Document 3136
 DOCN  M94A3136
 TI    The surgical complications in AIDS: 92 cases.
 DT    9412
 AU    Lowenstein W; Arsac M; Hopital Laennec, Paris, France.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(1):145 (abstract no. PB0007). Unique
       Identifier : AIDSLINE ICA10/94369439
 AB    A prospective study, led in Laennec's hospital from 1985 to 1992,
       enabled us to observe 92 cases out of 1248 patients HIV+, about 7% (82
       men, 10 women, average age 36.7). These patients were studied clinicaly
       by imaging procedure, biology and long-term follow up in order to set up
       the signification of these complications. We distinguished the
       infectious events requiring a surgical case from the tumerous one.
       First, the alithiasic cholecystis (15) must be mentioned, more often by
       CMV, crypto and microsporidiosis, frequently with angiocholitis (12),
       the sclerosing cholangitis (10) and ano-rectal sepsis. Six acute
       pancreatitis arised. Out of the tumors note should be taken of the
       visceral Kaposi's tumors and the N.H. Lymphomas which give mass effect
       and obstruction, sligth or dramatic hemorrage, or perforation with
       peritonitis. The common carcinomas have an abnormal swiftness of growth.
       These complications chiefly happen in the C stage, among other events
       and their numerous treatments. Thereafter, the diagnosis and the
       treatments are deeply hindered. In the short term, the surgical
       treatment may obtain some success, but that does not modify the
       inexorable course of the disease. 65 patients were operated, and 12 not,
       in terminal status. 62 died, despite a post-surgical improvement, 15 are
       in threatened condition, 10 in remission and 5 post in sight. The
       average survival time after cholecystectomy (15) is 170 days, after
       surgical procedure for Kaposi's tumors (10) is 10.5 months, and for
       lymphomas (12) is 5 months. The surgical complications often herald the
       getting worse period and have a worrying signification.
 DE    Acquired Immunodeficiency Syndrome/*COMPLICATIONS  Adult
       *Cholecystectomy  Female  Human  HIV Seropositivity/*COMPLICATIONS
       Lymphoma/COMPLICATIONS/*SURGERY  Male  Postoperative
       Complications/*EPIDEMIOLOGY/MORTALITY  Prospective Studies  Sarcoma,
       Kaposi's/ETIOLOGY/*SURGERY  MEETING ABSTRACT

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).