Pub Date : 2003-12-02DOI: 10.1080/11024159850191157
Christer Drott
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Pub Date : 2003-12-02DOI: 10.1080/110241598750004959
Emin Gürleyik, Günay Gürleyik
Objective:
To find out the incidence and causes of small bowel volvulus in our region, and to analyse the results of our management.
Design:
Retrospective study.
Setting:
Teaching hospital, Turkey.
Subjects:
38 Patients who had had no previous abdominal operations who were operated on for mechanical intestinal obstruction caused by small bowel volvulus.
Main outcome measures:
Incidence of small bowel volvulus, details of patients, treatments, complications, and outcome.
Results:
Small bowel volvulus constituted 8%(38/466) of all cases of mechanical intestinal obstruction and 13%(38/292) of small bowel obstruction. Volvulus was primary in 18 (47%), and secondary in 20 (53%) patients. 33 Patients (87%) were male. The mean age of the whole group was 30 years, 42 and 19 in patients with primary and secondary volvulus, respectively (p = 0.0005). The incidence of small bowel volvulus was 19%(27/143) in patients under 40 years, and 7%(11/149) in those over 40 years of age (p = 0.005). Sixty percent of patients with secondary volvulus (12/20) were under 20 years of age compared with 17% of those with primary volvulus (3/18; p = 0.009). The causes of secondary volvulus were Meckel's diverticulum in 14 patients (70%), and malrotation and ileosigmoid knotting in 3 patients each (15%). Segments of bowel were gangrenous in 12 patients (32%). Treatment was by simple untwisting in patients with viable segments of gut, or with resection of gangrenous segments and primary small bowel anastomosis. One patient died postoperatively of septic shock.
Pub Date : 2003-12-02DOI: 10.1080/110241598750004977
Jonas S. A. Röjdmark, John M. Monchik
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Pub Date : 2003-12-02DOI: 10.1080/110241598750004814
Marco Lorenzi, Stefano Mancini, Sergio Mancini
{"title":"Graft reconstruction using an intraluminal balloon catheter in ruptured abdominal aortic aneurysms","authors":"Marco Lorenzi, Stefano Mancini, Sergio Mancini","doi":"10.1080/110241598750004814","DOIUrl":"10.1080/110241598750004814","url":null,"abstract":"","PeriodicalId":100508,"journal":{"name":"European Journal of Surgery","volume":"164 2","pages":"147-148"},"PeriodicalIF":0.0,"publicationDate":"2003-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/110241598750004814","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20460233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
To find out whether subtotal thyroidectomy results in long term stable functional and immunological remission in patients with Graves' disease.
Design:
Retrospective study.
Setting:
Teaching hospital, Japan
Subjects:
176 patients who underwent subtotal thyroidectomy for Graves' disease, 1970–79.
Intervention:
Follow up surveys in 1984 and 1992.
Main outcome measures:
- Changes in thyroid function, antibody titres, and lymphocyte subsets.
Results:
29/79 patients (39%) who were euthyroid in 1984 had evidence of thyroid dysfunction in 1992. Of the 8 patients with latent hypothyroidism in 1984, 3 (38%) had become euthyroid by 1992, and none required treatment. Of the 29 patients who were hypothyroid in 1984, 5 had latent hypothyroidism and 1 was euthyroid in 1992, and of the 18 patients with recurrent hyperthyroidism in 1984, 1 had become euthyroid by 1992. The number of positive titres to TSH-binding inhibitory immunoglobulin was significantly higher in the recurrence group (31/36, 86%) compared with the hypothyroid (7/26, 27%), latent hypothyroidism (8/37, 22%), and euthyroid (22/77, 29%) groups (p < 0.01). There were also significant differences in the mean (SD) number of Leu HLA DR subsets between the control (17 (3), n = 18) and recurrence (21 (6), n = 38), hypothyroid (22 (6), n = 35), latent hypothyroidism (22 (6), n = 22), and euthyroid (22 (9), n = 64) groups (p < 0.002). There were no differences in the number of T cell subsets among the groups.
Pub Date : 2003-12-02DOI: 10.1080/11024159850191094
Lars Olsson Rex, Christer Drott, Göran Claes, Gunnar Göthberg, Peter Dalman
Objective:
To study the outcome of endoscopic thoracic sympaticotomy (ETS) for palmar, axillary, facial hyperhidrosis and facial blushing.
Subjects:
1152 patients, 59% women and 41% men.
Intervention:
ETS was performed by transection of the sympathetic chain where it overlies the second and third rib. The nerve was divided also over the fourth rib in patients with axillary hyperhidrosis. Questionnaires were sent to all patients.
Main outcome measures:
The effect of surgery was assessed by a 10 grad visual analogue scale (VAS) by the patients. The results were divided into effect rate (the effect on the symptom) and overall satisfaction rate, taking into account any side effects and complications apart from the effect.
Results:
The response rate was 90%. The mean follow up time, effect rate and overall satisfaction rate were: 38 months for palmar hyperhidrosis, 99,4% and 87%; 26 months for axillary hyperhidrosis, 94,5% and 68%; 31 months for facial hyperhidrosis, 97% and 76%; 8 months for facial blushing, 96% and 85%.
{"title":"Pancreatoblastoma in an adolescent girl: case report and review of 26 Japanese cases","authors":"Atsushi Imamura, Akihiko Nakagawa, Masashi Okuno, Souichirou Takai, Hisanao Komada, A-Hon Kwon, Shouji Uetsuji, Yasuo Kamiyama, Noriko Sakaida, Akiharu Okamura","doi":"10.1080/110241598750004553","DOIUrl":"10.1080/110241598750004553","url":null,"abstract":"","PeriodicalId":100508,"journal":{"name":"European Journal of Surgery","volume":"164 4","pages":"309-312"},"PeriodicalIF":0.0,"publicationDate":"2003-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/110241598750004553","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20559654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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