-01 00:00:00

abstract：:Dogs treated with 15 cm H2O positive end-expiratory pressure (PEEP) invariably show a decrease in cardiac output (CO). Plasma that is obtained from PEEP-treated dogs and applied to an isometrically contracting rat papillary muscle results in a significant depression of the peak developed tension. The present study eva...

journal_title：Surgery

authors： Utsunomiya T,Krausz MM,Dunham B,Shepro D,Hechtman HB

更新日期：1982-03-01 00:00:00

abstract：:Endorectal ileoanal anastomosis with proximal interposition of an ileal reservoir was evaluated experimentally in dogs as an approach to retain sphincteric control of defecation after proctocolectomy. Two months after the operative procedure, eight animals with a reservoir had four to eight semisolid stools per day an...

journal_title：Surgery

authors： Schraut WH,Block GE

更新日期：1982-03-01 00:00:00

abstract：:Analysis of the case histories of 17 patients who developed subglottic obstruction following cricothyroidotomy shows that all 10 patients with chronic stenosis had acute laryngeal pathology at the time of initial operation. Seven patients were identified as having acute subglottic obstruction with granulation tissue. ...

journal_title：Surgery

authors： Brantigan CO,Grow JB Sr

更新日期：1982-02-01 00:00:00