ISSN:0007-1323    

DOI:10.1002/bjs.1800611202

出版商:John Wiley&Sons, Ltd.    

年代:1974

数据来源: WILEY

摘要:

AbstractIn a study of 235 consecutive patients who had undergone partial thyroidectomy for thyrotoxicosis 86 per cent of the patients who were traced were euthyroid. Only 9 per cent had developed hypothyroidism and 4per cent had become toxic again. It is concluded that the partial operation will render the great majority of patients euthyroid and that the subtotal operation should be abandoned.

ISSN:0007-1323    

DOI:10.1002/bjs.1800611203

出版商:John Wiley&Sons, Ltd.    

年代:1974

数据来源: WILEY

摘要:

AbstractA review of 568 cases of single thyroid nodule operated upon during the period 1960‐72 is presented.Females were more frequently affected than males, the ratio being 8.6:1. The right lobe was more frequently involved (57.6 per rent) than the left. The nodules in our series were classified according to the scintiscan findings as follows: cold 466 cases (82 per cent), warm 32 cases (5.6 per cent) and hot or toxic 70 cases (12.4 per cent). The incidence of carcinoma was 12 per cent and 6.2 per cent in cold and warm nodules respectively. No malignancy was found in either hot nodules or toxic adenomas. The incidence of carcinoma was higher in male patients and significantly higher in patients of over 60 year

ISSN:0007-1323    

DOI:10.1002/bjs.1800611204

出版商:John Wiley&Sons, Ltd.    

年代:1974

数据来源: WILEY

摘要:

AbstractThe effect of posture on gastric emptying of solid meals has been studied in normal subjects and compared with the effect in patients who had recently had either a truncal vagotomy and pyloroplasty or a highly selective vagotomy. The meal was labelled with51Cr and emptying monitored with a gamma camera.The stomach of the normal subjects emptied at the same rate whether they were standing up or lying down. Patients tested less than 3 months aflev truncal vagotomy and pyloroplasty and also after highly selective vagotomy had significantly faster (P<0.01) gastric emptying when standing than when lying down. Afrer trunral vagotomy and pyloroplasty emptying was significantly slower than normal when lying down but normal when standing. After highly selective vagotomy emptying was normal when lying down but significantly faster than normal when standing.

ISSN:0007-1323    

DOI:10.1002/bjs.1800611205

出版商:John Wiley&Sons, Ltd.    

年代:1974

数据来源: WILEY

摘要:

AbstractThis paper describes an uncontrolled preliminary study of a nitrosourea drug 1−(2−chlorethyl)−3−(4−methyl‐cyclohexy1)‐I‐nitrosourea, testing its activity against advanced gastro‐intestinal cancer. Used as a single agent in a single oral dose, the objective remission rate was only II per cent. Palliation of symptoms was achieved in one‐third of the cases. Side‐effects were commonly seen, with immediate nausea and vomiting in two‐thirds of the patients and evidence of bone marrow suppression in 55 per cent. This particular nitrosourea derivative does not appear to have a significant advantage over other forms of cytotoxic therapy when

ISSN:0007-1323    

DOI:10.1002/bjs.1800611206

出版商:John Wiley&Sons, Ltd.    

年代:1974

数据来源: WILEY

摘要:

AbstractA 16−year old youth who presented with haematemesis and meluena from a duodenal ulcer was found to have multiple polyposis of the stomach and small intestine due to nodular lymphoid hyperplasia with hypogammaglobulinaemi

ISSN:0007-1323    

DOI:10.1002/bjs.1800611207

出版商:John Wiley&Sons, Ltd.    

年代:1974

数据来源: WILEY

摘要:

AbstractThe spontaneous excretion and the secretory reserve of corticosterone and its metabolites (total B) after bilateral adrenalectomy were determined at an early postoperative date in 22 patients with ACTH‐dependent Cushing's syndrome. On the basis of these early results two groups of patients could be distinguished. Group I comprised 19 patients with an immeasurable or negligible excretion, unresponsive to ACTH. The patients of this group exhibited lasting remission. Group 2 comprised the remaining 3 patients who had an abnormally high spontaneous excretion and/or an abnormally high secretory reserve. Primary remission was merely transitory or failed to appear. All the patients in this group exhibited residual adrenocortical tissue at reoperation or at autopsy.At follow‐up the biochemical investigation was repeated. The early results proved to be a reliable indication of the excretion pattern throughout the follow‐up period (mean 5 years).It is concluded that determination of urinary total B excretion early after bilateral adrenalectomy is valuable in assessing whether the adrenalectomy was total or whether residual adrenocortical tissue was left. In patients with Cushing's syndrome associated with adrenocortical hyperplasia the test was also reliable in predicting the probability of subsequent primary long term remi

ISSN:0007-1323    

DOI:10.1002/bjs.1800611208

出版商:John Wiley&Sons, Ltd.    

年代:1974

数据来源: WILEY

摘要:

AbstractSix patients with biliary peritonitis occurring as a complication of acute cholecystitis are reported. Five of the 6 patients had no detectable perforation of the gallbladder. The literature of this topic is reviewed and a theory is put forward to account for biliary peritonitis without perforation of the gallbladder in acute cholecystitis.

ISSN:0007-1323    

DOI:10.1002/bjs.1800611209

出版商:John Wiley&Sons, Ltd.    

年代:1974

数据来源: WILEY

摘要:

AbstractTwelve episodes of large bowel pseudo‐obstruction occurring in 11 patients are described. The clinical and radiological features are discussed from a diagnostic aspect. The aetiology and treatment of the condition are considere

ISSN:0007-1323    

DOI:10.1002/bjs.1800611210

出版商:John Wiley&Sons, Ltd.    

年代:1974

数据来源: WILEY

摘要:

AbstractThe occurrence of tuberculosis in the wall of a branchial cyst is reported. This appears to be only the second recorded case.

ISSN:0007-1323    

DOI:10.1002/bjs.1800611211

出版商:John Wiley&Sons, Ltd.    

年代:1974

数据来源: WILEY