Pregnant woman with fatal complication after laparoscopic Roux-en-Y gastric bypass.

In Europe, an increasing number of women have bariatric surgery; therefore, obstetricians are likely to encounter these patients. We report a 22-year-old woman, who had previously undergone uncomplicated laparoscopic Roux-en-Y gastric bypass. She was admitted with severe abdominal pain at 35 weeks of gestation.

[Granular cell tumor of the colon--Abrikossoff's tumor].

A 50-year-old woman had a right hemicoletomy due to a large sessile polyp in the ascending colon, inappropriate for polypectomy. Histopathologic examination of the specimen showed a tubulovillous adenoma with moderate dysplasia and an adjacent 1 x 1 cm submucosal tumor classified as a benign GCT due to the appearance in the light microscope and immunohistochemical analysis. To our knowledge, this is the first reported case of synchronic adenoma and GCT in the colon.

[Implementation of laparoscopic resection of the sigmoid colon, initial results and experiences].

Introduction: In recent years, the enthusiasm for laparoscopic surgery has been immense. In Denmark, laparoscopic surgery of the colon has been performed in only a few cases each year. In other countries, laparoscopic surgery foreign diseases of the colon is well established.

[Staging of rectal cancer by means of MRI. Experiences with the first twenty-five patients].

Introduction: The Danish Surgical Society recommends preoperative radiation for patients with T4 tumours of the rectum. However, the clinical examination with regard to fixation, especially for tumours in the upper part of the rectum, is encumbered by much uncertainty. MR imaging is a new modality in the staging procedure of the patient with rectal cancer.

Voiding problems in patients with HIV infection and AIDS.

The prevalence and type of urinary voiding problems were prospectively investigated in 77 men and four women (median age 36 years) with HIV infection or AIDS consecutively attending an outpatient clinic. Urologic symptoms were registered from replies to a questionnaire and urologic evaluation was made when indicated. All patients were neurologically examined.

Evaluation of 18 cases of conservative proctectomy with low transsection of the anorectum for benign diseases.

Objective: To present our experience of conservative proctectomy in the treatment of patients with benign diseases of the rectum.

Design: Retrospective study.

Setting: University hospital.

[Radiological findings in patients with a J-shaped ileal reservoir].

This study comprised 116 patients with either ulcerative colitis or familial adenomatous polyposis, who were treated from 1983 to 1990. The patients were subjected to total colectomy followed by formation of an ileoanal reservoir (J-pouch). In a retrospective study the radiological findings of the J-pouch and the reservoir related complications are presented and a description of the applied technique for pouchography is given.

Complications after J-pouch ileoanal anastomosis: stapled compared with handsewn anastomosis.

Objective: To compare the morbidity after stapled compared with handsewn J-pouch ileoanal anastomoses.

Design: Retrospective study.

Setting: University Hospital, Copenhagen, Denmark.

[PermCath as intravenous access in chronic hemodialysis].

PermCath is a dual-lumen silicone catheter for permanent venous access for hemodialysis. During an observation period from 1 July 1988 to 30 June 1991, 49 PermCath were inserted in 32 patients. In 24 patients (75%), the PermCath was used as sole method of access for hemodialysis through the observation period.

[Spontaneous intraperitoneal hemorrhage in patients with cirrhosis of the liver: a complication of extra-intestinal shunts].

Haemoperitoneum due to a ruptured porta-systemic shunt in patients with cirrhosis and portal hypertension seems to be rare, and the diagnosis is generally first established during surgery. A case of intraperitoneal bleeding due to a ruptured varix in a cluster of varices between the greater omentum and the right broad ligament is reported and the literature is reviewed. In cirrhotic patients, sudden onset of abdominal pain in combination with hypotension should result in ultrasonography of the abdomen.

[Double contrast arthrography as a screening method of suspected meniscal lesions].

On reevaluation after one year of experience with double-contrast-arthrography (DCA) we found in 83 consecutive patients with suspected meniscal lesion a true positive diagnostic frequency of 0.84, a true negative diagnostic frequency of 0.75, a true positive nosografic frequency of 0.

The first year with a J-pouch. A prospective evaluation.

Proctocolectomy and construction of a pelvic pouch with ileo-anal anastomosis is now an established method in the treatment of ulcerative colitis, but various procedures are still under evaluation. This series comprises 97 patients with a 20 cm long J-shaped pouch and a short rectal cuff of 2-5 cm, prospectively evaluated after 1, 3, 6 and 12 months. Eight patients had their pouch removed because of septic complications.

Emergency presentation of inguinal hernia in childhood--treatment strategy. A follow-up study.

This article presents a retrospective study of 95 cases of irreducible inguinal hernia in 93 children (median age 0.5 years; range 0-13 years) admitted with this diagnosis. In 38 cases operations were performed without delay, in 51 from 12 to 48 hours after admission, and in 6 cases at a later stage.

Relation of serum lipoproteins and lipids to the ABO blood groups in patients with intermittent claudication.

Unlabelled: In the present study we investigated the serum lipoprotein and lipid levels in patients with intermittent claudication (n = 66), divided according to their blood groups in the ABO system (bloodtype A, n = 40 and bloodtype "non-A", n = 26). We again found the expected predominance of blood type A (61%). However, we found no significant differences in any of the biochemical variables between patients belonging to blood group A and "non-A".

Out-patient operation of inguinal hernia in children.

A retrospective review is presented of 496 children with a median age of 4 years (range 0-13 years) on whom a total of 527 hernia repairs were performed as out-patients. No wound infections were observed, and the rate of early surgical complications was 1.5 per cent.

[Parietal cell vagotomy and dilatation in duodenal ulcer complicated by pyloric stenosis].

In a follow-up study of 32 patients with duodenal ulcer complicated by pyloric stenosis treated by highly selective vagotomy and dilatation of the stricture, we found an ulcer recurrence rate of 19% and a restenosis rate of 7.6% after a minimum of six years of observation. It is concluded, that dilatation can be used as an alternative to former surgical procedures in the treatment of pyloric stenosis and that highly selective vagotomy is still justified in the treatment of some cases of duodenal ulcer.