ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1978.tb00024.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1978.tb00025.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1978.tb00026.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY

摘要:

During the last decade the non‐surgical management of gallbladder stones has become possible. Oral chenodeoxycholic acid (CDCA) and more recently, ursodeoxycholic acid (UDCA), have proved to be safe and effective. For the treatment of bile duct stones, various methods including flushing, chemical dissolution and mechanical procedures are now available. A combination of these techniques can be used in a logical sequence and should enable the successful treatment of most patients with bile ducts stone

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1978.tb00027.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY

摘要:

Injuries of the nervous system are common, and cause many deaths and much permanent disability. They inflict an enormous financial burden on the national economy; in Australia, adequate data are at present lacking, but a simple extrapolation from Canadian statistics suggests an estimate of more than $500,000,000 annually for the injuries resulting from road traffic accidents alone; if other causes of injury are included, the figure may reach one billion dollars.The neurosurgeon is specifically trained to undertake the management of all forms of neurological trauma; however, in Australia, and in many other countries, only a small minority of such injuries receive neurosurgical care. This is chiefly because the number of neurosurgeons at present available is small in relation to the tasks. Many cases must therefore be in the care of general or orthopaedic surgeons, especially in country centres, and it is important that these surgeons should have some basic neurosurgical training. The Neurosurgical Society of Australasia wishes to formulate a programme to ensure that opportunities for such training are available throughout Australia. This programme should also embody a national plan for research into the treatment and prevention of neurological trauma.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1978.tb00028.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY

摘要:

An approach to the diagnosis and treatment of patients with presumed functional disorders of the biliary tract (biliary dyskinesia) is described. The current diagnostic criteria are pain compatible with biliary pain in the absence of gallstones and other organic gastrointestinal disease, or other disorders which might produce abdominal pain, together with reproduction of the patient's symptoms by cholecystokinin, or morphine, or both. Other diagnostic methods are described together with their limitations.The results of operation in 38 of 45 patients seen in this Unit during the past six years are presented. The results were poor in 20% of patients, but two‐thirds of the group have had good results in the short ter

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1978.tb00029.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY

摘要:

The group of conditions variously termed biliary dyskinesia, acalculous cholecystitis, biliary pain without stones, or functional disorders of the biliary tract, is poorly defined clinically, and no consistent pathological abnormalities have been previously described in patients with this diagnosis. In this paper we report histological abnormalities encountered in operative liver biopsies in such patients.The criteria for the diagnosis of a functional biliary tract disorders were: pain typical of biliary pain, negative results of investigations for organic biliary tract or other gastrointestinal disease, and reproduction of the patient's symptoms by cholecystokinin, or morphine, or both. Twenty of 45 patients with a presumptive diagnosis satisfied these criteria, and had a wedge liver biopsy at the time of operation. The 20 liver biopsy specimens were compared in a blind fashion with similar ones taken from patients having diagnostic laparotomies: patients with stones confined to the gallbladder; patients with gallstone pancreatitis; and patients with proven common bile duct stones. The biopsy findings were found to be similar to those in the latter two groups. Thus the abnormalities were similar to those found in partial or intermittent biliary obstruction, and it is suggested that they may be due to intermittent increases in biliary pressure.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1978.tb00030.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY

摘要:

Over a 13‐year period we encountered 135 patients with malignant obstruction of the bile ducts, and in 81 of these patients only palliative surgery was possible. The type of operation was largely determined by the site and nature of the obstruction and the condition of the patient. The operative mortality of palliative operation was 37%. Relief of jaundice or pruritus was obtained in 68%, and this figure included a number of patients who died in the first 30 days. The majority of survivors lived for between three and four months after operation, although occasional patients have lived for more than one yea

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1978.tb00031.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY

摘要:

A non‐absorbable cystic duct ligature may migrate into the common bile duct and act as a nidus for recurrent stone formation. Four case histories are presented and the problem is discussed. This sequel may be prevented by the use of absorbable sutures to ligate the cystic duct, thereby reducing the number of patients facing the hazards of recurrent biliary surger

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1978.tb00032.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY

摘要:

This is a short review of the operative experience during the last decade with seven patients who presented with a choledochal cyst. A choledochal cyst is reported for the first time in a Polynesian. The relevant literature is briefly reviewed, with particular attention to operative management, which was found to carry a 10% mortality.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1978.tb00033.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY