This Article  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on Web of Science (3)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

An Aid to the Surgeon in Localizing Polypoid Tumors of the Colon at Laparotomy

THOMAS J. FOLEY, M.D.; ALBERT G. SCHUTTE, M.D.; JACK D. SELZER, M.D.

AMA Arch Surg. 1959;79(6):915-916.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

A patient usually submits to transabdominal polypectomy because of a roentgenologic diagnosis of a polypoid lesion of the colon which is above the reach of the sigmoidoscope or, for some reason, cannot be satisfactorily handled through the instrument. Not infrequently the surgeon is frustrated at laparotomy by his inability to localize the lesion by palpation of the colon. The smaller and/or softer polypoid tumors are more difficult to feel. Lesions less than 1 cm. in diameter seldom can be felt, while lesions 1 cm. or more in diameter usually can be felt provided they have a relatively firm consistency. Lesions up to 2 cm. or more in diameter may be missed if their consistency is relatively soft.

Colotomy with colonoscopy is a direct method of visualizing polypoid lesions regardless of their size or consistency. However, the use of this procedure is not as yet a common practice in the general . . . [Full Text PDF of this Article]

Author Affiliations
Milwaukee; Cincinnati

From Marquette University Medical School and Milwaukee County General Hospital.

Footnotes
Submitted for publication Aug. 29, 1959.

Surgery illustrated. Shown as a scientific exhibit of the Section on Gastroenterology and Proctology at the 108th Annual Meeting of the American Medical Association, Atlantic City, June 8-12, 1959.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?