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2 results on '"Larry Kussin"'

1. A Comparison of Colonoscopy and Double-Contrast Barium Enema for Surveillance after Polypectomy

Author

Sidney J. Winawer, Edward T. Stewart, Ann G. Zauber, John H. Bond, Howard Ansel, Jerome D. Waye, Deborah Hall, J. Andrew Hamlin, Melvin Schapiro, Michael J. O'Brien, Stephen S. Sternberg, Walter J. Hogan, Mansho Khilnani, Frederick W. Ackroyd, Joel F. Panish, Larry Kussin, Martin Edelman, and Leonard S. Gottlieb

Subjects
medicine.medical_specialty, medicine.diagnostic_test, business.industry, medicine.medical_treatment, Colonoscopy, General Medicine, Enema, Double-contrast barium enema, digestive system, digestive system diseases, Polypectomy, Surgery, Endoscopy, Barium sulfate, chemistry.chemical_compound, surgical procedures, operative, chemistry, otorhinolaryngologic diseases, medicine, Colonoscopic Polypectomy, Radiology, business, Barium enema
Abstract

Background After patients have undergone colonoscopic polypectomy, it is uncertain whether colonoscopic examination or a barium enema is the better method of surveillance. Methods As part of the National Polyp Study, we offered colonoscopic examination and double-contrast barium enema for surveillance to patients with newly diagnosed adenomatous polyps. Although barium enema was performed first, the endoscopist did not know the results. Results A total of 973 patients underwent one or more colonoscopic examinations for surveillance. In the case of 580 of these patients, we performed 862 paired colonoscopic examinations and barium-enema examinations that met the requirements of the protocol. The findings on barium enema were positive in 222 (26 percent) of the paired examinations, including 94 of the 242 colonoscopic examinations in which one or more adenomas were detected (rate of detection of adenomas, 39 percent; 95 percent confidence interval, 33 to 45 percent). The proportion of examinations in which ...

Published
2000
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2. Radiation therapy for carcinoma of the prostate: the experience with small intestine injury

Author

Roy Wilber Melbye, Larry Kussin, Gerald Iba, and Nathan Green

Subjects
Male, Cancer Research, medicine.medical_specialty, medicine.medical_treatment, Radiotherapy, High-Energy, Cystography, Prostate, Intestine, Small, medicine, Carcinoma, Humans, Radiology, Nuclear Medicine and imaging, Radiation Injuries, Pelvis, Aged, Radiation, medicine.diagnostic_test, business.industry, Prostatic Neoplasms, Middle Aged, medicine.disease, Small intestine, Radiation therapy, Radiography, medicine.anatomical_structure, Oncology, Hormone therapy, Radiology, Complication, business
Abstract

Between 1975 and 1977, 74 patients had roentgenographic studies of the small intestine to determine the anatomic relationship of the small intestine to the pelvic portal and to the booster portal. Digital examination, contrast cystography and ultrasound B scans were used to delineate the prostate carcinoma. The small intestine was observed to be at the level of the superior extent of the prostate carcinoma in 19 patients and overlapped the prostate carcinoma in 10 patients. Booster portal size was determined by consideration for tumor control, cure and complication. Therapeutic efforts to reduce tumor size prior to booster irradiation included hormone therapy and whole pelvic irradiation. A “shrinking” field could then be used in patients at risk for small intestine injury. Recognition of the relative position of the terminal Ileum to the pelvic portal was important for patients who undergo surgery after irradiation. Inadvertent injury can be avoided. Since initiation of this study no patient has developed small intestine injury. Tumor control rates remain constant.

Published
1978

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