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Biomedical subjects

B Collopy

Publications and source records attributed to B Collopy.

26 records · Page 2Linked to original sources
PubMed1978

The present status of proximal gastric vagotomy.

It is now clearly established that proximal gastric vagotomy, which has been in clinical use for over seven years, had lower mortality and morbidity rates than all other forms of operation currently used in the treatment of chronic duodenal ulcer. Although no long-term figures are yet available, the ulcer recurrence rates is not likely to be greater than that for truncal vagotomy. The technique is not without problems, however, and has yet to gain wide acceptance in this country.

Duodenal Ulcer↗
PubMed1978

five years' experience with proximal gastric (highly selective) vagotomy.

In the five-year period 1972 to 1976 the author's preferred treatment for patients with chronic duodenal or prepyloric peptic ulcer requiring surgery was proximal gastric vagotomy. In spite of this preference, only two-thirds of such patients were so treated. Most patients with bleeding and stenosis were treated by bilateral truncal vagotomy and drainage, and a few by Pólya gastrectomy. Proximal gastric vagotomy proved to be a safe elective operation without mortality and with a proven ulcer recurrence rate so far of 6%. Compared with those who had bilateral truncal vagotomy and drainage, the proximal gastric vagotomy patients complained less often of diarrhoea but more often of weight loss and reflux. Two patients have had persistent postprandial non-peptic pain, thought possibly due to upper gastric ischaemia.

Aged↗
PubMed1976

Carcinoma of the rectum at St Vincent's Hospital, Melbourne.

Public patients admitted to a public hospital with carcinoma of the rectum were older and had more advanced lesions than those generally reported. Elderly patients were often unfit for any definitive treatment. Only half of all patients had curative resections and half of these lives five years; survival was related to stage. Palliative resection proved safe and worth while. Late diagnosis of rectal cancer among the aged and the poor demands improvement in our standards of community health care.

Adenocarcinoma↗
PubMedDate not supplied

Fractured neck of the femur (DRG 210/211): prospective outcome study.

BACKGROUND: An ageing population will increase the need for resources to treat patients with a fractured neck of femur (DRG 210/211). Provision of these resources will be helped by a better understanding of current practices. METHODS: A prospective study of outcome at discharge for 100 consecutive patients with DRG 210/211 was conducted at five Victorian metropolitan teaching hospitals to assess length of stay and the reasons for any variations. RESULTS: The major influences on timing of discharge were: delayed availability of rehabilitation beds; the timing of referral and assessment by the Geriatric Assessment Team; delay in surgery more than 24 h after admission; and development of postoperative complications. CONCLUSION: The efficient management of patients with DRG 210/211 requires a strong protocol of treatment and referral strategies with adequate resources.

Aged↗
PubMedDate not supplied

Matching ICD-9-CM codes to clinical indicators--is it the way to go?

In early 1997, the Australian Council on Healthcare Standards (ACHS) Care Evaluation Program (CEP) collaborated with the National Centre for Classification in Health (NCCH) to determine the feasibility of matching ICD-9-CM codes with a selected number of clinical indicators developed by CEP. While the results of this activity were encouraging, CEP is hesitant in advocating the use of ICD-9-CM as the complete answer to the data collection 'burden' experienced by health care organisations collecting clinical indicator data. CEP is concerned that obtaining clinical indicator data through ICD-9-CM coding alone may limit clinician participation in quality activities, narrow the focus of performance monitoring to one department, potentially compromise the intent of the indicators, and encourage a culture of 'near enough is good enough'. This paper examines the limitations of ICD-9-CM coding as the sole means of extracting clinical indicator data.

Abstracting and Indexing↗