ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1985.tb00938.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1985.tb00939.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

Of the 2923 cases of colorectal carcinoma treated from 1970 to1, only 12 (0.4%) were under the age of 30 years, Analysis of this group confirmed the higher incidence of more advanced tumours, as well as a higher frequency of predominantly mucin‐secreting adenocarcinoma. Regardless of the mode of treatment, survival is particularly poor in the young patients, and, in our opinion, this is a reflection of the more aggressive behaviour of the type of carcinoma afflicting young patient

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1985.tb00940.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

A study was made of 116 patients with gastric or oesophageal cancer, in whom endoscopy was negative, or biopsy was negative or not performed. The most common problems were the presence of pyloric or oesophageal stricture (sometimes with excessive luminal content) and difficulty in obtaining diagnostic biopsy material in linitis plastica, early gastric cancer, lymphoma and sarcoma. Problems also occurred from failure to biopsy apparently benign conditions and from delay in a second endoscopy. Some cancers were regarded as benign ulcers and treated as such by drugs or surgery because more reliance was placed on endoscopic biopsy than on the endoscopist's opinion of the macroscopic appearance. In 17 of the 116 patients there was delay, incorrect management or further difficulty in diagnosis.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1985.tb00941.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

The first 100 patients at Westmead Centre who received long term central venous access catheters were reviewed. The indication for insertion in 77% of the patients was administration of chemotherapy, 15% had insertion for parenteral nutrition and 8% for blood product administration or anti‐microbial therapy. Catheter manipulations were carried out under strict aseptic conditions by a limited group of nursing staff. Of the catheters, 73.1% functioned satisfactorily and were removed electively or were functioning at death or time of review. The main reason for removal was suspected infection, but this was proven in only 4.5% although strongly suspected in another 5.2%. The infection rate was 13 episodes per 13 987 catheter days. The duration of function of catheters was analysed by the life table method, demonstrating a 50% catheter survival rate of 300 day

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1985.tb00942.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

The results of 100 radiocephalic arteriovenous fistulae formed in 85 patients to provide access for haemodialysis have been assessed. First fistulae had an immediate patency of 90.5% and a patency predicted by life table analysis of 78% at 1 year. An additional 15 fistulae were formed after initial failure in 13 patients, and the predicted patency for all fistulae was 76% at 1 year and 73% at 2 years, with no subsequent failures during the period of the study. Access was established and maintained in 77 patients (90.6%) using the first or a subsequent radiocephalic fistula, and the requirement for other access procedures was low. There was a significantly higher incidence of early and late fistula failure in those patients who were cigarette smokers.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1985.tb00943.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

In 33 patients who underwent operative intubation of carcinoma of the oesophagus or gastric cardia, there were nine postoperative deaths (mortality 27%). Only 15 patients (46%) had no further operative procedure or anaesthetics, but their mean survival was only 3.7 months. Nine patients (27%) required a total of 17 procedures after the placement of their original tube. Operative intubation has a similar mortality to resection but the survival times are short. Whenever possible palliative resection or endoscopic intubation is to be recommended.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1985.tb00944.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

The pulse volume recorder has been used in studying 62 limbs to assess its accuracy in localization of arteriosclerotic lesions of the lower limbs, realising the limitations of clinical examination and simple pressure measurements. Its advantages over simple pressure measurements are illustrated. It was shown to be most accurate in locating isolated stenoses. The technique helps differentiate aorto‐iliac from high superficial femoral artery obstruction. It can be used when severe medial sclerosis is present and is very helpful when distal pulses cannot be detected for technical reason

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1985.tb00945.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

Thirty‐seven patients (49 limbs) with chronic venous insufficiency who were being considered for venous surgery were studied using a modified technique of ascending venography (Ascending cinevenography) and ambulatory venous pressure (AVP) measurements. AVP and ascending cinevenography results, in each patient, were assessed by a different investigator, each of whom was blind to the other result. The results of AVP measurements and ascending cinevenography were then compared. There is good correlation between AVP measurements and results of ascending cinevenography. Ascending cinevenography can be used instead of combined ascending and descending venograph

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1985.tb00946.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

One hundred consecutive case notes of patients undergoing internal carotid thrombendarterectomy (TEA) were reviewed in each of seven major teaching hospitals to establish the pattern of practice of carotid surgery. In particular, details of risk factors, indications for surgery, operative details and results of surgery were available for comparison for each hospital compared to the remaining group. An overall mortality rate of 3.3%, which varied between hospitals, from 1% to 6%, was noted. Similar mortality rates were observed when the indication for surgery was transient ischaemic attack (TIA), pre‐existing stroke or asymptomatic stenosi

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1985.tb00947.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY