摘要:

&NA;Of the series of 21 patients with Crohn's disease who were treated with TPN as primary therapy, there were only four (19 per cent) who did not eventually need surgical intervention. The mean follow‐up period for this group of patients was 27.25 months. The remaining 14 patients were operated on an average of 9.9 months after their course of TPN.Of the five patients with mucosal ulcerative colitis who were treated with primary TPN, three are now doing well in response to medical therapy after a mean follow‐up period of 27.3 months.

ISSN:0012-3706    

出版商:OVID    

年代:1978

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1978

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

&NA;A new method of providing continence to patients with fecal stomas is presented. The device, used as an artificial sphincter, consists of an inflatable Silastic balloon, which is implanted in the subcutaneous tissue around the stoma; it is easily handled by the patient. The artificial sphincter was used in six patients with colostomies. In all cases, satisfactory continence of the stoma was achieved, obviating the need to use enemas, bags or other appliances. In three patients subcutaneous infections developed around the prosthesis. In two cases, this was readily controlled; in one case, the prosthesis had to be removed. The other five patients are well and continent. None of the patients experienced pain or discomfort during use of the prosthesis. There has been no stomal ischemia.

ISSN:0012-3706    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

&NA;The records of 650 patients were analyzed to determine factors predisposing the patients to wound infections. Statistically significant increases in infections were found in association with Crohn's disease, stomas present preoperatively, serum albumin levels of less than 2.9 g/dl, operative blood losses greater than 1,200 ml or operative times longer than two hours, preoperative irradiation, and bowel preparations other than mechanical preparation and nonabsorbable antibiotics. Wound infection did not occur in patients who were prepared for the operation with the neomycin‐erythromycin antibiotic regimen.

ISSN:0012-3706    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

&NA;One hundred four patients who had perianal and perineal hidradenitis suppurativa were treated with early, extensive and complete surgical excision; longterm results were excellent, hospital stays were short, and the recurrence rate was low. All wounds were allowed to heal by secondary granulation. No antibiotics were administered, there was no split‐thickness skin grafting, and a diverting colostomy was used in only one patient.

ISSN:0012-3706    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

&NA;Thirty‐eight gastrointestinal‐tract fistulas in 34 patients are reviewed. Thirty‐six of the fistulas developed postoperatively, and most of these were secondary to inflammatory processes. The rate of spontaneous closure was 29 per cent. Twenty‐two patients (64 per cent) needed surgical treatment to effect permanent closure of their fistulas. A course of hyperalimentation is recommended for the initial management of all gastrointestinal‐tract fistulas, but a more aggressive approach is needed for those lesions that do not respond promptly.

ISSN:0012-3706    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

&NA;Three hundred and ninety‐three patients who had anal fissures were followed continuously for approximately five years. More than 44 per cent of them were cured nonsurgically within a four‐to eight‐week period. There was an 8 per cent complication rate, consisting of abscesses and fistulas, necessitating surgical treatment. The recurrence rate following healing was 27 per cent, but a third of these patients had recurrent fistulas that healed in response to further conservative treatment.The authors feel that conservative treatment of anal fissure is justified unless there is advanced anal stenosis.

ISSN:0012-3706    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

&NA;Lateral internal sphincterotomy proved to be effective in 99 per cent of the 418 procedures in which it was performed. The complication rate of 5 per cent was an improvement over most of the rates reported in the medical literature and over our previous experience with posterior sphincterotomy and anoplasty. Anal wounds and fissures healed faster than with previous procedures. It is encouraging that this simple and rapid procedure has such great efficacy with a minimum of complications.

ISSN:0012-3706    

出版商:OVID    

年代:1978

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1978

数据来源: OVID