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Biomedical subjects

J Appleby

Publications and source records attributed to J Appleby.

8 recordsLinked to original sources
PubMed1990

Follow-up of patients who have undergone ileogastrostomy.

Patients who have had ileogastrostomy for the treatment of morbid obesity require close, long-term follow-up. From a prospective study of a large number of variables in 12 consecutive patients, and from experience with more than 200 patients who have undergone this procedure since 1982, a protocol has evolved. The authors outline the associated morbid conditions, operative complications and biochemical alterations that are important in the management of these patients.

Gastric Bypass↗
PubMedDate not supplied

Psychotherapy refusers.

A systematic review of 414 terminated cases on a semiprivate psychotherapy service revealed that 16.7% of patients never began therapy despite being accepted after an extensive and lengthy screening process. This is lower than in previous studies. Except for ethnicity, comparison between the refusers and acceptors of 42 variables failed to replicate the correlations found in previous studies. In our sample, psychotherapy refusers were characterized by (1) having less family psychiatric history, (2) being more likely to elaborate their problems, (3) having less alcohol abuse history, (4) being less likely to be offered long-term individual therapy, and (5) having waited less time for their screening appointment. Such variables as age, gender, diagnosis, severity, income, and education were all nonsignificant. Although we offer some hypotheses for our significant correlations, we suspect that the interaction with the screener is more important than patient variables in determining acceptance of psychotherapy.

Adolescent↗