摘要:

&NA;CEA, in combination with the time‐honored barium enema, sigmoidoscopy, rectal examination with guaiac determinations, and thorough clinical history, is a useful tool for the colorectal surgeon in following the progression of disease in both colorectal carcinoma patients and patients who have certain premalignant conditions. In this high‐risk group of patients, CEA determinations as well as colonoscopy are becoming increasingly useful. That tumors on the left side are associated with higher CEA levels than those on the right, side, due to vascular invasion or the grades of the tumors, and that often CEA antigenicity and severity of symptoms in ulcerative colitis correlate well, are emphasized. Finally, following total colectomy in five cases of ulcerative colitis, all CEA titers decreased to the normal range and have remained there.

ISSN:0012-3706    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

&NA;Pneumatosis cystoides intestinalis (PCI) is an uncommon disease of previously unknown etiology, characterized by the presence of gas‐filled cysts in the walls of some portion of the gastrointestinal tract. This investigation showed that PCI was readily produced in the germfree rat by inoculating its peritoneal cavity with a pure culture of eitherC. perfringensorC. tertium. Similar inoculation of the germfree animal with any one of eight other clostridia species did not result in the formation of PCI. The bacterial theory for the formation of at least some cases of PCI is now established. This work suggests that part of the treatment of those fulminating diseases known to be frequently associated with PCI should be directed at controlling a possible clostridial infection.

ISSN:0012-3706    

出版商:OVID    

年代:1976

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

&NA;Thirty‐three cases of gas gangrene infections originating from the small bowel, colon, and rectum are reviewed. The distinction between localized and diffuse, spreading, type of infection is made. The overall mortality rate was 42.4 per cent and mortality was highest for infections following elective bowel resections.Treatment consisted of antibiotics and surgical debridement, with hyperbaric oxygen used as adjunctive therapy for the more serious cases. The importance of early recognition of clostridial infection is stressed as the key to improved survival.

ISSN:0012-3706    

出版商:OVID    

年代:1976

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1976

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

&NA;Rectal mucosal stripping is a technique for removal of diseased tissue secondary to chronic ulcerative colitis. It is a technique for the preservation of a functional rectum following a total colectomy. Subsequent mucosal regeneration can allow ileorectal anastomosis without fear of recurrent disease and with maintenance of general health and acceptable gastrointestinal tract function.

ISSN:0012-3706    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

&NA;An alternative to transcolonic polypectomy, transabdominally directed, transanal colonoscopic polypectomy, for patients who require polyp removal but in whose cases standard colonoscopic approach has failed is presented. The early results are excellent, and the method also can be applied to other patients who have colonic polyps who undergo procedures such as hysterectomy and cholecystectomy.

ISSN:0012-3706    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

&NA;Bone scanning has been shown to have a higher rate of accuracy in diagnosing osseous metastatic lesions from carcinomas of the lung and breast. In the present report, we have demonstrated this to be true for osseous metastases from carcinomas of the colon and rectum. We found that a high percentage (75 per cent) of patients who have pelvic or back pain have positive99mTc bone scans for metastases in spite of the negative radiographs. The previously reported incidence of 5‐6 per cent of osseous involvement from these tumors is probably lower than the actual incidence, as these studies were reported without the benefit of bone scanning.

ISSN:0012-3706    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

&NA;The long‐acting local anesthetic, bupivacaine, was used in a series of 467 anorectal patients, both inpatients and outpatients. Bupivacaine was found to be safe and effective. Like other local anesthetics, it has none of the operative and postoperative complications frequently associated with general or spinal anesthetics. Its longer duration of action makes it extremely useful in anorectal operations on hospitalized and non‐hospitalized patients. The potential hypertensive effects of using epinephrine in the local anesthetic solution appear to be negated by the calming, hypotensive effects of the intravenously administered sedatives in hospitalized patients.

ISSN:0012-3706    

出版商:OVID    

年代:1976

数据来源: OVID