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Biomedical subjects

C A Ekman

Publications and source records attributed to C A Ekman.

11 recordsLinked to original sources

Use of polytetrafluoroethylene grafts in elderly and high-risk patients.

Despite well established methods of vascular surgery, the elderly patient has not been considered a candidate for operation because of a high operative risk and a limited life expectancy. Simplified surgical procedures and the use of new graft material now permit vascular reconstruction with minimal injury to the tissues, little blood loss, and a short operative time. The immediate postoperative mortality after vascular surgery in 68 patients 70 to 88 years of age threatened with immediate amputation was 3%. Seventy-five percent of the limbs were intact 12 months after operation and 55% after 24 months. Thus when amputation of ischemic extremities seems unavoidable, a vascular reconstruction should always be considered even in elderly patients.

Aged

Value of a follow-up study of recurrent carcinoma of the colon and rectum.

The results of our programmed follow-up study of patients with carcinoma of the colon and rectum have been disappointing. This is true also for those patients who have undergone resection with the intention of cure. This is mainly because of the discouraging results of our treatment of recurrent lesions. Chemotherapy or roentgen radiation has not regularly been used. The mean survival time has probably been prolonged in some single instances. Only three out of 36 are still alive. Oour negative results show that a follow-up study of this magnitude has been too extensive when the poor outcome is considered. We believe that a follow-up study of patients who have been operated upon for carcinoma of the colon and rectum is necessary but in a simpler form than we have done.

Colonic Neoplasms