Christopher G. Jamieson

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OBJECTIVES To determine the incidence and nature of complications on a general surgery service and to compare these results with pre-existing institutional recording and reporting methods. DESIGN A single observer prospectively monitored the presence and documentation of complications for all patients admitted to the general surgery service at the(More)
The double stapling technique (TA-55 and EEA staplers) was used to perform low anterior resections for rectal carcinomas in 79 patients (49 men, 30 women). The mean age was 66 years (range, 38 to 85 years). Curative resections were performed in 68 patients, and palliative resections in 11 patients. The mean level of the cancer from the dentate line was 9 cm(More)
A report is given on 26 patients (18 men and 8 women) undergoing low anterior resection for carcinoma of the rectum, using both the TA 55 and EEA staplers. The average age was 65 years (range, 45 to 92 years). The preoperative level of the lesion from the anal verge averaged 9.8 cm (range, 4 to 17 cm). All had well-differentiated or moderately(More)
Delayed rupture of the spleen is a rare but serious complication of blunt abdominal trauma. A 47-year-old woman with a history of fractured pelvis from a motor vehicle accident 6 months earlier presented with evidence of a myocardial infarction. Subsequent streptokinase administration was complicated by splenic rupture, which was managed by evacuation of(More)
The role of histamine H1 and H2 receptors in acute gastric ulceration was studied using a rat restraint-stress model. Cimetidine, an H2 receptor antagonist, afforded some protection at all doses. A dose response study showed that the mean number of ulcers per rat decreased exponentially with increased doses, and the proportion of animals protected from any(More)
Blue rubber bleb nevus syndrome, an uncommon condition, is manifested by gastrointestinal and skin hemangiomas and gastrointestinal hemorrhage causing anemia. The authors report a unique case of the syndrome in association with a congenital cardiac malformation. A 26-year-old woman presented with iron-deficiency anemia after the birth of her first child.(More)
IF CHOLECYSTECTOMY increases the incidence of colonic cancer, as has been asserted (Capron et al., 1978; Choluj et al., 1979; Hoare, 1974) the consequences would be great, inasmuch as 442,000 patients have their gallbladder removed annually in the United States in nonfederal hospitals alone (Health: United States, 1978). In point of fact, the colonic(More)
Good palliation from high neoplastic obstruction of the biliary system was achieved by direct anastomosis of the duct draining hepatic segment III to a Roux-en-Y loop of jejunum in six patients. Roentgenologically guided transcutaneous drainage of intrahepatic ducts may be desirable as a preliminary to surgical drainage in severely icteric patients. With(More)
Spontaneous internal fistulas involving intestine, rectum, bladder, or vagina in patients without predisposing illnesses were studied. Twelve of 20 (60 percent) were receiving steroids or other anti-inflammatory medication at the time the fistulas developed. Fifteen of the 20 patients subsequently had diverticular disease identified. It is proposed that(More)