摘要:

Lower gastrointestinal bleeding colonic varices is infrequent. We report a patient in whom the diagnosis was made by angiography and in whom portosystemic shunt has been helpful. We believe that the treatment of choice for colonic varices is portosystemic shunt, as attempts at resection, judged by the reports in the literature, have usually resulted in death.

ISSN:0192-0790    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

Most colonic varices are attributable to portal hypertension. Intra-abdominal adhesions have been incriminated as the cause of intestinal varices only in association with portal hypertension. We present the first well-documented occurrence of adhesion-related colonic varices in the absence of portal hypertension or other known associated conditions. It is important to delineate the mesenteric vascular anatomy in order to select the appropriate surgical procedure.

ISSN:0192-0790    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

Two patients with bleeding esophageal varices underwent endoscopic sclerosis. Each developed a gastric ulcer of the fundic mucosa approximately 6-7 cm below the gastroesophageal junction. It seems probable that these lesions were related to the retrograde flow of sclerosing solution into the venous sytem which drains the gastric mucosa.

ISSN:0192-0790    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

A 47-year-old woman with gastroesophageal reflux underwent insertion of an angelchik antireflux prosthesis. Five days postoperatively, the prosthesis had slipped and obstructed the stomach, requiring reoperation.

ISSN:0192-0790    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

A middle-aged man sought medical attention because of a large perianal mass. The lesion was caused by a massive subepithelial infiltrate of small neoplastic lymphocytes representing a localized tissue manifestation of chronic lymphocytic leukemia. This report emphasizes the possibility of leukemia/lymphomas occurring at the anus, to stress that leukemia should be considered in the differential diagnosis of patients presenting with perianal disease in the presence of lymphadenopathy and constitutional symptoms.

ISSN:0192-0790    

出版商:OVID    

年代:1985

数据来源: OVID

ISSN:0192-0790    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

This month, I present a situation in which gastroenterologists have been incorporated into a money-raising plan to support a university hospital's medical education program. This issue of whether such a plan could be enacted is addressed. Provided the bylaws contain no prohibitions and the plan itself is not unreasonable or unfair, it appears that successful enactment is likely. The issue of equal protection is presented as it applies to the enactment of this plan to gastroenterologists. Finally, a few of the down side effects of the plan are presented. It would be safe to say that as the economics of health care delivery continue to evolve, situations like the one presented herein will arise.

ISSN:0192-0790    

出版商:OVID    

年代:1985

数据来源: OVID