Subject(s)
Appendicitis/diagnosis , Adult , Appendectomy , Appendicitis/surgery , Appendix/diagnostic imaging , Appendix/surgery , Humans , Male , Recurrence , Tomography, X-Ray ComputedABSTRACT
Several studies have demonstrated a relationship between mucosal carbonic anhydrase (CA) isoenzymes, particularly CA II, and cancer of the large intestine. Recent work has suggested the potential usefulness of fecal CA assay for colorectal cancer screening. This clinical study examined the accuracy of fecal CA II as a marker of adenocarcinoma of the colon and rectum. An enzyme-linked immunosorbent assay was used to measure CA II in urine, serum, and stool samples from 31 colorectal cancer patients and 26 control subjects. An immunochemical fecal occult blood test was also performed in all study participants. Urine and serum CA II were similar in the two study groups. However, both the prevalence and the mean level of fecal CA II in the cancer patients were significantly higher than those in the control group. The detection rate for CA II in the stool was 65 per cent for the cancer patients versus 4 per cent for the control population. The fecal CA II test was similar in sensitivity and specificity to the immunochemical fecal occult blood test (65 vs 48%; 96 vs 100%). Measurement of fecal CA II might be useful in screening for colorectal cancer.
Subject(s)
Biomarkers, Tumor/analysis , Carbonic Anhydrases/analysis , Colonic Neoplasms/diagnosis , Feces/enzymology , Rectal Neoplasms/diagnosis , Biomarkers, Tumor/blood , Biomarkers, Tumor/urine , Carbonic Anhydrases/blood , Carbonic Anhydrases/urine , Colonic Neoplasms/enzymology , Enzyme-Linked Immunosorbent Assay , Female , Humans , Male , Middle Aged , Occult Blood , Rectal Neoplasms/enzymologyABSTRACT
The EEA stapler was used in 205 patients over a 7 year period with 19 complications (9 percent) and 1 death (0.5 percent). Meticulous attention to technique and familiarization with the EEA stapler are necessary to achieve such results. The use of mechanical and oral antibiotic bowel preparation, perioperative systemic antibiotics, povidone-iodine irrigation of the rectal ampulla, and meticulous surgical technique have combined to lower the complication rate of this procedure to a minimum. The EEA stapler has greatly improved the safety and ease of anterior sigmoid resections and now provides a frequent alternative to abdominoperineal resection in many patients with midrectal and even low rectal lesions.
Subject(s)
Colon, Sigmoid/surgery , Surgical Staplers , Adenocarcinoma/surgery , Adult , Aged , Diverticulum, Colon/surgery , Female , Humans , Male , Middle Aged , Postoperative Complications , Rectal Neoplasms/surgery , Sigmoid Diseases/surgery , Sigmoid Neoplasms/surgeryABSTRACT
Acute fulminating amoebic colitis is a very uncommon complication of amoebiasis. Most patients die, with or without surgery. We report such a patient who survived after total colectomy. If an excision of diseased colon is done, an exteriorising procedure should be added and primary anastomosis avoided.
Subject(s)
Colectomy , Dysentery, Amebic/surgery , Acute Disease , Colon/pathology , Dysentery, Amebic/pathology , Female , Humans , Middle AgedABSTRACT
Repair of adult inguinal hernia has been done on an outpatient basis at our surgical facility for the past six years. In 616 consecutive repairs, complications have been remarkably few: one patient was electively admitted to hospital, two hernias have recurred and one patient needed to be catheterized. Patient acceptance has been enthusiastic.
Subject(s)
Hernia, Inguinal/surgery , Adolescent , Adult , Aged , Ambulatory Surgical Procedures , Female , Humans , Male , Middle Aged , Postoperative Complications , RecurrenceABSTRACT
One hundred-twenty patients with Stages I and II carcinoma of the female breast were treated by biopsy followed by definitive radiation therapy without mastectomy. The breast received 4500-5000 cGy (rad) using a 6 MV linear accelerator followed by a supplement to the area of the primary tumor of 2000 cGy (rad) using electrons in 99 patients (83%) and interstitial implantation in 21 patients (17%). Local recurrence was not recorded in the 43 patients with Stage I disease, while three of 77 patients (4%) with Stage II disease suffered a local recurrence. The actuarial five-year relapse-free survival was 91% and 60% in Stages I and II respectively. Cosmetic results were considered excellent by both physician and patient in the majority of cases. Axillary dissection was the recommended method of staging the axilla but was noted to be more morbid than axillary sampling. Electrons may be as effective as interstitial implantation as a means of supplementation following external beam therapy if specific guidelines are followed.
Subject(s)
Breast Neoplasms/radiotherapy , Breast/pathology , Actuarial Analysis , Adult , Aged , Axilla , Biopsy , Brachytherapy/adverse effects , Breast Neoplasms/pathology , Electrons , Elementary Particles , Female , Humans , Lymph Node Excision , Middle Aged , Neoplasm Recurrence, Local , Radiotherapy, High-Energy/adverse effectsSubject(s)
Coccidiosis/etiology , Enteritis/etiology , Adult , Humans , Ileal Diseases/etiology , SportsABSTRACT
Standard angiographic techniques formerly used exclusively as diagnostic modalities have been modified to serve as definitive or adjunctive therapeutic measured. The techniques include transcatheter embolization; infusion of vasoactive drugs, chemotherapeutic agents and radioactive particles; tamponade of bleeding arteries and balloon catheters; extraction of vascular foreign bodies and retained biliary tract stones and transluminal arterial dilation. These techniques have been proved effective and safe when used judiciously.
