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

Surgical Implications

GEORGE D. COURIS, MD; MELVIN A. BLOCK, MD; CLARENCE E. RUPE, MD

AMA Arch Surg. 1964;89(4):695-700.

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

The patient who has developed a life endangering gastrointestinal complication associated with a collagen disease challenges the surgeon with problems of early recognition of the complication in patients who frequently experience abdominal pain as part of their systemic disease, execution of that emergency treatment and operation most likely to preserve life, and careful postoperative management for patients who have a limited healing capacity. In some instances the diagnosis of the collagen disease may not have been established prior to the occurrence of the gastrointestinal complication.

Gastrointestinal complications occurring in collagen diseases have appeared in the recent literature with increasing frequency. Intestinal infarction, perforation, and hemorrhage have been reported occurring in periarteritis nodosa, or the vasculitis group,^1-8 but also in systemic lupus erythematosus and dermatomyositis.^9-11 A common pathogenic process is very possible.^12-15 While the importance of steroid therapy is still unsettled, its inability to protect and prevent gastrointestinal . . . [Full Text PDF of this Article]

Author Affiliations
DETROIT

From the departments of surgery and medicine, Henry Ford Hospital.

Footnotes
Submitted for publication April 25, 1964.

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