Annals of The College of Surgeons Hong Kong最新文献_第7页

Single centre experience of chronic rejection in liver transplantation 肝移植慢性排斥反应的单中心研究

Annals of The College of Surgeons Hong Kong Pub Date : 1999-11-01 DOI: 10.1046/J.1442-2034.1999.00028.X

Chui Akk

{"title":"Single centre experience of chronic rejection in liver transplantation","authors":"Chui Akk","doi":"10.1046/J.1442-2034.1999.00028.X","DOIUrl":"https://doi.org/10.1046/J.1442-2034.1999.00028.X","url":null,"abstract":"Objective: To review the Australian National Liver Transplantation Unit’s (ANLTU) experience with chronic rejection (CR) in liver transplantation (LTx) in order to establish a better management strategy. \u0000 \u0000 \u0000 \u0000Materials and Methods: Clinical records and prospective data on the ANLTU database were reviewed. Statistical analysis was performed on microcomputer. \u0000 \u0000 \u0000 \u0000Results: Between January 1986 and June 1997, 17 patients (6.4%) (9 male, 8 female) were diagnosed with CR at a median 0.83 years (0.21–6.33 years) after LTx. Prior to the diagnosis of CR, all had a background of increasingly cholestatic liver function tests. The total number of prior acute rejection episodes was 42 (mean 2.5, range 1–5) with 18 episodes (42%) being steroid resistant. Other co-morbid factors included: cytomegalovirus infection 10 (58%); low levels of immunosuppression 7 (41%); and biliary complications 6 (35%). Mortality was high at 14 (82%). \u0000 \u0000 \u0000 \u0000Conclusions: The outcome is poor in adults with CR, with or without re-Tx. Efforts should be made to avoid septic complications that require lowering the dosage of immunosuppression. Early diagnosis and prompt treatment of acute rejection are recommended. In cases of early CR, conversion to FK506 regimen is worthwhile.","PeriodicalId":7943,"journal":{"name":"Annals of The College of Surgeons Hong Kong","volume":"79 1","pages":"112-114"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89294306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Abdominal Tuberculosis Revisited 腹部结核再诊

Annals of The College of Surgeons Hong Kong Pub Date : 1999-08-01 DOI: 10.1046/J.1442-2034.1999.00017.X

J. Faylona, S. Chung

引用次数: 11

Brachial plexus injury occurring during breast surgery 乳房手术中发生的臂丛损伤

Annals of The College of Surgeons Hong Kong Pub Date : 1999-08-01 DOI: 10.1046/J.1442-2034.1999.00022.X

K. Ng, K. Cheung

引用次数: 1

Laparoscopic appendectomy in young female patients: Should we remove the normal-looking appendix? 年轻女性腹腔镜阑尾切除术:我们应该切除看起来正常的阑尾吗?

Annals of The College of Surgeons Hong Kong Pub Date : 1999-08-01 DOI: 10.1046/J.1442-2034.1999.00019.X

K. Chung, M. Poon, W. Chick, C. Tse, K. Kwok, Nh Chia, Jst Hwang

{"title":"Laparoscopic appendectomy in young female patients: Should we remove the normal-looking appendix?","authors":"K. Chung, M. Poon, W. Chick, C. Tse, K. Kwok, Nh Chia, Jst Hwang","doi":"10.1046/J.1442-2034.1999.00019.X","DOIUrl":"https://doi.org/10.1046/J.1442-2034.1999.00019.X","url":null,"abstract":"Objective: This study evaluated whether a significant reduction in unnecessary appendectomies is possible by performing diagnostic laparoscopy before appendectomy in female patients of child-bearing age, leaving behind the normal-looking appendix. \u0000 \u0000 \u0000 \u0000Materials and methods: Sixty-one consecutive female patients between the ages of 15 and 45 years with clinical diagnosis of acute appendicitis were studied prospectively. Diagnostic laparoscopy was performed to detect whether the appendix was inflamed. The appendix was then removed and the result of laparoscopic diagnosis was matched with histological diagnosis. \u0000 \u0000 \u0000 \u0000Results: Ten out of the 42 laparoscopically diagnosed appendicitis cases had normal appendices on histological examination. Six out of the 19 laparoscopically diagnosed normal appendices had histological evidence of appendicitis. The sensitivity of laparoscopy was 84% and the specificity was 56.5%. \u0000 \u0000 \u0000 \u0000Conclusions: Discrepancies existed between laparoscopic appearance and histological examination in acute appendicitis. The appendices of all those with clinically suspected appendicitis should be removed and sent for histological confirmation.","PeriodicalId":7943,"journal":{"name":"Annals of The College of Surgeons Hong Kong","volume":"294 1","pages":"85-87"},"PeriodicalIF":0.0,"publicationDate":"1999-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77029631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Multimodality treatment strategy for squamous cell oesophageal cancer 鳞状细胞食管癌的综合治疗策略

Annals of The College of Surgeons Hong Kong Pub Date : 1999-08-01 DOI: 10.1046/J.1442-2034.1999.00024.X

A. Chan, J. Griffith, S. Leung, S. Chung

引用次数: 0

Audit of paediatric day-case surgery in a district general hospital 某区综合医院儿科日间手术的审计

Annals of The College of Surgeons Hong Kong Pub Date : 1999-08-01 DOI: 10.1046/J.1442-2034.1999.00020.X

Yw Chiu, Y. Au

引用次数: 1

Impact of antenatal diagnosis on perinatal management of omphalocele and gastroschisis 产前诊断对脐膨出和胃裂围生期处理的影响

Annals of The College of Surgeons Hong Kong Pub Date : 1999-08-01 DOI: 10.1046/J.1442-2034.1999.00018.X

Jensen Poon, K. Chan

引用次数: 0