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Biomedical subjects

J Frøyen

Publications and source records attributed to J Frøyen.

5 recordsLinked to original sources

Endoscopic diathermy incision in the treatment of stoma obstruction after gastroplasty for obesity.

The incidence of stomal obstruction following gastric restrictive procedures varies with the different methods in use. This complication may cause prolonged hospitalization and even reoperation. The objective of this clinical study was to develop a safe and efficient non-operative alternative for treating stomal obstruction. We transferred current techniques and experience from endoscopic papillotomy to the field of bariatric surgery, and during the past four years we have performed fourteen endoscopic diathermy incisions in eleven patients with resistant stoma obstruction after gastroplasty. The results have been good and there have been no complications. Neither has failure to lose weight due to widening of the stoma occurred. Since we took up the procedure, there have been no relaparotomies due to stoma obstruction in our department. In conclusion, endoscopic incision of an obstructed stoma after gastroplasty is an easily-performed and highly effective alternative to other non-operative procedures for the treatment of serious complications in bariatric surgery.

Adult

Evaluation of routine follow-up after surgery for breast carcinoma.

Evaluation of routine follow-up after radical operation for breast carcinoma was focused on 81 women with recurrence. They were grouped according to whether the recurrence was detected at planned control examination (routine group), at examination between planned control dates (non-routine group) or in patients without routine control (non-follow-up group). Most of the recurrences were diagnosed at non-routine visits. The disease-free interval showed no significant difference between these three groups. The routine follow-up seemed to have no effect on survival. The interval from operation to detection of recurrence was less than three years in 75% of the cases. The average number of routine hospital visits preceding a diagnosis of recurrence was 118. Cancer of the second breast was found in four patients. The routine follow-up programme thus did not seem to favour early detection of recurrence or to prolong survival. The influence of regular follow-up on the quality of life is discussed.

Breast Neoplasms

Subphrenic abscess.

A series of 39 patients with subphrenic abscess is presented. Nine of the patients had primary abscesses. In 27 patients, the abscess occurred postoperatively, after various abdominal operations, most frequently after gall bladder and gastric surgery. The value of combined lung-liver scintigraphy is stressed, as is promptly established and adequate drainage, using a selective surgical approach. There were 4 deaths in the series.

Adolescent