ISSN:0007-1323    

DOI:10.1002/bjs.1800700502

出版商:John Wiley&Sons, Ltd.    

年代:1983

数据来源: WILEY

摘要:

AbstractAcute emphysematous thyroiditis is a severe pyogenic infection of the thyroid gland characterized by the production of gas. Although earlier writers of the pre‐antibiotic era had referred to ‘gangrene of the thyroid with gas formation’ (1–3), only 5 cases of gas‐forming or emphysematous thyroiditis have been specifically documented.In this report, the sixth case of acute emphysematous thyroiditis is presented and the clinical features of this rare but potentially lethal infection of the thyroid gland are described. The pathogenesis and management of the disease are

ISSN:0007-1323    

DOI:10.1002/bjs.1800700503

出版商:John Wiley&Sons, Ltd.    

年代:1983

数据来源: WILEY

ISSN:0007-1323    

DOI:10.1002/bjs.1800700504

出版商:John Wiley&Sons, Ltd.    

年代:1983

数据来源: WILEY

摘要:

AbstractA silicone rubber stent has been used successfully in the treatment of patients with unresectable major airways obstruction. Silicone rubber does not generate secretions in the tracheobronchial tree and may be left in situ for long periods without complications. With effective relief from asphyxia, radiotherapy can be employed safely.

ISSN:0007-1323    

DOI:10.1002/bjs.1800700505

出版商:John Wiley&Sons, Ltd.    

年代:1983

数据来源: WILEY

摘要:

AbstractWe have reviewed the surgical treatment of 12 consecutive patients with advanced carcinoma of the parotid gland at this hospital. Ten patients received immediate preoperative radiotherapy to a mean total dose (TD) of 4000 cGy (rad), range 2600–6500 cGy. Two patients with recurrent carcinoma had previously been treated with local radiotherapy (TD 6500 cGy) at 1 year and 2 years respectively prior to referral. A radical parotidectomy with block dissection of the neck was performed on all 12 patients. After a follow‐up period ranging from 6 months to 8 years, 6 patients have remained disease free including 3 patients who have died from unrelated causes within this period. Three patients have developed local recurrent disease (interval 9 months–3 years), 3 further patients with residual microscopic disease have been observed postoperatively (follow‐up interval 6 months–2 years) without developing overt local r

ISSN:0007-1323    

DOI:10.1002/bjs.1800700506

出版商:John Wiley&Sons, Ltd.    

年代:1983

数据来源: WILEY

摘要:

AbstractIn order to assess the influence of a non‐invasive test such as Duplex scanning on the management of patients with suspected carotid artery disease, we reviewed the data on all new referrals (n = 491) during a year. The patients were grouped according to the reason for the referral: 1, patients with focal neurological symptoms lasting less than 24 h (n = 156); 2, patients with focal neurological symptoms lasting longer than 24 h (n = 107); 3, patients with non‐focal neurological symptoms (n = 147); 4, patients with asymptomatic bruits (n = 81). For all four groups there was a statistically significant relationship (χ2; P<0·005) between the reporting of the presence of a high grade stenosis (more than 50 per cent diameter reduction) and the likelihood that the patient would undergo arteriography. The finding of a high grade stenosis on the arteriogram resulted in a greater number of patients undergoing carotid artery surgery. The results of this study indicate that the report of the non‐invasive test influenced the decision‐making process in the management of patients with suspected carotid arter

ISSN:0007-1323    

DOI:10.1002/bjs.1800700507

出版商:John Wiley&Sons, Ltd.    

年代:1983

数据来源: WILEY

摘要:

AbstractClinical staging and immune reactivity were correlated in 39 patients who underwent gastrectomy for primary gastric cancer. Cellular immunity was depressed as the stage of cancer advanced, whereas humoral immunity was unaffected. Gastrectomy for advanced cancer in stage 3 and 4 suppressed cellular immunity.The cellular and humoral immune systems in relation to total parenteral nutrition (TPN) versus non‐TPN were evaluated in 57 patients who underwent gastrectomy for stage 3 and 4 advanced cancer. Cell‐mediated immunocompetence was restored in all 29 patients who received postoperative TPN, while serum immunoglobulins were unaffected by TPN. Improvement of impaired cell‐mediated immunity was also obtained in patients treated with a TPN–5‐FU combination as an adjunct to surgery. Treatment with TPN during 5‐FU administration restored immunocompetence, increased tolerance for 5‐FU and gave a satisfactory 3‐year survival rate. There were significant differences in the 3‐year survival rates of patients who underwent non‐curative gastrectomy (54 per cent for TPN–5‐FU v. 0 per cent for non‐TPN–5‐FU; P<0·05).It is concluded that TPN during chemotherapy as an adjunct to surgery leads to diminished morbidity, and possibly to prolonged survival time, in patients undergoing gastrectomy for gastric cancer. A possible mechanism responsible for the gratifying results of TPN treatment may be the increased tolerance for 5‐FU resulting from improved nutrition and

ISSN:0007-1323    

DOI:10.1002/bjs.1800700508

出版商:John Wiley&Sons, Ltd.    

年代:1983

数据来源: WILEY

摘要:

AbstractHypersecretion of gastric acid and hypergastrinaemia occur when the antrum of the stomach is transposed as a diverticulum to the colon. Thus, when an antral pouch is transposed to increase bladder capacity or to replace the bladder as a gastrocystoplasty, similar pathophysiological disturbances can be anticipated. However, previous studies in our laboratories in dogs have shown that acid overproduction and stomal ulcerations do not occur. This paper reports the results of gastrocystoplasty in 13 patients followed up from 1 to 6 years. Gastric acid hypersecretion and hypergastrinaemia did not occur.

ISSN:0007-1323    

DOI:10.1002/bjs.1800700509

出版商:John Wiley&Sons, Ltd.    

年代:1983

数据来源: WILEY

摘要:

AbstractThe incidence of infection in 56 patients with Hodgkin's disease who had undergone staging laparotomy with splenectomy was compared with that of 28 non‐splenectomized patients with Hodgkin's disease treated concurrently. The results suggest that splenectomy does not result in a major change in the incidence of infection experienced by such patients with stage II or stage III disease. Aggressive therapy may be of greater importance in increasing the susceptibility to infection in Hodgkin's diseas

ISSN:0007-1323    

DOI:10.1002/bjs.1800700510

出版商:John Wiley&Sons, Ltd.    

年代:1983

数据来源: WILEY

摘要:

AbstractThirty‐two cases are reported of intussusception occurring in patients over the age of 12 years, diagnosed in Papua New Guinea in the 8 years from March 1973. Malignant disease was found in only 2 patients (6·3 per cent), and in 21 cases (65·5 per cent) no associated pathology was detectable. Benign inflammatory polypi were encountered in 7 patients (22 per cent). A high proportion of primary intussusceptions is characteristic of series reported from tropical countries. Many may be due to the abnormal motility associated with acute diarrhoeal illnesses. Due to the rarity of associated malignancy a policy of conservative operative management is justifiable in a tropical environm

ISSN:0007-1323    

DOI:10.1002/bjs.1800700511

出版商:John Wiley&Sons, Ltd.    

年代:1983

数据来源: WILEY