abstract：:Experience with 22 cases of reconstruction of the cervical esophagus, hypopharynx and oral cavity using free jejunal transfer is presented. The method requires an experienced team with high technical competence, but the benefits related to rapid single-stage completion and low morbidity certainly justify its use. ...

journal_title：American journal of surgery

authors： Hester TR,McConnel FM,Nahal F,Jurkiewicz MJ,Brown RG

更新日期：1980-10-01 00:00:00

abstract：:From 1971 through 1975, 104 patients with squamous carcinoma of the anterior and anterolateral floor of the mouth underwent surgery, irradiation therapy or a combination of both with the purpose of eliminating their tumors. No patient had received treatment before, and this effort was considered primary and definitive...

journal_title：American journal of surgery

authors： Guillamondegui OM,Oliver B,Hayden R

更新日期：1980-10-01 00:00:00

abstract：:Of 101 patients originally operated on, the status of 98 is known. Given the mortality and reanastomosis rates, the operation must be considered an absolute failure in 28 percent of the patients. Given the other complications that appear (or persist) late postoperatively, only 18 percent of the entire series of patien...

journal_title：American journal of surgery

authors： Halverson JD,Scheff RJ,Gentry K,Alpers DH

更新日期：1980-09-01 00:00:00

abstract：:A survey was made of 112 cases of gallstone ileus reported in the Japanese literature, including 3 of our cases. The ratio of males to females was 1 to 1.1, the age range was 13 to 87 years, and biliary-enteric fistulas were demonstrated in 81 percent of the patients. Although cholecystoduodenal fistula was most commo...

journal_title：American journal of surgery

authors： Kasahara Y,Umemura H,Shiraha S,Kuyama T,Sakata K,Kubota H

更新日期：1980-09-01 00:00:00

abstract：:The therapeutic significance of noncurative gastrectomy for gastric cancer with liver metastasis was evaluated and the histologic characteristics of such cancer examined. The mean postoperative survival time of patients with liver metastasis limited to one lobe or a few scattered metastases to both lobes without perit...

journal_title：American journal of surgery

authors： Koga S,Kawaguchi H,Kishimoto H,Tanaka K,Miyano Y,Kimura O,Takeda R,Nishidoi H

更新日期：1980-09-01 00:00:00

abstract：:Twenty-one patients presented with pathologic interactions between the gastrointestinal tract and aortic grafts. Seventeen patients were managed by excision of the graft and axillobifemoral bypass. Six patients died. four deaths were due to disruption of the proximal aortic stump after initial therapy that appeared su...

journal_title：American journal of surgery

authors： Buchbinder D,Leather R,Shah D,Karmody A

更新日期：1980-08-01 00:00:00

abstract：:Blood flow of 2 to 3 liters/min was measured in polytetrafluoroethylene (PTFE) arteriovenous dialysis grafts. The flow studies were done at the time of graft banding for high output cardiac failure or peripheral steal. Routine tapering of the arterial end of these grafts to a diameter of less than 5 mm has virtually e...

journal_title：American journal of surgery

authors： Rosental JJ,Bell DD,Gaspar MR,Movius HJ,Lemire GG

更新日期：1980-08-01 00:00:00

abstract：:Significant arterial trauma can result from femoral arterial cannulation for cardiopulmonary bypass or intraaortic balloon pumping. Threat of imminent loss of limb or suture line disruption requires prompt surgical intervention. Delayed appearance of claudication, characteristically at 1 to 2 weeks postoperatively, is...

journal_title：American journal of surgery

authors： Kozloff L,Rich NM,Brott WH,Collins GJ Jr,McDonald PT,Clagett GP,Collins JT Jr

更新日期：1980-08-01 00:00:00

abstract：:Other indicators of hormone sensitivity, besides estrogen receptor (ER) content, such as response to oophorectomy, antiestrogens, prolactin suppression, and correlation with progesterone receptors (PR), were evaluated in the hope of further improving selectivity and response of patients undergoing endocrine ablation f...

journal_title：American journal of surgery

authors： Moseley HS,Peetz ME,Keenan EJ,Awrich AE,Fletcher WS

更新日期：1980-07-01 00:00:00

abstract：:Experience with 37 patients with adult colovesical fistula over the past 19 years is reviewed. Specific guidelines for treatment of adult colovesical fistula are influenced by the location and cause of the fistula, the patient's general condition, the presence of a pelvic abscess and the presence of colonic obstructio...

journal_title：American journal of surgery

authors： McConnell DB,Sasaki TM,Vetto RM

更新日期：1980-07-01 00:00:00

abstract：:Early diagnosis of esophageal perforation is critical. The importance of performing sufficient surgery at the first procedure whenever possible is emphasized. If early primary closure cannot be achieved, then the initial therapeutic method of choice is resection or diversion followed by reconstruction. Drainage of the...

journal_title：American journal of surgery

authors： Skinner DB,Little AG,DeMeester TR

更新日期：1980-06-01 00:00:00

abstract：:Three hundred patients who underwent upper abdominal operations were studied. One hundred fifty patients were treated by insertion of a nasogastric tube, and 150 patients were treated without it. The incidence of postoperative pneumonia was 10 times higher in the patients treated with a nasogastric tube. Pneumonia was...

journal_title：American journal of surgery

authors： Argov S,Goldstein I,Barzilai A

更新日期：1980-06-01 00:00:00

abstract：:Recent progress in the surgical treatment of carcinoma of the esophagus has changed the pessimistic outlook for this malignancy. With reasonably early diagnosis, it is feasible to achieve a resectability rate of 75 to 85 percent, an operative mortality of about 5 percent and a 5 year survival rate of about 30 percent....

journal_title：American journal of surgery

authors： Wu YK,Chen PT,Fang JP,Lin SS

更新日期：1980-06-01 00:00:00

abstract：:As discussed by Urschel [13], 50 to 70 percent of patients with symptoms of thoracic outlet syndrome may be treated conservatively by nonsurgical methods. Patients who still have symptoms after years of such therapy are referred to us for surgical treatment. Failure to obtain symptomatic relief after scalenotomy alone...

journal_title：American journal of surgery

authors： Murphy TO,Piper CA,Kanar EA,McAlexander RA

更新日期：1980-05-01 00:00:00

abstract：:Fourteen operations were performed in 13 patients with total carotid artery occlusion. All patients had symptoms ranging in duration from a few hours to several months. Flow wa reestablished in 10 of the 14 arteries operated on, a success rate of 74 percent. Complication included one operative death and one permanent ...

journal_title：American journal of surgery

authors： Hunt DG,Wheeler CG,Bukhari HI,Hempel GK

更新日期：1980-05-01 00:00:00

abstract：:A small bore feeding tube may be readily introduced into the stomach by splinting it internally, before insertion, with a flexible arteriographic guide wire, which is removed when the tube is in place. Gentle placement of the tube is recommended. ...

journal_title：American journal of surgery

authors： Martin DC Jr

更新日期：1980-05-01 00:00:00

abstract：:Allergy to metal implants is under study at the Dartmouth-Hitchcock Medical Center using in vitro examination of white blood cell migration. Retrospective data from 121 patients confirm that allergic responses do occur. Prospective data are being gathered to investigate the incidence, prevalence and relation to morbid...

journal_title：American journal of surgery

authors： Mayor MB,Merritt K,Brown SA

更新日期：1980-04-01 00:00:00

abstract：:Common duct stones retained after choledocholithotomy were removed in 11 patients under intravenous sedation using the Olympus fiberoptic choledochoscope passed through a T-tube tract. A total of 39 stones were removed during 12 procedures, with one patient requiring 2 procedures for complete stone removal. All common...

journal_title：American journal of surgery

authors： Birkett DH,Williams LF

更新日期：1980-04-01 00:00:00

abstract：:The popliteal artery entrapment syndrome is increasingly recognized as a cause of arterial insufficiency in the leg. Diagnosis is based on a clinical history of claudication, which may be atypical, physical examination, noninvasive exercise testing and angiography. Patients with normal ankle pulses and resting ankle/b...

journal_title：American journal of surgery

authors： McDonald PT,Easterbrook JA,Rich NM,Collins GJ Jr,Kozloff L,Clagett GP,Collins JT

更新日期：1980-03-01 00:00:00

abstract：:A retrospective study of 316 patients with a diagnosis of intestinal obstruction admitted to the University of Benin Teaching Hospital over a 5 year period is presented. The overall mortality was 10.6 percent. Attention is called to the unacceptably high morbidity and mortality associated with volvulus in this and oth...

journal_title：American journal of surgery

authors： Chiedozi LC,Aboh IO,Piserchia NE

更新日期：1980-03-01 00:00:00

abstract：:A patient with acute amebic dilatation of the colon and multiple intrahepatic abscesses was successfully treated by a combination of medical and surgical therapy. Creation of a loop ileostomy and blow-hole colostomy facilitated complete healing of the colon. ...

journal_title：American journal of surgery

authors： Greenstein AJ,Greenstein RJ,Sachar DB

更新日期：1980-03-01 00:00:00

abstract：:A patient with the classic manifestations of the glucagonoma syndrome and hepatic metastases is presented. Clinical improvement occurred after removal of the primary tumor by distal pancreatectomy and splenectomy. No further antitumor therapy has been needed over a 15 month postoperative follow-up despite metastatic d...

journal_title：American journal of surgery

authors： Montenegro F,Lawrence GD,Macon W,Pass C

更新日期：1980-03-01 00:00:00

abstract：:The results of transthoracic esophageal transection in 100 patients with esophageal varices are described. There were 11 operative deaths in this series, and the majority of patients died from hepatic failure. Esophageal varices disappeared completely in 81 percent of the patients and faded in 18 percent. Post-transec...

journal_title：American journal of surgery

authors： Koyama K,Takagi Y,Ouchi K,Sato T

更新日期：1980-02-01 00:00:00

abstract：:The influence of pancreatic acinar cell atrophy and fibrosis on islet tissue autotransplantation was studied in dogs. Thirty-nine dogs underwent pancreatic duct ligation. After 6 weeks marked acinar cell atrophy and fibrosis developed, similar to that in human chronic pancreatitis. Intravenous glucose tolerance testin...

journal_title：American journal of surgery

authors： Mehigan DG,Zuidema GD,Eggleston JC,Cameron JL

更新日期：1980-02-01 00:00:00

abstract：:Mesenteric vascular disease continues to be associated with an extremely high mortality. It is not necessarily a disease of old age: 20 of the 75 patients in our series were less than 60 years of age. In retrospect, earlier diagnosis and a more aggressive approach could have improved the survival rate of 17.3 percent....

journal_title：American journal of surgery

authors： Hildebrand HD,Zierler RE

更新日期：1980-02-01 00:00:00

abstract：:Appendicitis in preschool children is not uncommon. A duration of greater than 40 hours usually implied perforation. The most common findings were abdominal pain, tenderness, temperature elevation and vomiting. In the presence of perforation or abscess formation, appendectomy followed by copious wound irrigation, absc...

journal_title：American journal of surgery

authors： Graham JM,Pokorny WJ,Harberg FJ

更新日期：1980-02-01 00:00:00

abstract：:Studies using a refined substrate, n-acetyl-L-phenylalanyl-L-diiodotyrosine [n-APDT], demonstrate that bile salts inhibit pepsin activity in vitro by a noncompetitive effect on the enzyme. ...

journal_title：American journal of surgery

authors： Tompkins RK,Croke JC

更新日期：1980-02-01 00:00:00

abstract：:Among 400 patients with adenocarcinoma of the distal large bowel, anterior resection resulted in more anastomotic leaks, postoperative urinary retention and diarrhea when used for lesions of the mid-rectum than when used for lesions of the proximal rectum or sigmoid colon. However, the operative mortality, long-term m...

journal_title：American journal of surgery

authors： Akwari OE,Kelly KA

更新日期：1980-01-01 00:00:00

abstract：:A selected group of men whose eponyms are currently used in biliary tract surgery are described. The eponyms chosen comprise two areas: gross anatomy (Glisson, Wirsung, Santorini, Winslow, Heister, and Vater) and operative anatomy (Kocher, Courvoisier, Morison, Hartmann, Calot, Roux, and Oddi). A brief review of bilia...

journal_title：American journal of surgery

authors： Wood M

更新日期：1979-12-01 00:00:00

abstract：:We report our experience with 65 patients with congenital duodenal obstruction, 36 with intrinsic and 29 with extrinsic lesions. Seventeen patients had trisomy 21 syndrome. Eight pregnancies were complicated by polyhydramnios. The diagnostic features encountered, the operative procedures used, and the postoperative ma...

journal_title：American journal of surgery

authors： Harberg FJ,Pokorny WJ,Hahn H

更新日期：1979-12-01 00:00:00

abstract：:Distal embolization of fragmented laminated thrombus and atheroma producing peripheral ischemia or gangrene is an underemphasized complication of arterial reconstruction. A set of techniques has been developed to minimize this important complication. To assess their effectiveness, the incidence of distal embolism in p...

journal_title：American journal of surgery

authors： Starr DS,Lawrie GM,Morris GC Jr

更新日期：1979-12-01 00:00:00

abstract：:The value of barium enema examination in diagnosing acute appendicitis in patients with equivocal findings has been confirmed by our experience with five patients. Cecal spasm, extrinsic compression of the cecum, nonvisualization of the appendix, and partial visualization of the appendix appear to be useful roentgenog...

journal_title：American journal of surgery

authors： Smith DE,Kirchmer NA,Stewart DR

更新日期：1979-12-01 00:00:00

abstract：:Vertebral arteriovenous fistulas are rare. A report of two cases is presented with problems related to diagnosis and therapy. An alternative approach to surgical management is given. ...

journal_title：American journal of surgery

authors： Quatromoni JC,Johnson JM,Wood M

更新日期：1979-12-01 00:00:00

abstract：:Seven patients who had typical and persistent symptoms of gallbladder disease but repeatedly normal oral cholecystograms were seen in an 18 month period. Ultrasound examination of the gallbladder was diagnostic of cholelithiasis in all seven patients. Six patients were found to have gallstones at operation, and the se...

journal_title：American journal of surgery

authors： McCluskey PL,Prinz RA,Guico R,Greenlee HB

更新日期：1979-11-01 00:00:00

abstract：:A patient with pancreatic ascites is presented who had neither a pseudocyst nor demonstrable pancreatic duct disruption, despite the presence of both calculi and strictures in a dilated duct of Wirsung. Concurrently, the patient exhibited intractable abdominal pain characteristic of end-stage chronic alcoholic pancrea...

journal_title：American journal of surgery

authors： Sparks JC,Levine JB,Henken EM

更新日期：1979-11-01 00:00:00

abstract：:We studied the effect of high caloric parenteral nutrition on the rate of gastric emptying of solid food. The linear pattern of gastric emptying was not altered by parenteral nutrition, but the gastric emptying rate was consistently slowed. The degree of slowing of gastric emptying while on parenteral nutrition correl...

journal_title：American journal of surgery

authors： MacGregor IL,Wiley ZD,Lavigne ME,Way LW

更新日期：1979-11-01 00:00:00

abstract：:The records of more than 1,000 patients who underwent colonoscopy were reviewed. The study group consisted of 55 of these 1,000 patients who had persistent unexplained bleeding per rectum and negative radiographic examinations. Colonoscopy was helpful in defining the site of bleeding in approximately 50 per cent of th...

journal_title：American journal of surgery

authors： Todd GJ,Forde KA

更新日期：1979-11-01 00:00:00

abstract：:A 2.5 kg thoracopagus (Siamese) twin and a 0.73 kg premature newborn developed systemic candidiasis and were treated with intravenous miconazole. The conjoined twin was in a state of severe metabolic acidosis, respiratory distress, jaundice, anuria, abdominal distension, and shock. The 0.73 kg premature infant was als...

journal_title：American journal of surgery

authors： Sung JP,Rajani K,Chopra DR,Grendahl JG,Haws EB

更新日期：1979-11-01 00:00:00

abstract：:(1) Carcinoma of the lip occurs predominantly in men in their seventh and eighth decades of life. (2) Epidermoid carcinoma is the most common malignant lip tumor. (3) Metastases to cervical lymph nodes are uncommon. (4) Elective neck dissection is not indicated. (5) Therapeutic radical neck dissection can benefit the ...

journal_title：American journal of surgery

authors： Heller KS,Shah JP

更新日期：1979-10-01 00:00:00

abstract：:Thirty-one patients with melanoma of the head and neck received split-course radiation therapy (5,000 to 6,000 rads/30 fractions) for loco-regional disease. There was no difference in survival in patients with gross tumors versus patients with no clinical evidence of disease at the start of radiation therapy. The prog...

journal_title：American journal of surgery

authors： Creagan ET,Woods JE,Cupps RE,O'Fallon JR

更新日期：1979-10-01 00:00:00