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Biomedical subjects

E E Anderson

Publications and source records attributed to E E Anderson.

At least 55 records · Page 3Linked to original sources

Technical considerations in distal tunnel ureteral reimplantation.

The advantages of a distal tunnel ureteral reimplantation have been elaborated upon previously. This method offers simplicity of transvesical explosure, rapidity of execution, excellent visibility of the terminal ureteral segments, minimal dissection and trauma in the paravesical space, the opportunity to advance the ureteral orifices to a physiologic position on the trigone and minimal risk of angulation, kinking or obstruction of the terminal ureter. It is now recognized that this method, with the modifications discussed herein, has wide applicability in the management of vesicoureteral reflux of all varieties and etiologies.

Child, Preschool↗

Management of vesicoureteral reflux.

The retrospective analysis of 210 patients between 1 month and 17 years old with 314 primary vesicoureteral units with reflux was reviewed. Our results show that there was a direct correlation between the grade of reflux and the per cent of abnormal ureteral orifices. Medical management of low grade reflux produced successful results in 60 per cent of the cases. Operation was highly successful in grade I, II, and III reflux as opposed to grade IV. The distal tunnel (Glenn-Anderson) and Politano-Leadbetter procedures were equally effective in curing reflux. Postoperative urinary infection occurred equally in all grades and usually was confined to the bladder.

Adolescent↗

The status of cardiovascular health knowledge among sixth, seventh, and eighth grade children.

The goals of this study were to develop and standardize a test of cardiovascular health knowledge to determine its status among primary school children, to ascertain the rate at which cardiovascular health knowledge increases as compared to other subject areas, and to demonstrate the feasibility of the use of standardized achievement tests for assessing the results of health education curricula. The Iowa Cardiovascular Health Knowledge Test (ICVHT) was developed and administered in conjunction with a standardized educational testing program, the Iowa Test of Basic Skills (ITBS), to a stratified sample of 2,675 Iowa Students from grades six, seven, and eight. The average student in the sixth, seventh and eighth grades answered 37.9 +/- 0.4, 41.2 +/- 0.3, and 43.7 +/- 0.4 (SEM) percent of the items correctly. ICVHT scores increased minimally (less than 1 item/grade) as grade levels increased, but at a 75% slower rate than scores in other subjects tested. The results document a deficiency in cardiovascular health knowledge and provide a model for use in educational assessment programs in other health disciplines.

Achievement↗

Technical considerations in distal tunnel ureteral reimplantation.

The advantages of a distal tunnel ureteral reimplantation have been elaborated upon previously. This method offers simplicity of transvesical exposure, rapidity of execution, excellent visibility of the terminal ureteral segments, minimal dissection and trauma in the paravesical space, the opportunity to advance the ureteral orifices to a physiologic position on the trigone and minimal risk of angulation, kinking or obstruction of the terminal ureter. It is now recognized that this method, with the modifications discussed herein, has wide applicability in the management of vesicoureteral reflux of all varieties and etiologies.

Adult↗

Surgical validation of angiographic studies of renal lesions.

We reviewed 428 renal arteriograms done during a 5-year period to document the accuracy of angiography in the diagnosis of renal mass lesions and non-function. Subsequently, 198 kidneys (46%) were explored for treatment and diagnostic confirmation. Of the kidneys explored 87 (44%) were radiologically diagnosed as benign cysts. At exploration 6 diagnostic errors were proved, including 3 malignant and 3 benign lesions. The falsely negative malignancy rate was 3% in this category. The angiographic diagnosis of definite tumor was proved to be 100% accurate at operation. However, 3 tumors were benign, representing an 8% falsely positive diagnosis for malignancy. Of the kidneys explored 8% were angiographically diagnosed as being indeterminate. A variety of lesions were found, including 1 benign tumor, 1 malignant tumor and 5 inflammatory lesions. Two malignant lesions were found when exploring angiographically defined hydronephrosis. The remaining kidneys explored carried various diagnoses and were all proved to be correct surgically. Operative mortality was 0.5% but 9 kidneys with benign lesions were sacrificed owing to diagnostic indecision.

Adenocarcinoma↗

Neoplasia of the colon: a late complication of ureterosigmoidostomy.

A case of carcinoma of the sigmoid colon arising 26 years after ureterosigmoidostomy for a benign condition is presented. This is the 31st reported instance of neoplasia complicating ureterosigmoid diversion. Possible etiologic mechanisms include surgical trauma, constant irritation of the transplanted ureter, alteration of local tissue dynamics, and urine carcinogenesis.

Adenocarcinoma↗

Clinical application of electronic bladder stimulation in paraplegics.

Ten patients have received bladder stimulators in a clinical trial to reduce urologic complications of neuropathic bladders. Preoperative evaluation and surgical techniques are discussed. Several patients void with the stimulator, and maintain low residual urine and a reduced incidence of infection. Two patients are total failures and 1 is in the early postoperative period. The physiological mechanisms involved are discussed. Additional investigation is needed for a means to deliver the stimulus to a more precise localization. Further clinical trials are warranted.

Adolescent↗

Anuria resulting from extrinsic ureteral compression.

Two recent patients presenting with anuria due to abdominal aortic aneurysm and metastatic retroperitoneal tumor and illustrating this dramatic aspect of obstructive uropathy, provide the basis for this paper. Other reported causes of ureteral compression resulting in anuria are mentioned; these include billharzial strictures, iatrogenic ligatures, idiopathic retroperitoneal fibrosis, primary retroperitoneal tumors, and perirenal lymphocele.

Abdomen↗