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Biomedical subjects

C W Broders

Publications and source records attributed to C W Broders.

9 recordsLinked to original sources

Carcinoma of the cecum.

Carcinoma of the cecum occurs more often in older people and often produces few significant early symptoms. Proper detection and right hemicolectomy may give good results.

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Acute cholecystitis in the elderly. A comparative study.

Acute cholecystitis is not an unusual sequela of chronic cholelithiasis, nor is its occurrence predictable. The elderly patient with acute cholecystitis faces an increased risk of death and illness. Prompt, remedial medical preparation followed by early surgical extirpation of the gallbladder (with common bile duct exploration where indicated) is the surgical treatment of choice. Cholecystostomy should be considered for those patients in whom a more extensive procedure is judged to be too hazardous. With Americans' intense interest in maintaining a vigorous, healthy, and youthful profile and their fear of dying, it is a most suitable protective health measure to advocate that all patients with calculous biliary tract disease be urged to have surgical intervention of this disease process before the complication of acute cholecystitis occurs. The risks of a cholecystectomy under elective conditions are low and the results are most gratifying.

Acute Disease↗

Gallstone ileus.

Gallstone ileus, although uncommon, requires urgent and appropriate surgical therapy if unacceptable morbidity and mortality are to be avoided. Enterolithotomy alone remains the mainstay of operative treatment for gallstone ileus, but the additional performance of a one-stage cholecystectomy and repair of fistula if desirable if the condition of the patient will allow it. One must use good judgment in selecting a surgical procedure. It is imperative to recall that the primary goal in the surgical treatment of gallstone ileus is to save a life. Future complications of the diseased gallbladder and the cholecystoenteric fistula may be treated electively under more ideal circumstances when and if they occur. Gallstone ileus, like other complications of cholelithiasis, remains a strong argument for early cholecystectomy in patients with gallstones.

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