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Start Over Author "N. C. Armitage" Publisher ovid technologies (wolters kluwer health)
5 results on '"N. C. Armitage"'

1. V-Y Advancement Flap for Treatment of Fistula-In-Ano

Author

S. N. Amin, Jonathan N. Lund, N. C. Armitage, and Gillian Tierney

Subjects
Adult, Male, medicine.medical_specialty, business.industry, medicine.medical_treatment, Fistula, Gastroenterology, Fistulectomy, Ectropion, General Medicine, Middle Aged, medicine.disease, Fistulotomy, Surgical Flaps, Colorectal surgery, Curettage, Surgery, Internal anal sphincter, medicine, Humans, Rectal Fistula, Female, business, Digestive System Surgical Procedures
Abstract

PURPOSE: The management of high fistula-in-ano presents a difficult surgical challenge. Laying open of high transsphincteric, intersphincteric, and suprasphincteric fistulas is associated with incontinence. Mucosal advancement flap can be technically difficult and is associated with ectropion and incontinence. We report a new technique for the treatment of fistulas, which may eliminate these problems. PATIENTS AND METHODS: Between 1997 and 2002, 18 patients (13 males), median age 46 (range, 25–64) years with high fistula-in-ano were treated. There were ten transsphincteric, four intersphincteric, and four suprasphincteric fistulas. In all patients, perianal sepsis was allowed to resolve completely with a drainage seton before definitive surgery. The surgical technique used involved core fistulectomy, curettage of any cavity, closure of the defect in the internal anal sphincter, and a V-Y advancement buttock flap to cover the internal opening, leaving the site of the external opening for drainage while preserving both internal and external sphincters. Outcome was assessed in terms of healing and continence. RESULTS: Most patients were discharged from the hospital within 48 hours. Median follow-up was 19 (range, 3–60) months. There were three patients who failed to heal. Of these, two underwent repeat surgery and healed. Two further patients had recurrent fistulas, both of whom continued with conservative treatment. Overall, 15 of 18 (83 percent) patients experienced healing of their fistula. Continence was preserved in all patients. CONCLUSION: This procedure is easy to perform, healing is rapid, and it appears to be effective in curing fistula-in-ano while preserving both external and internal anal sphincters.

Published
2003
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2. 93rd annual convention podium and poster abstracts

Author

C. M. Davis, S. A. Strong, M. D. Hellinger, P. R. Williamson, S. W. Larach, A. Ferrara, T. B. Blake, D. S. Medich, Y. Ziv, J. R. Oakley, P. Reissman, M. Piccirillo, A. Ulrich, J. J. Nogueras, S. D. Wexner, M. S. Rubin, L. E. Bodenstein, K. C. Kent, M. E.R. Williamson, W. G. Lewis, P. M. Sagar, P. J. Holdsworth, D. Johnston, V. W. Fazio, J. R. Goldblum, M. T. Sirimarco, I. C. Lavery, R. E. Petras, W. R. Treem, J. Cohen, P. M. Davis, J. S. Hyams, K. W. Eu, D. C.C. Bartolo, J. D. Green, R. D. Riether, L. Rosen, J. J. Stasik, J. A. Sheets, J. Reed, I. T. Khubchandani, N. C. Armitage, M. Chapman, J. D. Hardcastle, M. Viamonte, G. Plasencia, O. Wiltz, M. Jacobs, P. J. Finan, M. Passaro, J. M. Church, E. McGannon, M. Wilson, S. Hull-Boiner, C. F. Kollmorgen, A. P. Meagher, B. G. Wolff, J. H. Pemberton, J. A. Martenson, D. M. Ilstrup, M. R. Moran, A. Ramos, D. A. Rothenberger, S. M. Goldberg, D. Johnson, R. D. Madoff, W. D. Wong, C. O. Finne, F. Konishi, K. Furuta, K. Kanazawa, D. Lockhart, S. Schmitt, P. P. Caushaj, J. Garcia-Aguilar, C. Belmonte, E. C. Schiesel, W. P. Mazier, A. J. Senagore, M. F. Piccirillo, T.-A. Teoh, K.-S. Yoon, R.A. Patino Paul, J. Lucas, R. Nelson, N. Norton, E. Cautley, W. R. Schouten, J. W. Briel, J. J.A. Auwerda, E. J.R. de Graaf, A. C. Lowry, S. M. Sentovich, G. J. Blatchford, L. J. Rivela, A. G. Thorson, M. A. Christensen, J. M.N. Jorge, Y. K. Yang, A. Shafik, J. D.F. Allendorf, M. L. Kayton, S. K. Libutti, M. J. Trokel, R. L. Whelan, M. R. Treat, R. Nowygrod, M. Bessler, R. E. Frank, T. J. Saclarides, S. Leurgans, N. J. Speziale, E. Drab, D. Rubin, T. L. Hull, T. K. Schroeder, J. H. Scholefield, O. A. Ogunbiyi, J. H.F. Smith, K. Rogers, F. Sharp, W. E. Longo, A. M. Vernava, T. P. Wade, M. A. Coplin, K. S. Virgo, F. E. Johnson, M. Brady, J. Kavolius, S. H.Q. Quan, E. T. Goldstein, S. Feldman, H. A. Shub, D. R. Bennett, R. Kumar, M. A. McMillen, S. Thornton, D. A. Khoury, F. G. Opelka, T-A. Teoh, S. M. Cohen, E. G. Weiss, H. Ortiz, M. De Miguel, P. Armendáriz, J. Rodriguez, C. Chocarro, R. Farouk, H. R. Dorrance, G. S. Duthie, J. B. Rainey, P. J. Morgado, M. L. Corman, Y. J. Kawamura, T. Sawada, T. Muto, H. Nagai, J. Hill, I. MacLennan, S. R. Binderow, N. Daniel, E. D. Ehrenpreis, J. E. Jensen, G. F. Bonner, W. B. Ruderman, J. W. Milsom, D. H. Gibbs, D. E. Beck, T. C. Hicks, A. E. Timmcke, J. B. Gathright, D. Cheong, F. V. Lucas, M. McGinity, B. A. Taylor, P. Godwin, P. Holdsworth, W. Lewis, P. Quirke, M. Williamson, J. Kokoszka, D. Pavel, H. Abcarian, B. M. Stephenson, A. R. Morgan, J. R. Salaman, M. H. Wheeler, T. C.K. Tran, W. Willemsen, H. C. Kuijpers, J. F. Lehman, J. S. Wiseman, J. MacFie, P. Sedman, J. May, B. Mancey-Jones, D. Johnstone, F. E. Nwariaku, R. B. Rochon, P. J. Huber, C. J. Carrico, A. Ortega, R. Beart, D. Winchester, G. Steele, R. Green, P. F. Caushaj, D. Devereaux, S. Griffey, D. Reiver, W. A. Kmiot, R. Baker, M. A. Luchtefeld, G. Anthone, R. Schlinkert, J. V. Roig, C. Villoslada, A. Solana, R. Alos, J. Hinojosa, S. Lledo, D. R.E. Johnson, W. D. Buie, L. L. Jensen, J. Heine, B. Hoffmann, A. Timmcke, T. Hicks, F. Opelka, D. Beck, A. Sousa, S. A. Araùjo, F. M. Damico, A. C. Cordeiro, H. W. Pinotti, A. H. Gama, S. Fengler, R. Pearl, C. Orsay, F. Seow-Choen, J. M.S. Ho, O. H. Wiltz, M. Torregrosa, R. C. Brasch, A. J. Bufo, P. Krienberg, G. P. Johnson, G. F. Gowen, P. D. Mullen, D. Behrens, T. G. Hughes, M. Wynn, J. S. Pollack, A. S. Rajagopal, T. Huynh, C. Schanbacher, W. G.E. Hickson, Y.-K. Yang, S. Heymen, S.-K. Choi, C. A. Vaccaro, T. A. Teoh, S. K. Choi, D. M.O. Cheong, V. D. Salanga, A. MacDonald, J. N. Baxter, I. G. Finlay, A. Mellgren, S. Bremmer, A. Dolk, P. Gillgren, C. Johansson, S. O. Ahlbäck, R. Udén, B. Holmström, S. O'Donovan, J.A. Reis Neto, S. Ciquini, F. A. Quilici, J. A. Reis, L. Torrabadella, G. Salgado, K. D. Horvath, R. Golub, H. Ahsan, W. Cirocco, L. C. Lavery, R. Alós, E. García-Granero, N. Uribe, C. Sala, G. Ozuner, G. Daniels, R. C. Lieberman, G. Polites, Y. Deshpande, M. Niehoff, B. Chandel, D. D. Berglund, B. T. Gemlo, M. P. Spencer, P. W. Marcello, P. L. Roberts, D. J. Schoetz, J. J. Murray, J. A. Coller, M. C. Veidenheimer, W. A. Koltun, M. M. Bloomer, P. Colony, F. Ruggeiro, P. R. Fleshner, F. Michelassi, P. Finan, D. Ash, D. R. Antonenko, K. S. Khanduja, S. D. Fitzgerald, P. Moniz-Pereira, E. K. Outwater, G. J. Marks, M. Mohiuddin, M. N. Hartley, R. F. Holbrook, M. A. Rodriguez-Bigas, K. Ramakrishnan, M. L. Palmer, N. J. Petrelli, T. Takahashi, S. Nivatvongs, K. P. Batts, S. W. Lucas, S. N. Klein, R. D. Keidan, J. P. Bannon, J. Zhou, L. M. Hunt, M. H. Robinson, C. E. Hugkulstone, B. Clarke, S. A. Vernon, R. H. Gregson, M. Ryan, S. Dutta, A. Levine, J. M. Dominguez, P. Bolan, S. D. Bines, M. Adachi, T. Watanabe, K. Okinaga, K. Hase, C. Shatney, H. Mochizuki, T. Ure, K. Dehghan, C. A. Andrus, G. L. Daniel, J. C. D'Emilia, M. Rodriguez-Bigas, O. K. Suh, D. A. Brewer, C. Fung, P. Chapuis, E. L. Bokey, J. C. Garcia, S. Banerjee, F. H. Remzi, G. C. Ger, L. Gonzalez, A. S. Gee, A. M. Roe, P. Durdey, M. D. Kaye, S. Kyzer, P. H. Gordon, M. Hasegawa, Tae P. Bun, D. Ikeuchi, H. Onodera, M. Imamura, S. Maetani, T. Blake, M. Hellinger, H. Grewal, D. S. Klimstra, A. M. Cohen, J. G. Guillem, P. S. Rooney, K.-A. Gifford, P. A. Clarke, J. A. Kuhn, K. Bryce, N. Frank, R. D. Dignan, W. E. Lichliter, E. Franko, R. M. Jacobson, J. T. Preskitt, Z. Lieberman, P. Tulanon, H. Steinbach, T. McCarty, T. Simons, W. S. Chen, S. Y. Leu, H. Hsu, A. Halverson, S. Congilosi, R. Madoff, D. Rothenberger, R. Paterson, J. A. Cartmill, B. S. Gingold, M. Cooper, S. R. Gorfine, J. J. Bauer, I. M. Gelernt, I. Kreel, M. T. Harris, J. F. Vallejo, A. Kestenberg, N. Miyajima, N. Kano, Y. Ishikawa, S. Sakai, T. Yamakawa, D. P. Otchy, J. A. Van Heerden, A. L. Weaver, L. D. Winter, J. Mav, P. Y. Lee, J. T. Vetto, E. S. Sullivan, J. Rabkin, J. L. Mayoral, A. J. Matas, P. Bove, T. Visser, D. Barkel, M. Villalba, P. Bendick, J. Glover, R. W. Golub, W. C. Cirocco, W. Altringer, J. M. Domingues, L. T. Brubaker, C. S. Smith, S. Kumar, and P. Gilbert

Subjects
Convention, medicine.medical_specialty, Surgical oncology, business.industry, General surgery, Gastroenterology, medicine, General Medicine, business, Colorectal surgery
Published
1994
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3. DNA content of rectal mucosa and rectal mucosal proliferation in individuals at high risk of colorectal cancer

Author

N. C. Armitage, Katherine A. Gifford, Philip A. Clarke, Jack D. Hardcastle, and P. S. Rooney

Subjects
Adenoma, Adult, Male, Cancer Research, medicine.medical_specialty, Pathology, Epidemiology, Colorectal cancer, Aneuploidy, Rectum, Colonoscopy, Biology, Gastroenterology, Risk Factors, Internal medicine, medicine, Humans, Intestinal Mucosa, Risk factor, Family history, Aged, medicine.diagnostic_test, Rectal Neoplasms, Public Health, Environmental and Occupational Health, DNA, Middle Aged, medicine.disease, Diploidy, Gene Expression Regulation, Neoplastic, Exact test, medicine.anatomical_structure, Oncology, Colonic Neoplasms, Female, Cell Division
Abstract

Genetic changes are important in the development of colorectal cancer. Ploidy and rectal mucosal proliferation were measured in histologically normal rectal mucosa of 85 individuals (mean age 59 years, range 29-74) who had a total colonoscopy. Fifty-one subjects had an adenoma or were undergoing adenoma surveillance. Twenty-two subjects had a strong family history of colorectal cancer and 12 individuals comprised a control group who had a normal colonoscopy without a family history of colorectal cancer. An abnormal DNA content (aneuploidy) was found in the normal mucosa of nine (10.6%) individuals. There was no significant difference in rectal mucosal proliferation with those who had aneuploidy and those who had diploidy. There was a trend towards increased proliferation in those with aneuploidy and adenomas, compared with controls. Of the 35 individuals undergoing adenoma surveillance, eight had recurrent adenomas, and three of these expressed aneuploidy. In the other 27, in whom no adenomas were found, no individual expressed aneuploidy (P = 0.01, Fisher's exact test). Aneuploidy within histologically normal mucosa is an unusual feature, which requires further investigation, particularly in patients developing adenomas.

Published
1994
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4. Primary aortoenteric fistula due to recurrent colorectal cancer

Author

N. C. Armitage and K. C. Ballantyne

Subjects
Male, medicine.medical_specialty, Fistula, Aortic Diseases, Aortoenteric fistula, Rectum, Adenocarcinoma, Gastroenterology, Surgical oncology, Internal medicine, Intestinal Fistula, Carcinoma, Humans, Medicine, Aged, business.industry, Jejunal Diseases, General Medicine, medicine.disease, Colorectal surgery, medicine.anatomical_structure, Neoplasm Recurrence, Local, Colorectal Neoplasms, Complication, business, Pancreas
Abstract

Primary aortoenteric fistula is rare. The most common cause is atherosclerosis, followed by infection and carcinoma of the head of the pancreas. A case of spontaneous aortojejunal fistula due to recurrent colorectal cancer is reported.

Published
1990
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