Robert Finch

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BACKGROUND Many surgeons practise tailored laparoscopic antireflux surgery in an attempt to prevent postoperative dysphagia. The aim of this study was to determine the effect of 360 degrees fundoplication (Nissen) or 270 degrees fundoplication (Toupet), and the influence of abnormal oesophageal peristalsis, upon postoperative dysphagia. METHODS This was a(More)
BACKGROUND A hiatal hernia is present in up to 50% of patients undergoing bariatric surgery. It has been claimed that laparoscopic adjustable gastric banding (LAGB) can both improve and induce reflux symptoms. The effect of a simultaneous crural repair and gastric banding has not yet been reported. METHODS Since 1999, all patients undergoing LAGB have a(More)
Urinary tract infections caused by Pseudomonas species and other organisms resistant to trimethoprim-sulfamethoxazole present a problem in the management of ambulatory patients. At present most of these patients have to be admitted to hospital as they require intravenously, administered antimicrobial agents. This study documents the safety and effectiveness(More)
BACKGROUND The role of fluorodeoxyglucose (FDG) positron emission tomography (PET/CT) scanning in operable pancreas cancer is unclear. We, therefore, wanted to investigate the impact of PET/CT on management, by incorporating it into routine work-up. METHODS This was a single-institution prospective study. Patients with suspected and potentially operable(More)
Thirty-two patients with acne completed a randomized, double-blind study using topical 1% clindamycin phosphate or its vehicle applied twice daily for 8 weeks for a study of its effects on the intestinal microflora. Two clindamycin patients and one vehicle patient had Clostridium difficile in stools prior to therapy. Of the remaining twenty-nine patients,(More)
BACKGROUND Segmental arterial mediolysis (SAM) is an under-recognized degenerative vascular disorder with variable clinical presentations. It affects medium to large calibre arteries, typically those arising from the coeliac axis, and its diagnosis is complicated by overlap with other clinical entities like fibromuscular dysplasia. Diagnosis requires(More)
Nina Accornero Tammy Ader A Agopian Melissa Alderdice Brian Allen Amy Amash Kimberly Amoroso Lucy Andrews Michelle Applegarth Bridgette Aufmuth Lori Bagboudarian Diana Bailey Erin Baldwin Martha Balicki Carolyn Barger Linda Beetlestone Laura Belcastro Marie Belgrave Lacey Benoit Donna Bernstein Kathryn Biro Ryan Bisson Teresa Blake Terri Blase Carrie Blout(More)