ISSN:0007-1323    

DOI:10.1002/bjs.1800740702

出版商:John Wiley&Sons, Ltd.    

年代:1987

数据来源: WILEY

摘要:

AbstractThis review discusses the natural history, diagnosis and treatment of stones in the bile ducts. A rational plan of management is outlined.

ISSN:0007-1323    

DOI:10.1002/bjs.1800740703

出版商:John Wiley&Sons, Ltd.    

年代:1987

数据来源: WILEY

摘要:

AbstractCarcinoma is a rare but recognized complication of posterior pharyngeal pulsion (Zenker's diverticulum). Such diverticula merit radiological and endoscopic examination before operation. Surgery is preferred to radiotherapy in the treatment of carcinoma, the choice of operation resting between one‐stage diverticulectomy for cancer confined to the body of the sac and pharyngolaryngectomy for more extensive lesion

ISSN:0007-1323    

DOI:10.1002/bjs.1800740704

出版商:John Wiley&Sons, Ltd.    

年代:1987

数据来源: WILEY

摘要:

AbstractThe four loop (W) reservoir was developed with the aim of improving the functional results of the J reservoir and to avoid the need for catheterization often seen with the S reservoir. It is no more difficult to construct and results in better function. Sixty‐four patients have undergone the procedure. There were no deaths. Mean hospital stay (including ileostomy closure) was 24 ± 8 days. The reservoir has been removed in one patient (one week postoperatively) who was found to have a Dukes' B rectal carcinoma. Function has been assessed in 51 patients (mean follow‐up 18·6±8·9 months). Frequency of defaecation per 24 h is 3·3±1·0 (range 1–8) with night evacuation in 14 per cent. Antidiarrhoeal medication is required by 20 per cent of patients. Continence is normal in 92 per cent, and 8 per cent have minor leakage. All patients defaecate s

ISSN:0007-1323    

DOI:10.1002/bjs.1800740705

出版商:John Wiley&Sons, Ltd.    

年代:1987

数据来源: WILEY

摘要:

AbstractRestorative proctocolectomy is an operation still in the stage of development. Three main types of ileal pouch construction are used, but the advocacy of each probably arises more from familiarity and convenience than from scientific considerations. Since, other things being equal, pouch capacity can be expected to affect stool frequency, it seemed reasonable to examine calculable pouch capacity geometrically for different methods of construction. A mathematical model was therefore used to compare the double loop (‘J’) type with the quadruple loop (‘W’) construction. The W was estimated to have a capacity more than half as great again as the J. Similarly anastomotic methods which encroach on the ileal circumference by creating an inverted edge can be expected to reduce resultant capacity by 10 per cent

ISSN:0007-1323    

DOI:10.1002/bjs.1800740706

出版商:John Wiley&Sons, Ltd.    

年代:1987

数据来源: WILEY

摘要:

AbstractFollowing curative surgery for colorectal cancer 141 patients were randomized to receive a 6 month course of 5‐fluorouracil (5FU) with or without postoperative levamisole or supportive treatment only. The patients have been followed up for a minimum of 5 years and 52 per cent of patients in the control group, 44 per cent of the 5FU group and 32 per cent of the 5FU/levamisole group have died of tumour recurrence. This represents a significant survival advantage in the patients receiving levamisole, even when other patient and tumour factors are allowed fo

ISSN:0007-1323    

DOI:10.1002/bjs.1800740707

出版商:John Wiley&Sons, Ltd.    

年代:1987

数据来源: WILEY

ISSN:0007-1323    

DOI:10.1002/bjs.1800740708

出版商:John Wiley&Sons, Ltd.    

年代:1987

数据来源: WILEY

摘要:

AbstractA historical prospective cohort study has been conducted to determine the incidence of colorectal carcinoma following gastric surgery for benign peptic ulcer disease. A total of 4131 patients from 53 hospitals in the western part of Denmark were operated upon for gastric or duodenal ulcer from 1955 to 1960 inclusive. After exclusion of patients who were diagnosed as having a primary cancer before the ulcer operation and 0·5 per cent of the patients whose present status could not be defined, 2975 men and 943 women survived more than one month after the operation and thus formed the cohort of the study. They were followed up to their death or the end of the year 1982. Eighty‐four colorectal carcinomas were observed against the expected 85·9. There was no significant difference between observed or expected number of cancers neither among men nor wo

ISSN:0007-1323    

DOI:10.1002/bjs.1800740709

出版商:John Wiley&Sons, Ltd.    

年代:1987

数据来源: WILEY

摘要:

AbstractPhysiological abnormalities in the anorectum of 34 patients with pruritus ani, and 20 age and sex matched controls were assessed. A saline infusion (1500 ml) test showed that leakage started after infusion of 600 ml in patients with pruritus ani compared with 1300 ml in controls (median values:P<0·001). There was an inverse relationship between the severity of the symptoms of pruritus ani and the volume of first leakage on the saline infusion testP<0·02. Studies to assess anal sphincter function, rectal sensation to balloon distension, rectal compliance, and perineal descent did not show any significant differences between pruritic patients and controls. However, pruritic patients without co‐existing anal pathology had a significantly greater fall of anal pressure when a rectal balloon was inflated (57 per cent) when compared with controls (40 per cent)P<0

ISSN:0007-1323    

DOI:10.1002/bjs.1800740710

出版商:John Wiley&Sons, Ltd.    

年代:1987

数据来源: WILEY

摘要:

AbstractIn a series of 72 consecutive elective and emergency colectomies with primary anastomosis, all pre‐ and perioperative mechanical preparation of the bowel was omitted and the patient covered only by a single peroperative intravenous dose of cefuroxime and metronidazole. No anastomotic dehiscence was clinically apparent and wound infection was noted in only 8.3 per cent of patient

ISSN:0007-1323    

DOI:10.1002/bjs.1800740711

出版商:John Wiley&Sons, Ltd.    

年代:1987

数据来源: WILEY