Medicine and Health Sciences Commons^™

Cystic Duct Cholangiography, Leo Chaikof, T. L. Friedlich, R. A. Affifi, H. Weizel

Henry Ford Hospital Medical Journal

A series of 837 cystic duct cholangiograms has been reviewed. The technique is simple and safe to carry out. It is not time consuming and does not require any unusual equipment. It has reduced the incidence of common duct exploration and has decreased the incidence of retained common duct stones. It is stressed that, unless the operative cholangiogram fulfills the criteria of a normal cholangiogram, especially in relation to size and tapering of the tower end of the duct, then common duct exploration should be earned out. Its almost routine use can only increase the general quality and accuracy of …

Sphincterotomy For Biliary And Pancreatic Disease: Indications And Technique, Jorge Puig La Calle, Francisco Badosa

Henry Ford Hospital Medical Journal

Division of the sphincter of Oddi has a definite place i n the surgical treatment of disorders of the biliary tract and pancreas. Sphincterotomy may be indicated as a matter of necessity; for convenience (utility), and as a prophylactic measure (for security). The papilla may be conveniently exposed by antegrade bougienage with filiform passed through the common duct before duodenotomy. The first hundred and the last hundred of a series of 400 sphincterotomies were reviewed. In the first group, the procedure was done in almost onethird of the opera tions forbiliaryand pancreatic disease, while in the second group, it was …

Surgical Implications Of Intestinal Amebiasis, Eduardo Camacho

Henry Ford Hospital Medical Journal

Three thousand two hundred fifty cases of intestinal amebiasis (25%), out of 13,000 consecutive cases, were studied. It was found that 2,275 (70%) had clinical manifestations of the disease, and 975 (30%) were carriers. From the 2,275 with abdominal signs, 1,250 cases (51%) resembled the clinical picture of the chronic irritable colon syndrome. Antiamebic therapy was effective in all of these cases. On the other hand, 1,255 (49%) had acute and severe manifestations of amebic-ulcerative proctocolitis with serious complications, including amebic granulomata (40 cases or 3.2%) and ulcer perforation (14 cases or 1.2%). Because amebic ulcerative proctocolitis is dangerous, the …

Traumatic Fat Embolism: Recent Clinical Experience In Combined Arterial Injury And Long Bone Fracture, John F. Lee, Roger F. Smith, Joseph P. Elliott Jr.

Henry Ford Hospital Medical Journal

Fat embolization is a frequent accompaniment of long bone fracture; however, this phenomenon only occasionally leads to the clinically recognized traumatic fat embolism syndrome. Three recent cases are presented of fat embolization following long bone fractures and associated with penetrating arterial injury. Consequences illustrated ranged from asymptomatic fat globules in the urine, through serious pulmonary insufficiency, to central nervous system damage with death. Treatment should be directed at effective mechanical ventilatory support to avoid hypoxemia.

Clinical Experience With Radioisotopic Powered Cardiac Pacemakers, Nicholas P. D. Smyth, Tomas Hernandez, Alvin Johnson

Henry Ford Hospital Medical Journal

Significant increase in the useful lifetime of the implantable cardiac pacemaker has been made possible by the development of a radioisotope power source. This paper reports experience with two models, the AEC-ARCO Nu-5 (fixed rate) and the Medtronic Model 9000 (ventricular inhibited demand). Five of the former models were implanted in 1973, and six of the latter more recently. Both types of units have functioned well.

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Foreword, Conrad R. Lam

Henry Ford Hospital Medical Journal

No abstract provided.

The Relationship Of The Cold Nodule To Carcinoma Of The Thyroid, Douglas M. Evans

Henry Ford Hospital Medical Journal

Fifty-two cases with histologically proven carcinoma of the thyroid were studied. With some variation as to the expected incidence of the several cell types of tumor, possibly due to the small size of this series, the distribution of these cases encompassed all histologic types. Fifty-three (53%) percent of the cases where pre-operative I131 scans were recorded showed a positive, or "cold" scan. Fifty-five (55%) percent of all lesions showed extension of disease beyond the confines of the thyroid gland. This experience indicates that, although thyroid scintiscans provide useful information to be correlated with other data, there are distinct limitations to …

Colon Interposition In The Management Of Total Gastric And Esophageal Stricture Following Lye Ingestion, Walter H. Janke, Ing-Sei Hwang

Henry Ford Hospital Medical Journal

A case is presented in which ingestion of 300 CCS of liquid lye as a suicidal attempt resulted in caustic esophagogastritis, followed by a fibrotic process involving the entire esophagus and stomach down to the first portion of the duodenum. Successful colon bypass was performed from the cervical esophagus to the second portion of the duodenum.

Surgical Treatment Of Chronic Pancreatitis, Carlos Grodsinsky

Henry Ford Hospital Medical Journal

Over a two-year period, 30 patients with chronic pancreatitis have been observed by the author. Thirteen had surgical treatment. Three had laparotomy and drainage only when recurrence of acute inflammation was encountered. One had excision of a cyst of the tail of the pancreas. Another had drainage of a retroperitoneal necrotic collection. A patient with duodenal stenosis from scarring of the head of the pancreas was treated by gastro-jejunostomy. Seven patients had subtotal pancreatectomies. There was no mortality in the latter group, and six are asymptomatic. Information about the duct may be obtained in many cases by endoscopic retrograde cannulation, …

Vagotomy With Pyloroplasty Or Antrectomy: A Comparison Of Results In The Treatment Of Duodenal Ulcer, Richard L. Collier, John H. Wylie Jr.

Henry Ford Hospital Medical Journal

During the years 1970-73, 776 operations were performed for the relief of duodenal ulcer. Truncal vagotomy was done in all cases, and to this was added antrectomy in 92 cases and pyloroplasty in 24 cases. In the followup, three-fourths of the patients in both groups said they were satisfied with the result. There were four recurrences in the smaller pyloroplasty group. In this series, antrectomy with vagotomy appears to be the best operation for duodenal ulcer disease.

Diffuse Lymphoma Of Small Intestine And Colon: Case Report With Discussion, S. A. Swenson Jr., James L. Omel

Henry Ford Hospital Medical Journal

A case is reported of malignant lymphoma of the small and large bowel associated with ulcerative colitis. Primary lymphoma of the gastrointestinal tract is relatively uncommon. The dual association with colitis is rare. Prior to laparotomy, diagnosis of lymphoma is difficult because, of the many possible presenting complaints, none are specific. Treatment is basically surgical excision with postoperative radiation.

The Management Of Small Carcinomas Of The Rectum And Distal Sigmoid Colon, M. A. Block

Henry Ford Hospital Medical Journal

Of 23 patients with carcinomas less than two centimeters in diameter located in the rectum and distal sigmoid colon, evidence of invasion was present in seven. Resections were performed for six patients, with two eventually dying from the carcinoma. Individualized management should consider the presence or absence of invasive carcinoma, appropriate resection for invasive carcinoma, biopsy of the base of the lesion if feasible when observation is planned, repeated sigmoidoscopic examinations for noninvasive carcinoma, and later resection if recurrence with invasion develops. Although approximately half of the carcinomas were associated with villous tumors, this factor was not significant in the …

Back Matter

Henry Ford Hospital Medical Journal

No abstract provided.

Suicide -- Causation, Indicators And Interventions, Florence W. Kaslow

The Journal of Sociology & Social Welfare

Excerpt from the full-text article:

In this paper an attempt is made to determine what factors propel given individuals toward self destruction. Durkheim's typology of suicides is utilized and an analysis of the social and psychological components of each type undertaken. The social structure is viewed from the vantage point of how it influences and is internalized by members of society. The psychological aspects are handled by looking into what intrapsychic and external forces shape the individual's personality and behavior in such a way that he seeks his own death. In some instances it is hard to draw a sharp …

Editorial -- Right To Life Vs. Upjohn, Eugene F. Diamond

The Linacre Quarterly

No abstract provided.

Some Problems Of Confidentiality And How They May Be Avoided, Walter J. Smith

The Linacre Quarterly

Father Smith is the director of the Chapliancy [sic] Research Program at the VA hospital in Washington, D. C. His article dissects the nature of the word "secret" and outlines the obligations attached to the different kinds of secrets.

[Book Review Of] Genetic Fix, By Amitai Etzioni, Robert Lebel

The Linacre Quarterly

No abstract provided.

[Book Review Of] Death By Choice, By Daniel Maguire: Further Comments, William E. May

The Linacre Quarterly

In the May issue of Linacre Quarterly, William May and Daniel Maguire debated some of the ethical implications arising from Maguire's book "Death by Choice." This paper answers Maguire's rejoinder and offers another look at the ramifications of "intentions."

คำถามเรื่องเกี่ยวกับยา, ถวัลย์ อาศนะเสน

Chulalongkorn Medical Journal

No abstract provided.

อภิปรายคลีนิคร่วมพยาธิ รายที่ 3/2517 ผู้ป่วยเป็นไข้ ปวดท้องบริเวณลิ้นปี่และใต้ชายโครงขวา, สมหมาย วิไลรัตน์, ประสาน ต่างใจ

Chulalongkorn Medical Journal

No abstract provided.

การรักษากระดูกหน้าแข้งหักโดยใส่เฝือก P.T.B., มานิตย์ ลิมปพยอม, ตรง พันธุมโกมล, พิบูลย์ อิทธิระวิวงศ์, สม กนกศิขรินทร์

Chulalongkorn Medical Journal

No abstract provided.

ประสบการณ์การผ่าตัด Aortocoronary Artery Saphenous Vein Graft, ชลิต เชียรวิชัย, Donald B. Effler

Chulalongkorn Medical Journal

No abstract provided.

Fenfluramine ยาลดน้ำหนัก, สุนิตย์ จันทรประเสริฐ

Chulalongkorn Medical Journal

No abstract provided.

การวิเคราะห์ข้อมูลเกี่ยวกับการศึกษาในสาขาแพทยศาสตร์, มาลี พูลคลองตัน, ทองจันทร์ หงส์ลดารมภ์

Chulalongkorn Medical Journal

No abstract provided.

ผลการศึกษาวิธีเตรียมผู้ป่วยเด็กก่อนผ่าตัดโดยใช้ Seconal Sodium, เพลินศรี จารุวร

Chulalongkorn Medical Journal

No abstract provided.

Septicemia ในทารกแรกเกิด, ฉวีวัณณ์ สุวรรณรักษ์, ประพุทธ ศิริบุณย์, สมศักดิ์ โล่ห์เลขา, วรนันท์ ศุภกาญจน์

Chulalongkorn Medical Journal

No abstract provided.

ภูมิคุ้มกันของโรคหัดเยอรมันในหญิงมีครรภ์, ไพรัช ดีสุดจิต, ศึกษา ภมรสถิตย์, ขนัย ชาติยานนท์

Chulalongkorn Medical Journal

No abstract provided.

อาการโรคจิตในเด็กซึ่งเกิดจากร่างกายได้รับธัยรอยด์ฮอร์โมนมากกว่าปกติ, มานะศรี อิศรางกูร ณ อยุธยา, ฐานิต อิศรเสนา ณ อยุธยา, พยอม อิงคตานุวัฒน์

Chulalongkorn Medical Journal

No abstract provided.

Diagnostic Ultrasound, เฉลียว ปิยะชน

Chulalongkorn Medical Journal

No abstract provided.