Document 0687
 DOCN  M9550687
 TI    Emergency abdominal operations in the patient with acquired
       immunodeficiency syndrome.
 DT    9505
 AU    Bizer LS; Pettorino R; Ashikari A; Department of Surgery, Montefiore
       Medical Center, Bronx, NY.
 SO    J Am Coll Surg. 1995 Feb;180(2):205-9. Unique Identifier : AIDSLINE
       MED/95152897
 AB    BACKGROUND: We have previously shown high morbidity and mortality rates
       in patients with acquired immunodeficiency syndrome (AIDS) who require
       emergency abdominal operations. In a larger series of patients, we have
       investigated the reasons for these findings and have hypothesized that
       they are primarily the result of starvation and decreased resistance to
       infection. STUDY DESIGN: A retrospective review of the clinical records
       of patients at Montefiore Medical Center and its two associated
       municipal hospitals was done during a six year period. RESULTS:
       Postoperative morbidity and mortality rates of 50 and 38 percent,
       respectively, were documented and seem to be related to
       immunosuppression and the malnourished condition of these patients.
       CONCLUSIONS: Patients who meet the criteria for the diagnosis of AIDS
       have increased morbidity and mortality rates after emergency abdominal
       operations. This, however, should not exclude these patients from
       operation when it is indicated because many will survive and benefit
       from the operative procedure. Attention to nutritional support and the
       early diagnosis and treatment of associated infectious complications may
       result in decreased morbidity and mortality rates subsequent to the
       emergency abdominal operations.
 DE    Abdomen, Acute/ETIOLOGY/*SURGERY  Acquired Immunodeficiency
       Syndrome/*COMPLICATIONS  Adult  Emergencies  Female  Hospital Mortality
       Human  Laparotomy/ADVERSE EFFECTS/*MORTALITY  Male  Middle Age
       Retrospective Studies  Risk Factors  Survival Analysis  Treatment
       Outcome  JOURNAL ARTICLE

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