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Biomedical subjects

W F Mitty

Publications and source records attributed to W F Mitty.

18 recordsLinked to original sources
PubMed1983

Importance of patient selection in local treatment of carcinoma of the rectum.

Fifty-eight patients with potentially curative adenocarcinomas of the rectum underwent fulguration of their tumors without regard to size of the lesion. The overall 5 year survival rate was 48.3 percent. However, if patients with adenocarcinomas that arose in villous adenomas were excluded, the 5 year survival rate dropped to 31.7 percent. Of the six patients with a carcinoma less than 3 cm in diameter, the 5 year survival rate was 83 percent. Of the 30 patients with lesions 3 cm or larger, the 5 year survival rate was 23.3 percent. No patient with a lesion larger than 4 cm was cured. It is believed that patients with small adenocarcinomas (less than 3 cm) have a better chance of cure with fulguration than with radical surgery. Cancers between 3 and 4 cm may be treated successfully by local means. Fulguration of rectal carcinomas should not be performed in patients with lesions larger than 4 cm in diameter, except for palliation or in those who refuse permanent colostomy.

Adenocarcinoma↗
PubMed1977

Agnogenic venous mesenteric thrombosis.

One of the most difficult diagnoses to establish is that of agnogenic venous mesenteric thrombosis (AVMT). This disorder occurs chiefly in elderly patients and, unless diagnosed promptly, leads to death in most instances. AVMT may follow surgical operations or occur during a prolonged illness. In the past five years at St. Clare's Hospital and Health Center in New York City, this diagnosis was established in five patients. In reviewing these cases, it was noted that some of the signs and symptoms such as those due to hypotension and shock with marked leukocytosis, were out of proportion to those usually observed when the preoperative diagnosis is being considered. The pathologic and radiologic characteristics of this disorder are outlined, and the recommended operative procedure for treatment is discussed. The importance is stressed of prompt, vigorous and prolonged anticoagulation therapy in order to minimize the chance of recurrence in the early postoperative period. Anticoagulant therapy is also effective preoperatively, if the disease is diagnosed sufficiently early. As greater numbers of elderly patients are being treated in hospitals, this dire complication should be uppermost in the minds of physicians and surgeons if a fatal outcome is to be avoided following a successful operative procedure.

Abdomen, Acute↗
PubMed1976

Use of elemental diets in surgical cases.

Over the past five years elemental diets have assumed an important role in the pre- and postoperative nutrition of patients on the Surgical Service at the St. Vincent's Hospital and Medical Center of New York City. The purpose of this paper is to give the history of this development and the results of our experience with the elemental diet.

Adult↗