|
09/01/1992 12:00 AM
|
|
Technical Modifications and Improved Results With the Ileal Pouch Anal Anastomosis (Ipaa)
|
Success TECHNICAL MODIFICATIONS AND IMPROVED RESULTS WITH THE ILEAL POUCH ANAL ANASTOMOSIS (IPAA) Murray, J . J . MD
|
|
09/01/1993 12:00 AM
|
|
Does Laparoscopic-Assisted Ileal-Pouch Anal Anastomosis Reduce the Length of Hospitalization?
|
Success DOES LAPAROSCOPIC-ASSISTED ILEAL- POUCH ANAL ANASTOMOSIS REDUCE THE LENGTH OF HOSPITALIZATION? Nogueras, J . J . MD
|
|
01/01/2003 12:00 AM
|
|
Current Controversies in Pouch Surgery
|
Restorative proctocolectomy with ileal pouch anal anastomosis has become the most commonly used procedure for elective treatment of patients with mucosal ulcerative colitis and familial adenomatous polyposis. Since its original description, the procedure has been modified in an attempt to obtain optimal functional results with low morbidity and mortality, and yet provide a cure for the disease. These modifications of the technique are discussed in this review, limited to the current points of controversy. We reviewed the current literature describing restorative proctocolectomy with ileal pouch anal anastomosis. The current "hot topics" for debate are transanal mucosectomy with hand-sewn anastomosis versus the double-stapled technique, the use of diverting ileostomy, indeterminate colitis, the role of laparoscopy, and indications for pouch surgery in the elderly. Longer follow-up of patients and increased knowledge and experience with pouch surgery, coupled with active prospective evaluation of the procedure are required to settle these issues. Patients must be fully informed to understand inherent risks of each choice.
(C) 2003 Southern Medical Association
|
|
09/01/1954 12:00 AM
|
|
Cancer of the Stomach With Description of Formation of A Food Pouch in Total Gastrectomy
|
Success CANCER OF THE STOMACH WITH DESCRIPTION OF FORMATION OF A FOOD POUCH IN TOTAL GASTRECTOMY. Hunt, Claude J . M.D.
|
|
11/01/1976 12:00 AM
|
|
Management of Patients With Modified Hunt Pouch Esophagojejunostomy After Total Gastrectomy for Carcinoma of Stomach
|
The Hunt pouch and its various modifications have been used as an esophagojejunostomy technic after total gastrectomy or esophagogastrectomy for benign and malignant conditions. This pouch procedure may be particularly useful for palliative gastric resections in which the patient's ability to ingest adequate foodstuffs might be enhanced by a larger reservoir, thereby improving nutritional status and possibly facilitating chemotherapy or radiation therapy or both. Intravenous hyperalimentation has been used to advantage preoperatively and postoperatively to help nutritionally depleted patients better tolerate such an operation and has been useful during treatment of complications related to the procedure. Three recent bases are discussed to illustrate the above propositions.
(C) 1976 Southern Medical Association
|
|
10/01/2004 12:00 AM
|
|
Port Site Metastasis Remote from the Time of Initial Laparoscopy.: GYN/OB-2
|
Success Olivia J . MD; Burke, James J . II MD; Ferro, Alex MD; Gallup, Donald G. MD </autho with Hartmann's pouch formation.
|
|
12/01/1994 12:00 AM
|
|
Nonadenomatous Thymic Unencapsulated Parathyroid Tissue as a Cause of Persistent Primary Hyperparathyroidism
|
colon; Primary hyperparathyroidism may be caused by ectopic intrathymic parathyroid adenomas or hyperplastic parathyroid glands. The association of the ectopic inferior parathyroid glands and the thymus is due to their common embryologic origin from the third pharyngeal pouch. We report a case of primary hyperparathyroidism due to an unusual pathologic parathyroid gland formation: nonadenomatous thymic unencapsulted parathyroid tissue. Two unsuccessful neck explorations revealed only two normal parathyroid glands within the cervical area. Radiologic imaging studies failed to localize an ectopic parathyroid adenoma. Mediastinal exploration and thymectomy showed one small focus of unencapsulated hypercellular parathyroid tissue expanding peripherally along the septa of thymic adipose tissue. The hyperparathyroidism resolved with the surgical procedure.
(C) 1994 Southern Medical Association
|
|
10/01/2008 12:00 AM
|
|
Anemia After Gastric Bypass: Still a Risky Business?
|
No abstract available
|
|
10/01/2008 12:00 AM
|
|
Anemia Following Roux-en-Y Surgery for Morbid Obesity: A Review
|
Morbid obesity is a significant problem in the Western world. Recently, there has been an increase in the number of patients undergoing surgical weight loss procedures. Currently, the most widely performed procedure is the Roux-en-Y gastric bypass operation which combines restriction of food intake with malabsorption of calories and various nutrients, resulting in weight loss and nutritional deficiencies, respectively. Various types of anemia may complicate Roux-en-Y and commonly include deficiencies of iron, folate, and vitamin B12. Iron deficiency is particularly common and may result from many mechanisms including poor intake, malabsorption, and mucosal bleeding from marginal ulceration. However, less appreciated etiologies of nutritional anemia include deficiencies of B-complex vitamins, ascorbic acid, and copper. Replacement of the missing or decreased constituent usually reverses the anemia. Since physicians of various medical and surgical specialties are often involved with the postoperative care of bariatric patients, a review of anemia in this patient population is warranted.
(C) 2008 Southern Medical Association
|
|
03/01/2003 12:00 AM
|
|
Thyroid Abscess Due to Acinetobacter calcoaceticus: Case Report and Review of the Causes of and Current Management Strategies for Thyroid Abscesses
|
Thyroid abscess was a common condition in the era before antibiotics. In the current medical environment, however, it is a clinical entity that is seldom encountered. We report the case of a unique cause of thyroid abscess, the environmental Gram-negative bacterium Acinetobacter calcoaceticus. Review of the published causes of thyroid abscess since 1980 demonstrated that although Gram-positive bacteria (Staphylococcus and Streptococcus species) remain the most common causes, there has been a marked decrease in the number of cases caused by mycobacteria, Salmonella species, and anaerobes when compared with the early part of the 20th century. Patients infected with the human immunodeficiency virus, however, still develop mycobacterial and fungal thyroid infections with some regularity. Reported modes of management of thyroid abscess vary, but drainage remains an integral component of therapy for resolution of the infection.
(C) 2003 Southern Medical Association
|
|
04/01/2007 12:00 AM
|
|
Abdominal Pregnancy-An Obstetrical Enigma
|
No abstract available
|
|
08/01/2006 12:00 AM
|
|
Pediatric Obesity: Impact and Surgical Management
|
The incidence of children in the United States who are overweight or obese is increasing at an alarming rate, and many obesity-related complications are now being described in children. There appears to be no current pharmacologic treatment or surgical procedure that is both safe and effective for millions of obese children. Bariatric surgery may be useful, however, in carefully selected obese children with associated serious comorbidities unresponsive to medical or dietary interventions. The complications of pediatric obesity are discussed, as well as current medical and surgical management of this disorder.
(C) 2006 Southern Medical Association
|
|
02/01/2009 12:00 AM
|
|
Synchronous Occurrence of Colorectal Adenocarcinoma and Colonic Gastrointestinal Stromal Tumor
|
No abstract available
|
|
04/01/2007 12:00 AM
|
|
Primary Omental Pregnancy on the Gastrocolic Ligament
|
Omental pregnancy is an extremely rare form of abdominal pregnancy. Only 16 cases had been reported in the literature, and most were secondary omental pregnancies. We presented a case of primary omental pregnancy located on "gastrocolic ligament" diagnosed at surgical operation. The aim of this presentation is to remember that pregnancy can exist in unusual localizations, so abdominal observation and examination is very important during operations.
(C) 2007 Southern Medical Association
|
|
02/01/2005 12:00 AM
|
|
Ischemic Colitis: A Clinical Review
|
Ischemic colitis is the most common form of intestinal ischemia. It manifests as a spectrum of injury from transient self-limited ischemia involving the mucosa and submucosa to acute fulminant ischemia with transmural infarction that may progress to necrosis and death. Although there are a variety of causes, the most common mechanism is an acute, self-limited compromise in intestinal blood flow. Patients typically have mild abdominal pain and tenderness over the involved segment of bowel. There is usually passage of blood mixed with stool, but hemodynamically significant bleeding is unusual. Although computed tomography may have suggestive findings, colonoscopy is the procedure of choice for diagnosis. Supportive care with intravenous fluids, optimization of hemodynamic status, avoidance of vasoconstrictive drugs, bowel rest, and empiric antibiotics will produce clinical improvement within 1 to 2 days in most patients. Twenty percent of patients will have development of peritonitis or may deteriorate despite conservative management and will require surgery.
(C) 2005 Southern Medical Association
|
|
08/01/2004 12:00 AM
|
|
Injuries to The Shoulder in Athletes
|
No abstract available
|
|
02/01/2009 12:00 AM
|
|
A Strange Case of Acute Abdomen
|
A 30-year-old male suffered from acute abdomen following duodenal biopsy taken at esophagogastroduodenoscopy (EGD). Exploratory laparotomy showed a large retroperitoneal hematoma arising from the second part of the duodenum that was then treated conservatively. To the authors' knowledge, this is the first case of extensive retroperitoneal hematoma following EGD. The hemorrhage is speculated to have been caused by the tearing of one of the pancreaticoduodenal arteries or one of their branches during the duodenal biopsy.
(C) 2009 Southern Medical Association
|
|
09/01/2005 12:00 AM
|
|
Four Primary Tumors of Lung, Bladder, Prostate, and Breast in a Male Patient
|
We present a very rare case of quadruple cancers in a 65-year-old male patient. It is a case of both synchronous and metachronous primary malignant neoplasms occurring in four different organs. Immunohistochemical stains showed tumor cell nuclei to be negative for p53 over-expression. To our knowledge, this is the first documented case with this combination of primary tumors. The tumors included an adenosquamous cell carcinoma of the lung, transitional cell carcinoma of the urinary bladder, and adenocarcinomas of the prostate and the breast. We also review the medical literature for the possible causes of multiple primary malignant neoplasms.
(C) 2005 Southern Medical Association
|
