The surgical management of anorectal diseases in AIDS and pre-AIDS patients

Diseases of the Colon and Rectum
S D WexnerT H Dailey

Abstract

The charts of 340 patients with Acquired Immunodeficiency Syndrome (AIDS), AIDS-related complex (ARC), or AIDS-prodrome (AIDS-P), treated between January 1982 and April 1986 at the Roosevelt Division of the St. Luke's-Roosevelt Hospital Center, were reviewed. The incidence of anorectal disease was 34 percent. Fifty-two patients (15 percent) presented with anorectal complaints prior to the diagnosis of AIDS, ARC, or AIDS-P. Over 50 percent of these patients were dead within 7.4 months. Fifty-one patients (15 percent) underwent 73 anorectal surgical procedures. Twenty-two of these patients (43 percent) were dead within six months, and only six patients had satisfactory wound healing 30 days after surgery. In addition to an 88 percent rate of poor healing, there was a 16 percent rate of major complications. Identification of these high-risk groups prior to any anorectal surgery is imperative to avoid unacceptable surgical complications. Aggressive surgical intervention should be reserved only for patients who did not fall into the high-risk groups presented.

References

Mar 14, 1986·JAMA : the Journal of the American Medical Association·C Marwick
Sep 1, 1985·Gut·I V Weller
Feb 7, 1986·JAMA : the Journal of the American Medical Association
Apr 1, 1980·The British Journal of Venereal Diseases·D Goldmeier
Sep 8, 1983·The New England Journal of Medicine·T C QuinnK K Holmes
May 1, 1984·Diseases of the Colon and Rectum·T CroxsonI M Barash
Aug 1, 1983·The British Journal of Venereal Diseases·A McMillanG J McNeillage
Nov 1, 1983·American Journal of Clinical Pathology·M R FarisJ Redmond
Dec 1, 1980·The British Journal of Venereal Diseases·J L FlukerA Gerken
Mar 1, 1984·The British Journal of Surgery·A McMillan, I W Smith
Jul 1, 1984·Postgraduate Medicine·C B Daul, R D deShazo
Nov 1, 1982·Medicine·R W Baker, M A Peppercorn
Jun 1, 1983·The British Journal of Venereal Diseases·A Mindel
Apr 1, 1982·The American Journal of Medicine·R K BolanW L Drew
Sep 1, 1980·Annals of Internal Medicine·T C QuinnK K Holmes

❮ Previous
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Citations

May 1, 1990·International Journal of Colorectal Disease·L G GottesmanA Stotter
Feb 1, 1992·International Journal of Colorectal Disease·T Puy-MontbrunN Arnous-Dubois
Sep 1, 1993·Diseases of the Colon and Rectum·M ViamonteL Gottesman
Apr 1, 1992·Diseases of the Colon and Rectum·B A Orkin, L E Smith
Apr 1, 1991·Diseases of the Colon and Rectum·A SafaviT H Dailey
Mar 1, 1993·Diseases of the Colon and Rectum·S L SchmittD G Jagelman
Jun 1, 1996·Diseases of the Colon and Rectum·W R HewittP R Fleshner
Mar 1, 1990·Diseases of the Colon and Rectum·D E BeckR A Zajac
May 27, 1999·Diseases of the Colon and Rectum·S R NadalM B Speranzini
Sep 6, 2001·Diseases of the Colon and Rectum·B A Moore, P R Fleshner
May 21, 1998·Diseases of the Colon and Rectum·W L BarrettB A Orkin
Dec 29, 1999·Diseases of the Colon and Rectum·S R NadalV Galvão
Nov 21, 1998·Diseases of the Colon and Rectum·R YuhanH Abcarian
Dec 22, 1998·Diseases of the Colon and Rectum·C M ManookianP R Fleshner
Apr 29, 1998·Diseases of the Colon and Rectum·S R NadalM B Speranzini
Dec 1, 1987·Diseases of the Colon and Rectum·S D WexnerT H Dailey
Jun 1, 1989·Diseases of the Colon and Rectum·C CreasmanM Balazs
Dec 1, 1988·Diseases of the Colon and Rectum·J W Hyder, J M MacKeigan
May 1, 1989·Diseases of the Colon and Rectum·D MarshmanE R Kaplan
Sep 10, 2003·Current Gastroenterology Reports·Swarna Balasubramaniam, Andreas M Kaiser
Feb 1, 1995·Journal of the American Academy of Dermatology·A F Haas, R C Grekin
Jul 1, 1996·American Journal of Surgery·C WastellN Keeling
Sep 1, 1988·The Journal of Hand Surgery·S Z Glickel
Jan 1, 1997·Biomedicine & Pharmacotherapy = Biomédecine & Pharmacothérapie·M EriguchiY Fujii
Apr 18, 2007·Surgical Infections·David E SkardaGregory J Beilman
Dec 24, 1998·AIDS·D N RoseR Kleban
Apr 1, 1994·The Australian and New Zealand Journal of Surgery·A J PorterJ L Sweeney
Oct 27, 2007·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·J G WilliamsB D George
Nov 15, 2006·World Journal of Surgery·Abraham A Ayantunde, Samuel A Debrah
Nov 17, 2009·International Wound Journal·Martin SibandaKent Jönsson
Dec 15, 2010·American Journal of Surgery·Jeremiah L DeneveDavid V Feliciano
Oct 1, 1995·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·B SchmidtL B Kaban
Nov 15, 2003·British Journal of Plastic Surgery·S MzezewaL Salemark
Oct 1, 1992·Oral Surgery, Oral Medicine, and Oral Pathology·P G RobinsonJ Hatt
Oct 1, 1989·The British Journal of Surgery·N D CarrW W Slack
Feb 1, 1997·The Surgical Clinics of North America·R Gilliland, S D Wexner

❮ Previous
Next ❯

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