Showing papers in "Surgical Clinics of North America in 1976"

TL;DR: The symptoms complex is indistinguishable from that of gastroesophageal reflux, but the etiology is not a result of regurgitation of sour gastric contents into the esophagus.

TL;DR: The author reviews the endocrine response to major stress and relates these hormonal changes to the alterations in physiology and biochemistry of critically ill surgical patients.

TL;DR: An improved understanding of the shock state in intensively supported patient where death from the initial shock state and later cardiopulmonary failure is prevented is of the greatest importance.

TL;DR: In the cases reported here three basic methods were used: simple excision of burn eschar with immediate closure with autograft for small and medium-sized burns; and immunosuppression and temporary skin transplantation for massive third degree burns.

TL;DR: Evidence from clinical studies of trauma and sepsis is presented which support the view that alterations of peripheral energy metabolism, particularly by insulin resistance in skeletal muscle, causes proteolysis, excessive glucogenesis, and, ultimately, failure of protein synthesis.

TL;DR: A thorough understanding of the physiologic principles underlying fluid, electrolyte, and acid-base balance and of the compensatory mechanisms that come into play when disease, trauma, sepsis, or surgery distort normal patterns is essential for the surgeon.

TL;DR: A review is presented which focuses on the major metabolic consequences of trauma and sepsis, examines the control mechanisms which are disrupted, and suggests possible biochemical explanations for certain components of the response.

TL;DR: Necrotizing enterocolitis is a unique surgical disease of the neonate characterized by diffuse or patchy intestinal necrosis, accompanied by sepsis, and often followed by perforation, peritonitis, and death.

TL;DR: The attempt is to integrate observations concerning altered structure, cell biology, pathophysiology, physiologic function test data, bioengineering principles, clinical course, therapeutic management, and historical aspects of the disease process into a detailed multidisciplinary but comprehensive explanation of this very complex, difficult disease process.

TL;DR: With proper skills in the techniques of protein-calorie therapy and the availability of adequate techniques for nutritional assessment, the science of nutritional therapy now affords the opportunity to provide optimal care for the injured hospitalized patient.

TL;DR: Clinical and functional studies have determined distinct differences between the renal and systemic response to trauma with hypovolemia and severe sepsis.

TL;DR: The role of anticipated advances in chemotherapy or immunotherapy on carcinoma of the esophagus remains to be defined, but en bloc resection of the tumor with adequate margins will remain the cornerstone of treatment, hopefully to be improved by new types of adjuvant therapy.

TL;DR: It seems resonable to try to prevent ulcer development, and the use of vitamin A, hyperalimentation, and growth hormones is still in an experimental stage, but large clinical studies with case control are necessary before recommendations can be made.

TL;DR: The actual incidence of esophageal atresia and tracheoesophageals fistula abnormalities is difficult to assess, but it is probably near 1 in 3000 births, which makes it one of the most frequent anomalies which will be uniformly fatal in the neonatal period.

TL;DR: Progressive preoperative pneumoperitoneum, combined when necessary with Marlex mesh to obviate tension, enables closure of even gigantic defects and markedly diminishes postoperative pain and aids satisfactory pulmonary management and thus permits early postoperative mobilization and discharge from the hospital.

TL;DR: An alternative approach to hyperalimentation involves the infusion of fat solutions along with glucose and amino acids into peripheral veins in infants and children with lesions of the gastrointestinal tract.

TL;DR: There is now much evidence that the antrum, pylorus, and duodenum can be left completely intact in the course of operations for peptic ulcer, and that vagal denervation can be confined to the acid-secreting part of the stomach.

TL;DR: Kidney transplantation in very young children, less than 2 years of age, has usually failed, mainly because of difficulties in maintaining patients on hemodialysis long enough to permit retransplantation after loss of the original graft.

TL;DR: The surgeon treating a child with sickle cell disease must be able to differentiate the Symptoms of this disease from the symptoms of other intercurrent surgical problems.

TL;DR: Long-term observation will show the non-refluxing colon conduit to be better than the ileal loop, although 15 years must pass to be certain of that.

TL;DR: From 1970 to mid-1975, this report has operated on 25 consecutive patients with toxic dilatation of the colon with no mortality, and primary emphasis is given to aggressive diagnosis and resuscitation, followed by early operative intervention.

TL;DR: The presence of the mechanism outlined provides a further rationale arguing in favor of prompt and adequate fluid therapy of the injuried and volume-depleted patient.

TL;DR: Two methods which have been found to be effective in permanently increasing anal canal circumference are presented.

TL;DR: New diagnostic measures that complement the old ones have been developed and offer promise in detecting early, treatable disease in pancreatic surgery.

TL;DR: A simple and safe method of medical treatment for control of massive acute gastric mucosal hemorrhage is described, and in preliminary observations of consecutive admissions, 19 of 20 patients treated with this techinique stopped bleeding.

TL;DR: The arbitrary definition of failure to establish adequate emptying of fluids through the pylorus or stoma by the fifth postoperative day is suggested.

TL;DR: Despite the marked changes in overall incidence and death rates, gastric cancer presents clinically in patterns distressingly similar to those seen four decades ago.

TL;DR: The author, whose experience with duodenal ulcer surgery spans several decades, discusses many important operative procedures.

TL;DR: Surgical treatment consists of diversion of the biliary and upper intestinal secretions from the stomach and doing a vagotomy with or without a distal gastric resection to prevent a marginal ulcer from developing.

TL;DR: Four cases of desmiod tumors of the anterior abdominal wall recently treated at the University of Chicago Hospitals and Clinics are presented and one patient with an abdominal wall desmoid tumor associated with familial polypisis and mesenteric fibromatosis has benefited greatly following wide excision of abdominal wall and reconstriction using Marlex mesh.