摘要:

SummaryThe incidence of acute ischemia of the small bowel is increasing. Although occasionally it is secondary to occlusion of major vessels and amenable to direct surgical attack, it is more often secondary to a perfusion problem without occlusions of large vessels. The diagnosis of ischemia should be considered for any elderly patient with abdominal pain and gastrointestinal bleeding which is not secondary to some overt cause. Early diagnosis requires a differentiation of occlusive from nonocclusive disease, and arteriography appears to be the only reasonable approach. Supportive therapy, including fluid replacement, cardiac support and control of sepsis, is necessary in all these cases. It is applied preoperatively over the course of several hours when the patients have perfusion problems; however, in the cases of patients with largevessel occlusion, the supportive therapy is applied during the intraoperative and postoperative periods. The patient with chronic mesenteric ischemia should have elective surgical correction of the occlusion to the splanchnic flow, not only for relief of pain and correction of weight loss but also to prevent progression to an acute complete occlusion.

ISSN:0012-3706    

出版商:OVID    

年代:1970

数据来源: OVID

摘要:

SummaryIschemic colitis must be considered in diagnosing the conditions of elderly patients who have lower abdominal pain and rectal bleeding. Barium‐enema examination and angiography should confirm the diagnosis. Whether the ischemic colitis is occlusive or nonocclusive, treatment depends upon the condition of the patient. All patients thought to have ischemic colitis should be treated with antibiotics. If the clinical course is severe (gangrenous ischemic colitis), a laparotomy and resection should be done. If the clinical course is mild (transient ischemic colitis), no surgery is needed. Some patients who do not require surgical treatment early in the course of the disease later may develop stenosis and need such treatment because of the possibility that a carcinoma or largebowel obstruction has developed.

ISSN:0012-3706    

出版商:OVID    

年代:1970

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1970

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1970

数据来源: OVID

摘要:

SummarySix cases of proven meningitis complicating perforating colonic and rectal wounds and two suspected cases are described. The mortality rate was 66 per cent. The incidence of this complication in all colonic and rectal injuries is 2 per cent; in combined colorectal injuries involving primary laminectomy it is 12.5 per cent. Principles of surgical therapy which should reduce the incidence of this complication are presented.

ISSN:0012-3706    

出版商:OVID    

年代:1970

数据来源: OVID

摘要:

Summary and ConclusionsThe records of 429 patients with colonic or rectal carcinomas were reviewed and, where feasible, a staging system was utilized instead of Dukes' classification or its modifications. We believe that staging of carcinoma of the colon and rectum is simple, correlates with survival, and offers uniformity.

ISSN:0012-3706    

出版商:OVID    

年代:1970

数据来源: OVID

摘要:

Summary and ConclusionsA review of the cases of 171 patients with cancer of the rectum, treated during a tenyear period at a community hospital, is presented. Bright red blood in the stool is the only early symptom of this disease. Proctosigmoidoscopic examination is the most reliable and accurate diagnostic procedure. Wider, more frequent use of this examination is necessary.More direct attacks on local cancers by cryosurgery and fulguration will result in better palliation, less morbidity, and greater longevity for patients with incurable cancers than palliative colostomy or abdominoperineal resection.Additional studies of the quality of survival, temporary or long‐term, of patients with cancer of the rectum are advocated.

ISSN:0012-3706    

出版商:OVID    

年代:1970

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1970

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1970

数据来源: OVID

摘要:

Conclusion and SummaryPilonidal disease is probably an acquired condition. Surgical opening of the entire process is necessary for cure. A simple surgical unroofing is all that is necessary at operation. The postoperative treatment and observation is important to prevent the same conditions that caused the disorder in the first place from causing a recurrence.

ISSN:0012-3706    

出版商:OVID    

年代:1970

数据来源: OVID