Multiple leiomyomas of the esophagus.
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Biomedical subjects
Publications and source records attributed to R W Zollinger.
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We present a patient who had a left thoracotomy 43 years previously. Since that surgery he experienced intermittent hemoptysis, and a recent thoracotomy revealed an intrapulmonary foreign body (retained sponge) in the left lower lobe. The liability potential of this case is discussed.
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A rapid, simple palliative technique for treatment of pulmonary atresia with a one-stage pulmonary valvotomy and central aortopulmonary artery shunt is described.
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Arteriovenous malformations of the stomach are rare; blood loss may be manifested either by chronic anemia or by massive recurrent hemorrhage. We report a patient with massive upper gastrointestinal hemorrhage from a gastric arteriovenous malformation. Emergency operation to control hemorrhage precluded the performance of angiography; diagnosis was made from the appearance of the lesion and dilatation of the veins draining the involved area. Complete operative excision of the lesion was curative.
The use of autologous muscle as a thromboplastic agent in operations upon the head and neck has proved to be a safe, cost effective means to accomplish hemostasis in an area where it is absolutely necessary.
This study analyzed a group of morbidly obese patients who underwent jejunoileal bypass over a 10 year period. Patients underwent either a Payne or Scott procedure. Weight loss was reported in terms of percent of excessive weight loss. Results showed that patients who had a Payne bypass had an average excess weight loss of 75 percent, whereas those with the Scott bypass had an average excess weight loss of 61 percent. All patients lost weight. Complications in this series were lower than what has been traditionally reported. The problem that occurred most often was kidney stones (8 percent of the patients). There has been only one death to date. The low incidence of complications can be attributed to the fact that the patients were evaluated, operated on, supervised, and followed by one doctor and his associated nurses. Thus, it is proposed that jejunoileal bypass, compounded with good patient care and careful patient selection, can produce positive results with a minimum number of problems.
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