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Biomedical subjects

J L Stoller

Publications and source records attributed to J L Stoller.

At least 37 records · Page 2Linked to original sources
PubMed1981

Spontaneous splenic rupture in infectious mononucleosis: sonographic diagnosis and follow-up.

Spontaneous rupture of the spleen occurs as a serious but relatively infrequent complication of infectious mononucleosis. Over 100 such cases have been reported. In all but one of the cases previously reported, diagnosis of splenic rupture was made at laparotomy. Three new cases are reported where the diagnosis of splenic rupture was made using sonography. The patients were followed by sonography and none required laparotomy. Aspiration of the hematoma under sonographic control confirms the diagnosis and may be curative.

Adolescent↗
PubMed1980

Preliminary results of bypass surgery for unresectable strictures of the esophagus.

Fourteen unresectable esophageal strictures treated by surgical bypass are described. The degree of palliation achieved in each case is shown by a previously published numerical score system. The early results show that the average longevity and the level of palliation are better, and the morbidity and mortality comparable, to those reported so far by other techniques.

Aged↗
PubMed1980

Colorectal anastomosis by transanal end-to-end stapling.

In 26 patients end-to-end colorectal anastomosis was attempted using a transanal stapling instrument. The anastomosis was successful in 19 patients. Permanent colostomy would have been the only alternative treatment in 12 patients. In five patients, other sphincter-saving methods of anastomosis would have been technically feasible but more difficult and hazardous. In the remaining two patients standard sutures or side-to-side stapling could have been used equally easily. The technique of anastomosis, the complications and the functional results are reviewed. The authors conclude that transanal end-to-end stapled anastomosis is an important technical advance in colorectal surgery.

Adult↗
PubMed1980

Subpulmonic empyema masquerading as subphrenic abscess.

Since the therapeutic management of an empyema is significantly different from that for a subphrenic abscess it is important to define the location of the diaphragm in relation to an abscess cavity. A patient is presented who underwent unnecessary laparotomy due to misinterpretation of the clinical and radiographic findings.

Diagnosis, Differential↗
PubMed1979

Real-time high resolution ultrasound in the detection of biliary calculi.

A high-resolution real-time ultrasound sector scanner was used in the evaluation of patients with suspected gallbladder disease. This technique is noninvasive, requires minimal preparation, and takes less than five minutes for a thorough examination of the gallbladder and related anatomy. In 17 months, 959 patients were examined for suspected gallbladder disease and the gallbladder was adequately visualized in all but 5 patients. Follow-up information was obtained from surgery in 153 cases. There were 132 true-positive studies, 15 true-negative, 5 false-negative and one-false positive study. In a correlative study with oral cholecystography, calculi were detected ultrasonically in 5 cases that had been missed on the oral cholecystogram.

Cholecystography↗
PubMed1979

Diagnostic ultrasonography in acute cholecystitis.

In a 12-month period 100 patients with clinical evidence of acute disease of the gallbladder were studied in hospital by grey-scale ultrasonography. During the same hospital admission it was possible to correlate results of ultrasonography with operative findings in 66 patients. In 52 patients the ultrasonographic diagnosis of gallstones was proved to be correct. There were no false-positive results. In seven patients the ultrasonographic report of a normal gallbladder without stones was also confirmed. In two patients, the report of a normal gallbladder without stones was erroneous. In two more patients the scan was indeterminate and stones were found at operation. In the remaining three patients echogenic material was reported and at operation minute stones and "sludge" were found. No complications resulted from the ultrasonography. The study showed that grey-scale ultrasonography is a reliable, rapid and safe technique for detecting gallstones in patients with a clinical diagnosis of acute cholecystitis.

Acute Disease↗
PubMed1977

Carcinoma of the esophagus: a new proposal for the evaluation of treatment.

An 8-year study of the records of 127 patients with carcinoma of the esophagus revealed that the data necessary to make an evaluation of various methods of palliative treatment frequently were not recorded on the charts. Therefore, it was not possible to recommend one particular paliative treatment for carcinoma of the esophagus. The authors believe that a prospective study is required to evaluate objectively the various modes of treatment for this disease. They propose a grading system with numbered values, so that future studies can be made more objective: in addition such a system would allow comparison of series from different treatment centres.

Adenocarcinoma↗