摘要:

SummaryFrom 1,007 patients treated for carcinoma of the rectum from 1950 to 1964, 153 with carcinomas 11‐15 cm from the anal verge were selected. There was no random selection, but 70 of the patients were treated by anterior resection, and 83 by abdomino‐perineal excision. The two groups were reasonably comparable with reference to Dukes' classification, tumor size, age, and complicating diseases. There were slightly higher proportions of carcinomas invading local organs, colloid carcinomas, and anaplastic neoplasms in the abdominoperineal excision group. Postoperative mortality rates (7 and 8 per cent) and incidences of complications were much the same in the two groups. The corrected five‐ and ten‐year survival rates, respectively, were 78.8 and 57.4 per cent in the anterior resection group and 65 and 46.6 per cent in the abdomino‐perineal excision group.We conclude that it is justifiable to perform anterior resection in treatment of patients with carcinomas of the rectum of Dukes' types B and C when the carcinomas are more than 10 cm from the anal verge.

ISSN:0012-3706    

出版商:OVID    

年代:1973

数据来源: OVID

摘要:

SummaryCase reports of four patients are presented as examples of reversible ischemic colitis. Clinical features such as lower abdominal cramps, single episodes of rectal bleeding, the paucity of clinical signs, and the characteristic radiologic features on barium‐enema studies are emphasized. Subsidence of symptoms and reversion of the pseudotumors, “thumb‐prints” and mucosal ulceration to normal on repeat bariumenema studies are described. These cases further confirm the sequence of events established by clinical and experimental evidence. A correlation of contraceptive therapy and possibly allergic phenomena with ischemic colitis is postulated in the case of Patient I. The disease is usually benign, but it should be emphasized that when clinical and radiologic findings do not correlate, and when symptoms persist, surgical intervention (as in the case of Patient 4) is indicated. All patients should be followed for at least a year.We feel it is important to be aware of this entity to avoid unnecessary surgical procedures.

ISSN:0012-3706    

出版商:OVID    

年代:1973

数据来源: OVID

摘要:

SummaryThe ninth case of malacoplakia of the colon, involving the ascending and transverse portions and occurring in a 47‐year‐old emaciated woman, is presented. The patient died of a large intestinal obstruction syndrome caused by malacoplakia. A review and discussion of eight previous case reports are also presented. Microscopically, the lesion was characterized by masses and sheets of large macrophages with granular eosinophilic PAS‐positive, well‐outlined cytoplasm containing classic Michaelis‐Gutmann bodies.

ISSN:0012-3706    

出版商:OVID    

年代:1973

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1973

数据来源: OVID

摘要:

ConclusionsThis report of seven deaths from fistula‐in‐ano with acute abscess in a seven‐year period between 1962 and 1969 at the Philadelphia General Hospital indicates the serious potential of this generally‐benign surgical lesion. Fistula‐in‐ano with acute abscess occurring in the obese or diabetic patient in association with local and systemic signs of invasive infection requires serious, considered management. Similarly, four deaths from the chronic form of fistula‐in‐ano during the same period indicate the debilitating nature of neglected fistula‐in‐ano, which can lead ultimately to death.

ISSN:0012-3706    

出版商:OVID    

年代:1973

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1973

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1973

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1973

数据来源: OVID