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Journals and Conferences
BACKGROUND The prognosis for patients with locally advanced carcinoma of the breast remains poor. This study examines the pathologic evidence of response of the mammary tumor and axillary nodes after preoperative chemotherapy. We sought to determine if there was a relationship between the histologic response and clinical outcome. STUDY DESIGN Between 1987… (More)
BACKGROUND Hemodynamically unstable patients with a pelvic fracture and arterial pelvic bleeding frequently are treated with pelvic angiographic embolization (PAE). PAE is reported to be a safe and effective method of controlling hemorrhage. However, the loss of blood supply and subsequent ischemia from embolization may lead to adverse consequences. … (More)
Gastric-restrictive operations for the treatment of morbid obesity are well established. Postoperative stricture is one complication of this procedure. In a large obesity practice, 40 patients presented with this complication. The authors reviewed retrospectively the management of these strictures, using endoscopic dilatation. All patients were morbidly… (More)
Percutaneous endoscopic gastrostomy is commonly utilized in patients with head and neck cancer. Tumor at the PEG exit site is a rare occurrence, likely due to direct implantation. We present a case report, review of the relevant literature, discussion of the mechanism of spread, and management.
BACKGROUND Complicated gastroesophageal reflux disease (GERD) requires long-term medical therapy, which in some instances is incompletely effective or poorly tolerated. Additionally, there is concern about the consequences of prolonged acid suppression therapy. Surgical correction of GERD has been a therapeutic option for decades. With the advent of… (More)
The elderly population in the United States has been subjected to a massive experiment in mandatory outpatient surgery. Fortunately, this experiment has proven successful. Outpatient surgery of the elderly is feasible and routinely safe if common sense is used and appropriate precautions are undertaken.
Left sapheno-axillary vein bypass is effective in relieving the signs and symptoms of superior vena cava obstruction. As the operation can be performed easily under local anesthesia, it should probably be used more often than indicated by a review of the literature. The authors present a patient with bronchogenic carcinoma who experienced excellent results.
Morbid obesity is a significant health problem in the United States today. This has resulted in an intensive investigation into temporary interventions for weight control. Dental splinting does not result in long-term weight loss because patients rapidly regain weight following release of jaw fixation. The Garren-Edwards intragastric bubble was equally… (More)