摘要:

SummaryForty‐six patients with primary carcinoma arising between the hepatic and splenic flexures of the colon were studied to relate the preoperative symptoms, the width of the lumen of the colon at the site of the lesion on barium‐enema examination, and the surgical pathology of the neoplasm. Rectal bleeding was frequently produced by lesions which had not extended beyond the wall of the bowel. Compensatory hypertrophy of the colonic musculature proximal to the lesion delays the onset of symptoms. Obstructive symptoms indicated one of two situations: 1) tumor was confined to the colon but had narrowed the lumen to a channel 6 mm wide or less; 2) tumor had grown beyond the serosa of the bowel to involve adjacent structures with inflammatory or neoplastic adhesions.

ISSN:0012-3706    

出版商:OVID    

年代:1971

数据来源: OVID

摘要:

SummaryPatients with ulcerative colitis admitted to central hospitals in Finland over a period of 12 years are described. Patients who had proctitis only are excluded from the material, which otherwise represents a selection of the entire incidence of the disease. The average annual incidence was 0.93 per 100,000 inhabitants, and showed a rising trend. A slight male predominance was noted. Rural areas were proportionately more represented among the patients. The reliability and epidemiologic significance of the findings are discussed.

ISSN:0012-3706    

出版商:OVID    

年代:1971

数据来源: OVID

摘要:

SummaryThe occurrence of ulcerative colitis in Finland has been determined with the aid of an indiscriminate series comprising all patients hospitalized in Finland in 1967. The total incidence is 4.8 per 100,000 inhabitants; due to potential errors in the methods, however, this should be regarded as an imprecise estimate. No difference between the incidences in men and in women was observed. The incidence was highest among young adults and in the urban population. A not inconsiderable number contracted ulcerative colitis at advanced ages. The value and limitations of the figures are discussed.

ISSN:0012-3706    

出版商:OVID    

年代:1971

数据来源: OVID

摘要:

Summary and ConclusionsThe clinicopathologic study of 219 papilary (villous) adenomas in 215 patients is reported. The high incidence (58.6 per cent) of carcinomatous changes is again noted. The overall incidence of recurrence was 12 per cent. That papillary adenoma on the whole is relatively benign, with a favorable prognosis, is reflected in the 10‐year overall and determinate survival rates of 52 and 92 per cent, respectively.Contrary to previous observations that papillary adenoma is “generally solitary and unassociated with other colonic or rectal tumors,”29the present study reveals striking coincidences of associated malignant bowel lesions (16.2 per cent) and benign colonic polyps (48.8 per cent). Another 12 per cent had associated extracolonic malignant tumors.In contrast to the previous impression that the benign and/or atypical lesions have a strong propensity to become malignant, the present review uncovered only two patients in whom this acutally occurred. Both patients were long‐term survivors after initial conservative treatment and proper subsequent management. We therefore advocate a conservative approach in the surgical management of these tumors, unless the papillary adenoma contains invasive carcinoma, and provided strict follow‐up can be maintained.

ISSN:0012-3706    

出版商:OVID    

年代:1971

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1971

数据来源: OVID

摘要:

SummaryThe incidence of factitial proctitis and the severity of the lesions have decreased (10 per cent) in the reported group of patients, compared with the previously‐studied group at the University of Minnesota Hospitals. The only changes in the treatment have been the methods of application and anchoring the radium with the patient under general anesthesia and copious vaginal packing. The success of treatment of this condition with daily instillations of hydrocortisone retention enemas far surpassed that of treatment with the placebo in our double‐blind study, and it was superior to the topical application of steroid in suppositories. Treatment was continued until considerable improvement was evident proctoscopically. The average duration of treatment was two to three months. No intestinal or septal perforation occurred in the study group, nor was any diversionary procedure (colostomy) necessary. However, we feel that close proctoscopic follow‐up examinations at monthly intervals are mandatory when this treatment regimen is used.

ISSN:0012-3706    

出版商:OVID    

年代:1971

数据来源: OVID

摘要:

SummaryA review of 152 cases of traumatic injuries to the colon over a period of five years in three Mexico City hospitals is presented. Age and sex incidence, mechanisms of injury, locations of colonic wounds, and associated lesions are summarized. The importance of rapid but complete evaluation is stressed. Present methods of treatment are reviewed and their results described.

ISSN:0012-3706    

出版商:OVID    

年代:1971

数据来源: OVID

摘要:

SummaryThe motility of the sigmoid colon and rectum was studied by electromanometry in normal subjects and in patients with chagasic megacolon before and 2.5 to 3.5 years after treatment by abdomino‐endoanal rectosigmoidectomy. The study was with the subjects at rest and after injection of methacholine chloride.Records of normal subjects showed minimal activity with a preponderance of simple waves of low amplitude and short duration, the sigmoid and rectum exhibiting independent activities during the major period of observation. Patients with chagasic megacolon, both before and after surgical treatment, had hyperactivity, with more numerous waves of higher amplitude and longer duration. They also had greater proportions of complex waves, and activities of the two segments of colon studied were synchronous.In normal subjects, methacholine chloride did not alter the motor activity of the sigmoid and rectum. In patients with chagasic megacolon, both before and after operation, methacholine chloride increased motor activity in both segments.All abnormalities in colonic motor activity of patients with chagasic megacolon were considered to result from the lesions of the ganglion cells of the intestinal myenteric plexus always present in this disease.

ISSN:0012-3706    

出版商:OVID    

年代:1971

数据来源: OVID

摘要:

SummaryMassive traumatic anorectal and perianal hemorrhage postoperatively is rare. Six cases of massive bleeding, four postoperative and two traumatic, have been discussed. None of these patients had a systemic bleeding disorder. The bleeding may be external, internal, or both. It is treated by immediate restoration of blood volume and by stopping the bleeding by ligature or by packing with hypochlorite‐soaked gauze (Eusol) and local cooling.

ISSN:0012-3706    

出版商:OVID    

年代:1971

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1971

数据来源: OVID