Pub Date : 2002-11-01DOI: 10.1046/J.1442-2034.2002.00143.X
D. Artioukh, M. Zeiderman
{"title":"Diagnostic difficulties in the differentiation of pancreatic pseudocyst and cystic pancreatic neoplasm","authors":"D. Artioukh, M. Zeiderman","doi":"10.1046/J.1442-2034.2002.00143.X","DOIUrl":"https://doi.org/10.1046/J.1442-2034.2002.00143.X","url":null,"abstract":"","PeriodicalId":7943,"journal":{"name":"Annals of The College of Surgeons Hong Kong","volume":"78 1","pages":"121-122"},"PeriodicalIF":0.0,"publicationDate":"2002-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83896417","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}
Pub Date : 2002-11-01DOI: 10.1046/J.1442-2034.2002.00147.X
A. Ting, P. Ho, S. Cheng
A case of metachronous non-anastomotic aneurysms in a bifurcated double velour knitted Dacron aorto-bifemoral graft is reported. The cause of non-anastomotic graft aneurysms is most likely due to a basic structural failure in the graft, as a result of defects in fabrication, Dacron fibre deterioration or a combination of both. Local excision of the graft defect with interposition graft replacement is an accepted treatment for local graft failure. However, as fabrication defects and Dacron fibre deterioration are both factors affecting the whole graft, it is not surprising to find multiple aneurysms in the same graft synchronously or metachronously. Thus, a total graft replacement should be the treatment of choice for graft failure.
{"title":"Metachronous multiple non-anastomotic aneurysms in a bifurcated double velour knitted Dacron graft","authors":"A. Ting, P. Ho, S. Cheng","doi":"10.1046/J.1442-2034.2002.00147.X","DOIUrl":"https://doi.org/10.1046/J.1442-2034.2002.00147.X","url":null,"abstract":"A case of metachronous non-anastomotic aneurysms in a bifurcated double velour knitted Dacron aorto-bifemoral graft is reported. The cause of non-anastomotic graft aneurysms is most likely due to a basic structural failure in the graft, as a result of defects in fabrication, Dacron fibre deterioration or a combination of both. Local excision of the graft defect with interposition graft replacement is an accepted treatment for local graft failure. However, as fabrication defects and Dacron fibre deterioration are both factors affecting the whole graft, it is not surprising to find multiple aneurysms in the same graft synchronously or metachronously. Thus, a total graft replacement should be the treatment of choice for graft failure.","PeriodicalId":7943,"journal":{"name":"Annals of The College of Surgeons Hong Kong","volume":"14 1","pages":"123-125"},"PeriodicalIF":0.0,"publicationDate":"2002-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87826762","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}
Pub Date : 2002-11-01DOI: 10.1046/J.1442-2034.2002.00149.X
J. Chester
{"title":"The causes of synthetic vascular graft failure","authors":"J. Chester","doi":"10.1046/J.1442-2034.2002.00149.X","DOIUrl":"https://doi.org/10.1046/J.1442-2034.2002.00149.X","url":null,"abstract":"","PeriodicalId":7943,"journal":{"name":"Annals of The College of Surgeons Hong Kong","volume":"6 1","pages":"97-101"},"PeriodicalIF":0.0,"publicationDate":"2002-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73200880","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}
Pub Date : 2002-11-01DOI: 10.1046/J.1442-2034.2002.00150.X
W. Ho
{"title":"Skin substitutes: An overview","authors":"W. Ho","doi":"10.1046/J.1442-2034.2002.00150.X","DOIUrl":"https://doi.org/10.1046/J.1442-2034.2002.00150.X","url":null,"abstract":"","PeriodicalId":7943,"journal":{"name":"Annals of The College of Surgeons Hong Kong","volume":"45 1","pages":"102-108"},"PeriodicalIF":0.0,"publicationDate":"2002-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74088587","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}
Pub Date : 2002-11-01DOI: 10.1046/J.1442-2034.2002.00144.X
C. C. Tse, Wing‐Hong Li, P. L. Tang, J. Hwang
Intra-aortic balloon pump (IABP) catheter is used widely in the management of left heart failure. Its complications are well described; however, retained IABP catheter is an extremely rare but serious complication, which is seldom described. Fewer than 20 cases have been reported. Two cases of entrapment of IABP catheter which resulted in acute limb ischaemia requiring surgical intervention for its removal are reported. Its prevention and management are also discussed.
{"title":"Retained intra-aortic balloon pump catheter causing acute ischaemic limb: Report of two cases","authors":"C. C. Tse, Wing‐Hong Li, P. L. Tang, J. Hwang","doi":"10.1046/J.1442-2034.2002.00144.X","DOIUrl":"https://doi.org/10.1046/J.1442-2034.2002.00144.X","url":null,"abstract":"Intra-aortic balloon pump (IABP) catheter is used widely in the management of left heart failure. Its complications are well described; however, retained IABP catheter is an extremely rare but serious complication, which is seldom described. Fewer than 20 cases have been reported. Two cases of entrapment of IABP catheter which resulted in acute limb ischaemia requiring surgical intervention for its removal are reported. Its prevention and management are also discussed.","PeriodicalId":7943,"journal":{"name":"Annals of The College of Surgeons Hong Kong","volume":"4 1","pages":"118-120"},"PeriodicalIF":0.0,"publicationDate":"2002-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77357240","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}
Pub Date : 2002-11-01DOI: 10.1046/J.1442-2034.2002.00148.X
C. Poon, D. Lee, A. Chan
A technique to create a subcutaneous tunnel in antesternal oesophageal replacement using a rigid sigmoidoscope is reported.
本文报道一种在硬乙状结肠镜下进行前胸骨食管置换术中建立皮下隧道的技术。
{"title":"Creation of a subcutaneous tunnel in antesternal oesophageal replacement with the aid of a rigid sigmoidoscope","authors":"C. Poon, D. Lee, A. Chan","doi":"10.1046/J.1442-2034.2002.00148.X","DOIUrl":"https://doi.org/10.1046/J.1442-2034.2002.00148.X","url":null,"abstract":"A technique to create a subcutaneous tunnel in antesternal oesophageal replacement using a rigid sigmoidoscope is reported.","PeriodicalId":7943,"journal":{"name":"Annals of The College of Surgeons Hong Kong","volume":"32 1","pages":"126-127"},"PeriodicalIF":0.0,"publicationDate":"2002-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75579520","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}
Pub Date : 2002-11-01DOI: 10.1046/J.1442-2034.2002.00145.X
W. Chan, Naomi Hau-Yin Cheng, Kw Cheng, K. Cheung, M. Cheung, K. Ho, Lok-Lam E. Huen, Janet F.Y. Lee, K. Leung
Objective: To elucidate if the course of acute appendicitis is influenced by the variable positions of the appendix. The appendix positions were divided into two groups: (i) the anterior group, which included the anterior, the pelvic and the paracaecal positions; and (ii) the posterior group, which included the retrocaecal and retroileal positions. Method: The hospital records of 161 patients who underwent appendectomy for acute appendicitis from January 2000 to June 2001 at Prince of Wales Hospital were reviewed retrospectively. Results: Clinicians’ delay in reaching the diagnosis was longer in the posterior group (9.9 h vs 5.8 h; P=0.043). However, complicated appendicitis (gangrenous changes, perforation or abscess formation) was not associated with the appendix location (P = 0.078). The median operating time for laparoscopic appendectomies lasted longer in the posterior group (77.5 min vs 60 min; P = 0.02). These patients also had a longer hospital stay (6 days vs 4 days; P = 0.049). No difference was observed among patients who underwent open surgery. Conclusion: Appendices in the ‘hidden’ position did not translate into a higher incidence of complicated appendicitis or postoperative complications except for the slightly longer hospital stay in patients treated by laparoscopy. Therefore, we concluded that the location of appendices does not affect the clinical course of appendicitis in the locality studied.
目的:探讨阑尾位置变化对急性阑尾炎病程的影响。阑尾位置分为两组:(i)前组，包括前、盆腔和尾旁位置;(ii)后组，包括盲肠后和回肠后位置。方法:对2000年1月至2001年6月在威尔斯亲王医院行急性阑尾炎阑尾切除术的161例患者的住院资料进行回顾性分析。结果:后路组临床医生延迟诊断的时间更长(9.9 h vs 5.8 h;P = 0.043)。而复杂性阑尾炎(坏疽、穿孔或脓肿形成)与阑尾位置无关(P = 0.078)。后路组腹腔镜阑尾切除术的中位手术时间更长(77.5 min vs 60 min;p = 0.02)。这些患者的住院时间也更长(6天vs 4天;p = 0.049)。在接受开放手术的患者中没有观察到差异。结论:阑尾处于“隐藏”位置并不意味着复杂阑尾炎或术后并发症的发生率更高，但腹腔镜手术患者的住院时间略长。因此，我们认为阑尾的位置不影响阑尾炎的临床病程。
{"title":"Does appendix position affect the clinical outcome of acute appendicitis","authors":"W. Chan, Naomi Hau-Yin Cheng, Kw Cheng, K. Cheung, M. Cheung, K. Ho, Lok-Lam E. Huen, Janet F.Y. Lee, K. Leung","doi":"10.1046/J.1442-2034.2002.00145.X","DOIUrl":"https://doi.org/10.1046/J.1442-2034.2002.00145.X","url":null,"abstract":"Objective: To elucidate if the course of acute appendicitis is influenced by the variable positions of the appendix. The appendix positions were divided into two groups: (i) the anterior group, which included the anterior, the pelvic and the paracaecal positions; and (ii) the posterior group, which included the retrocaecal and retroileal positions. \u0000 \u0000 \u0000 \u0000Method: The hospital records of 161 patients who underwent appendectomy for acute appendicitis from January 2000 to June 2001 at Prince of Wales Hospital were reviewed retrospectively. \u0000 \u0000 \u0000 \u0000Results: Clinicians’ delay in reaching the diagnosis was longer in the posterior group (9.9 h vs 5.8 h; P=0.043). However, complicated appendicitis (gangrenous changes, perforation or abscess formation) was not associated with the appendix location (P = 0.078). The median operating time for laparoscopic appendectomies lasted longer in the posterior group (77.5 min vs 60 min; P = 0.02). These patients also had a longer hospital stay (6 days vs 4 days; P = 0.049). No difference was observed among patients who underwent open surgery. \u0000 \u0000 \u0000 \u0000Conclusion: Appendices in the ‘hidden’ position did not translate into a higher incidence of complicated appendicitis or postoperative complications except for the slightly longer hospital stay in patients treated by laparoscopy. Therefore, we concluded that the location of appendices does not affect the clinical course of appendicitis in the locality studied.","PeriodicalId":7943,"journal":{"name":"Annals of The College of Surgeons Hong Kong","volume":"21 1","pages":"109-112"},"PeriodicalIF":0.0,"publicationDate":"2002-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88700514","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}
Pub Date : 2002-11-01DOI: 10.1046/J.1442-2034.2002.00146.X
W. Ho, S. Ying, P. Choi
Objective: To evaluate the effect of an artificial skin Hyphecan (1-4,2-acetamide-deoxy-B-D-glucan polymer) on wound healing in a rodent model. Materials and Method: The prospective study was conducted at a basic science laboratory at a tertiary teaching hospital. Two 4 cm × 4 cm full-thickness wounds were created on the dorsal surface of 10 Spraque–Dawley rats and covered with Hyphecan and Kaltostat, respectively. Wounds were examined and measured on days 4, 10, 21 and 28, and would continue after day 28 until healed up completely. Punch biopsies (3 mm) were taken on days 4, 10 and 28 for histological examination of the response of healing and repair. Results: Despite the fact that the wound healing rate was similar for both groups on days 4, 10, 21 and 28, the average healing time for the Hyphecan group (29.1 ± 1.7 days) was significantly shorter statistically (P = 0.03) than the Kaltostat group (30.7 ± 2.8 days). Conversely, the marked healing response elicited by Hyphecan on day 4 persisted on days 10 and 28 in contrast to Kaltostat, which had only a mild degree of healing response on days 10 and 28. The study suggests that wounds treated by Hyphecan heal faster than Kaltostat. Conclusion: The findings provide basic scientific evidence supporting the clinical use of Hyphecan in different wounds and might also reduce the cost of wound management as Hyphecan is cheaper than Kaltostat and requires a shorter treatment time.
目的:评价人造皮肤连丝聚糖(1-4,2-乙酰胺-脱氧- b -d -葡聚糖聚合物)对啮齿动物模型创面愈合的影响。材料与方法:前瞻性研究在某三级教学医院基础科学实验室进行。取10只Spraque-Dawley大鼠背部创面2个4 cm × 4 cm全厚创面，分别涂上Hyphecan和Kaltostat。于第4、10、21、28天检查和测量伤口，并于第28天继续检查和测量伤口，直至伤口完全愈合。于第4天、第10天和第28天取穿孔活检(3mm)进行组织学检查，观察愈合和修复的反应。结果:两组创面愈合速度在第4、10、21、28天相似，但连丝康组平均愈合时间(29.1±1.7 d)显著短于卡洛司他组(30.7±2.8 d)，差异有统计学意义(P = 0.03)。相反，与Kaltostat相比，Hyphecan在第4天引起的明显愈合反应持续到第10和28天，而Kaltostat在第10和28天只有轻微的愈合反应。研究表明，用菌丝可治疗的伤口愈合速度比用卡尔托司他快。结论:本研究结果为临床在不同创面中使用连丝康提供了基础的科学依据，并且由于比Kaltostat更便宜、治疗时间更短，可降低创面管理成本。
{"title":"Evaluation of Hyphecan (1-4,2-acetamide-deoxy-B-D-glucan polymer) on wound healing in a rodent model","authors":"W. Ho, S. Ying, P. Choi","doi":"10.1046/J.1442-2034.2002.00146.X","DOIUrl":"https://doi.org/10.1046/J.1442-2034.2002.00146.X","url":null,"abstract":"Objective: To evaluate the effect of an artificial skin Hyphecan (1-4,2-acetamide-deoxy-B-D-glucan polymer) on wound healing in a rodent model. \u0000 \u0000 \u0000 \u0000Materials and Method: The prospective study was conducted at a basic science laboratory at a tertiary teaching hospital. Two 4 cm × 4 cm full-thickness wounds were created on the dorsal surface of 10 Spraque–Dawley rats and covered with Hyphecan and Kaltostat, respectively. Wounds were examined and measured on days 4, 10, 21 and 28, and would continue after day 28 until healed up completely. Punch biopsies (3 mm) were taken on days 4, 10 and 28 for histological examination of the response of healing and repair. \u0000 \u0000 \u0000 \u0000Results: Despite the fact that the wound healing rate was similar for both groups on days 4, 10, 21 and 28, the average healing time for the Hyphecan group (29.1 ± 1.7 days) was significantly shorter statistically (P = 0.03) than the Kaltostat group (30.7 ± 2.8 days). Conversely, the marked healing response elicited by Hyphecan on day 4 persisted on days 10 and 28 in contrast to Kaltostat, which had only a mild degree of healing response on days 10 and 28. The study suggests that wounds treated by Hyphecan heal faster than Kaltostat. \u0000 \u0000 \u0000 \u0000Conclusion: The findings provide basic scientific evidence supporting the clinical use of Hyphecan in different wounds and might also reduce the cost of wound management as Hyphecan is cheaper than Kaltostat and requires a shorter treatment time.","PeriodicalId":7943,"journal":{"name":"Annals of The College of Surgeons Hong Kong","volume":"35 1","pages":"113-117"},"PeriodicalIF":0.0,"publicationDate":"2002-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77306911","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}
Pub Date : 2002-08-01DOI: 10.1046/J.1442-2034.2002.00136.X
E. Ng, W. Leung, K. To, S. Wong, P. Lai, W. Lau, J. Sung, S. Chung
Objective: Eradication of Helicobacter pylori is effective in preventing ulcer relapse after simple repair of perforated duodenal ulcers. However, when and how the H. pylori status should be determined remains unclear. The study investigated the role of early endoscopic follow up in managing patients with simple omentopexy for duodenal ulcer perforation. Patients and Method: Patients below the age of 75 years who had simple repair of perforated duodenal ulcer were recruited. They were given a 4-week course of H2 receptor antagonist upon discharge and advised to return for a follow-up endoscopy at 8 weeks after operation. During endoscopic examination, ulcer healing and other gastroduodenal pathology were noted. Random biopsies were taken from the antrum and body of the stomach for determination of H. pylori infection. Results: In a 30-month period, 112 patients were admitted with perforated duodenal ulcers. The perforation was repaired by either laparoscopic (n = 41) or open method (n = 71). Eleven patients died during hospitalization. Of the 101 patients who recovered, 16 were lost to follow up. Nine patients were considered unfit for endoscopy as a result of medical comorbidities. Among the 76 patients who attended the follow-up endoscopy, 47 were shown to have H. pylori infection (61.8%). Active duodenal ulcers were found in 15 patients, significant erosions in five patients and severe duodenitis in seven patients. Patients infected by H. pylori had a significantly higher proportion of persistent duodenal pathology compared with the uninfected patients (23/47 vs 4/29; P = 0.003). Multivariate analysis revealed that smoking and H. pylori infection were the two independent factors predicting persistent duodenal lesions. Conclusion: Patients treated with simple closure for duodenal ulcer perforation are recommended to have their H. pylori status determined by early follow-up endoscopy, and an eradication regimen should be prescribed to those who are positive for the infection. Chinese Abstract Figure Chinese Abstract. Figure Chinese Abstract. Figure Chinese Abstract. Figure Chinese Abstract. Figure Chinese Abstract.
目的:根除幽门螺杆菌可有效预防十二指肠溃疡穿孔单纯修复术后溃疡复发。然而，何时以及如何确定幽门螺旋杆菌的状态仍不清楚。本研究探讨早期内镜随访在十二指肠溃疡穿孔单纯性网膜置换术治疗中的作用。患者和方法:招募年龄在75岁以下的单纯修复十二指肠溃疡穿孔的患者。出院时给予4周的H2受体拮抗剂疗程，并建议在术后8周返回进行随访的内窥镜检查。在内镜检查时，溃疡愈合和其他胃十二指肠病理记录。随机取胃窦和胃体活检确定幽门螺杆菌感染。结果:在30个月的时间里，112例患者因十二指肠溃疡穿孔入院。采用腹腔镜(n = 41)或开腹法(n = 71)修复穿孔。11名患者在住院期间死亡。101例康复患者中，16例失访。9例患者由于合并症被认为不适合内窥镜检查。76例随访内镜检查患者中，47例有幽门螺杆菌感染(61.8%)。15例患者出现活动性十二指肠溃疡，5例患者出现明显糜烂，7例患者出现严重十二指肠炎。幽门螺旋杆菌感染的患者出现持续性十二指肠病理的比例明显高于未感染的患者(23/47 vs 4/29;p = 0.003)。多因素分析显示吸烟和幽门螺杆菌感染是预测十二指肠持续病变的两个独立因素。结论:单纯闭合术治疗十二指肠溃疡穿孔的患者应尽早随访内镜检查幽门螺杆菌状态，对感染阳性的患者应制定根除方案。中文摘要图中文摘要图中文摘要图中文摘要图中文摘要图中文摘要
{"title":"The role of early endoscopic follow up after simple closure of perforated duodenal ulcer: A prospective study","authors":"E. Ng, W. Leung, K. To, S. Wong, P. Lai, W. Lau, J. Sung, S. Chung","doi":"10.1046/J.1442-2034.2002.00136.X","DOIUrl":"https://doi.org/10.1046/J.1442-2034.2002.00136.X","url":null,"abstract":"Objective: \u0000Eradication of Helicobacter pylori is effective in preventing ulcer relapse after simple repair of perforated duodenal ulcers. However, when and how the H. pylori status should be determined remains unclear. The study investigated the role of early endoscopic follow up in managing patients with simple omentopexy for duodenal ulcer perforation. \u0000 \u0000Patients and Method: \u0000Patients below the age of 75 years who had simple repair of perforated duodenal ulcer were recruited. They were given a 4-week course of H2 receptor antagonist upon discharge and advised to return for a follow-up endoscopy at 8 weeks after operation. During endoscopic examination, ulcer healing and other gastroduodenal pathology were noted. Random biopsies were taken from the antrum and body of the stomach for determination of H. pylori infection. \u0000 \u0000Results: \u0000In a 30-month period, 112 patients were admitted with perforated duodenal ulcers. The perforation was repaired by either laparoscopic (n = 41) or open method (n = 71). Eleven patients died during hospitalization. Of the 101 patients who recovered, 16 were lost to follow up. Nine patients were considered unfit for endoscopy as a result of medical comorbidities. Among the 76 patients who attended the follow-up endoscopy, 47 were shown to have H. pylori infection (61.8%). Active duodenal ulcers were found in 15 patients, significant erosions in five patients and severe duodenitis in seven patients. Patients infected by H. pylori had a significantly higher proportion of persistent duodenal pathology compared with the uninfected patients (23/47 vs 4/29; P = 0.003). Multivariate analysis revealed that smoking and H. pylori infection were the two independent factors predicting persistent duodenal lesions. \u0000 \u0000Conclusion: \u0000Patients treated with simple closure for duodenal ulcer perforation are recommended to have their H. pylori status determined by early follow-up endoscopy, and an eradication regimen should be prescribed to those who are positive for the infection. \u0000 \u0000Chinese Abstract \u0000 \u0000 \u0000 \u0000Figure Chinese Abstract. \u0000 \u0000 \u0000 \u0000Figure Chinese Abstract. \u0000 \u0000 \u0000 \u0000Figure Chinese Abstract. \u0000 \u0000 \u0000 \u0000Figure Chinese Abstract. \u0000 \u0000 \u0000 \u0000Figure Chinese Abstract.","PeriodicalId":7943,"journal":{"name":"Annals of The College of Surgeons Hong Kong","volume":"139 1","pages":"71-76"},"PeriodicalIF":0.0,"publicationDate":"2002-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76577725","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}
Pub Date : 2002-08-01DOI: 10.1046/J.1442-2034.2002.00142.X
C. Leong
{"title":"The evolution of the healthcare system in Hong Konga","authors":"C. Leong","doi":"10.1046/J.1442-2034.2002.00142.X","DOIUrl":"https://doi.org/10.1046/J.1442-2034.2002.00142.X","url":null,"abstract":"","PeriodicalId":7943,"journal":{"name":"Annals of The College of Surgeons Hong Kong","volume":"45 1","pages":"61-64"},"PeriodicalIF":0.0,"publicationDate":"2002-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84702044","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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