| Local excision and mucosal advancement for anorectal ulceration in patients infected with human immunodeficiency virus. | |
| | |
MedLine Citation:
|
PMID: 7648098 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
In patients infected with human immunodeficiency virus (HIV) no effective surgical procedure has been described for anorectal ulceration that is resistant to medical therapy. This study was designed to determine the effectiveness of surgical excision of anorectal ulcers, with or without mucosal advancement. The medical records of patients with HIV and anorectal pathology diagnosed between 1984 and 1994 were reviewed. Patients with anorectal ulcers were divided into group A which was treated only with excision and group B in which excision was combined with mucosal advancement. Surgical treatment was considered successful if relief of symptoms was achieved within 4 weeks of the operation. Excision of anorectal ulcers was successful in seven of 16 patients (44 per cent) in group A. Relief of symptoms was achieved in 12 of 13 patients (92 per cent) in group B when surgical excision was combined with mucosal advancement, which is significantly better than the results in group A (P = 0.02). This non-randomized study indicates that after unsuccessful medical treatment persistent symptomatic ulcers should be treated operatively by excision with mucosal advancement. |
| | |
Authors:
|
E C Consten; J F Slors; S A Danner; G J Offerhaus; J F Bartelsman; J J Van Lanschot |
Related Documents
:
|
3556338 - Ranitidine 150 mg at night in the prevention of gastric ulcer relapse. 9111828 - Efficacy of pinch grafting in leg ulcers of different aetiologies. 899588 - A follow-up study of patients after treatment for bleeding duodenal ulcers by selective... 1486158 - Maintenance therapy in duodenal and gastric ulcer disease: survey of practice amongst b... 21572748 - Evaluation of length of central venous catheter inserted via cubital route in indian pa... 11158458 - Early diagnosis of cystic fibrosis in the newborn period and risk of pseudomonas aerugi... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: The British journal of surgery Volume: 82 ISSN: 0007-1323 ISO Abbreviation: Br J Surg Publication Date: 1995 Jul |
Date Detail:
|
Created Date: 1995-09-26 Completed Date: 1995-09-26 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 0372553 Medline TA: Br J Surg Country: ENGLAND |
Other Details:
|
Languages: eng Pagination: 891-4 Citation Subset: AIM; IM; X |
Affiliation:
|
Department of Surgery, Academic Medical Center, Amsterdam, The Netherlands. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
AIDS-Related Opportunistic Infections
/
complications Adult Cytomegalovirus Infections / complications Fissure in Ano / etiology, surgery* HIV Infections / complications* Humans Intestinal Mucosa Male Middle Aged Retrospective Studies Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Lothian and Borders large bowel cancer project: immediate outcome after surgery. The consultant surg...
Next Document: Seton treatment of perianal fistula with high anal or rectal opening.