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Biomedical subjects

P Jess

Publications and source records attributed to P Jess.

54 records · Page 3Linked to original sources
PubMed1983

Sequelae to genital trauma in torture victims.

Possible sequelae to genital trauma were investigated in ten male victims of torture. Two of the victims examined showed testicular atrophy. No significant difference was found in the serum concentrations of follicle-stimulating hormone, luteinizing hormone, testosterone, and prolactin in those subjected to genital torture, when compared with a control group. Serum spermatocoagglutinins were not found to be increased in either of the two groups.

Adult↗
PubMed1982

Prognosis of acute nonspecific abdominal pain. A prospective study.

In a prospective study of 230 patients followed up for 5 years after hospital admission for acute non-specific abdominal pain, 21 patients (9 patients) could not be traced, and 11 (5 percent) had died. Only one death was related to symptoms from the first admission. Of the remaining 198 patients, 77 percent were healthy and free of any symptoms during the observation period. Fourteen patients (7 percent) had been hospitalized once more due to acute abdominal pain; 5 had acute appendicitis. The others had diagnosed recurrences of nonspecific abdominal pain. Sixteen percent complained of continuing of intermittent abdominal symptoms, mainly of benign colonic or gynecologic origin, while malignant disease developed in 1 percent (or 4 percent of patients over 50 years of age). It is concluded that control of these patients is generally unnecessary, but when symptoms recur further examinations, especially for colonic or gynecologic disease, should be carried out. In patients over 50 years old, the possibility of malignant disease should be kept in mind.

Abdomen↗
PubMed1982

Gallstone ileus. A review of 39 cases with emphasis on surgical treatment.

A series of 39 cases of gallstone ileus is presented. The median follow-up period was 6 1/2 years (range 4 months-20 years). Surgical treatment was primarily performed in 36 cases. The overall operative mortality rate was 14%. In two cases the initial operation was one-stage enterolithotomy, fistula repair and cholecystectomy. In one of these cases a second operation had to be performed 18 months later, because of choledochal stones. Five of the 29 patients who survived initial simple removal of stone subsequently had biliary-duct related symptoms, all within the first three postoperative years. Re-operation was necessary in only three of these five cases (11% of the series). The study led to the conclusion that initial surgery for gallstone ileus should be limited to removal of obstructing stones. Recent literature, indicating increased mortality following one-stage repair, supports this conclusion.

Aged↗
PubMed1981

Acute appendicitis. Prospective trial concerning diagnostic accuracy and complications.

In a prospective trial comprising 202 patients operated on because of suspicion of acute appendicitis, the diagnostic accuracy was 70 percent based on histologic examination of all removed appendices. The diagnostic accuracy was lowest in women less than 50 years old and in young patients (aged 20 years or less), being about 60 percent in both of these groups. The reasons were gynecologic disorders and uncharacteristic abdominal pains, respectively. Twenty-three of the 142 patients with acute appendicitis had perforation (16 percent). The frequency of perforation was significantly higher in patients more than 50 years old. Postoperative complications were seen in 11 percent of the patients. There was no significant difference in the frequency of complications in patients with a normal appendix and no other surgical abdominal disorder and patients with nonperforated appendicitis. However, there was a statistically significant difference between these two groups and the group with perforated appendicitis. In the latter group, postoperative complications occurred in 39 percent of the patients as opposed to 4 percent and 8 percent, respectively, in the former groups.

Acute Disease↗
PubMed1979

Antrectomy as treatment of recurrence after vagotomy for duodenal ulcer.

Sixty-eight patients antrectomized for recurrent ulcer after different types of vagotomy were reexamined two to ten years after the operation. Mortality after antrectomy for recurrent ulcer was 1.5 per cent (95 per cent confidence limits, 0.0 to 7.9 per cent), the recurrence rate 2.9 per cent (0.4 to 10.2 per cent), and total failure rate (Visick IV) 13.0 per cent (0.4 to 25.6 per cent). If these figures are applied to a series of 260 proximal gastric vagotomies recently reported from our department and compared with data from series of vagotomy-antrectomy as primary treatment of duodenal ulcer, the final surgical mortality and cure rate will be equal, whereas the final failure rate (Visick IV) probably would be less after proximal gastric vagotomy because of a lower frequency of dumping and diarrhea.

Adult↗