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Journals and Conferences
BACKGROUND Necrosis with partial loss of mastectomy flaps is an all-too-common complication of otherwise advantageous skin-sparing mastectomies. Central to the problem of predictable flap viability is the thickness of the skin flaps. Seeking a balance between the preservation of adequate flap thickness and maintenance of oncologic principles, the authors… (More)
We have described a 40-year-old woman whose classic adrenal insufficiency, achlorhydria, and hypergastrinemia was complicated by the development of a gastric carcinoid. There is now evidence that patients with elevated serum gastrin levels are at increased risk for this rare tumor.
Based on 991 cases of biliary tract disease managed in a recent four-year period, the authors contrast an elective operative mortality rate of 0.6% against 4.4% for acute cholecystitis. Because in 21 of 28 patients with acute cholecystitis symptoms and signs subsided within 48 hours of conservative management in hospital, they recommend a two-day trial of… (More)