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Article: Buerger's disease in Hong Kong: A review of 89 cases

TitleBuerger's disease in Hong Kong: A review of 89 cases
Authors
KeywordsBuerger's disease
Chinese
Retrospective analysis
Sympathectomy
Issue Date1997
PublisherBlackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/ANS
Citation
Australian And New Zealand Journal Of Surgery, 1997, v. 67 n. 5, p. 264-269 How to Cite?
AbstractBackground: A retrospective analysis of 103 case records from 1978 to 1996 with a provisional diagnosis of Buerger's disease was undertaken at the Department of Surgery, University of Hong Kong, Queen Mary Hospital. The aim of the study was to elucidate the clinical course and evaluate the results of surgical intervention of Buerger's disease in Hong Kong Chinese people. Methods: Fourteen patients were subsequently excluded from the study because of inability to fulfil our diagnostic criteria. Data on clinical presentation, investigations, indications and results of surgical intervention were reviewed. Sympathectomies and arterial reconstructions were performed on 42 and four patients, respectively, for critical ischaemia or rest pain. Outcome was analysed with respect to the rate of ulcer healing, pattern of recurrence and limb loss. Results: The patients were all young male heavy smokers with a mean age of 36.5 years. The majority of patients (80%) presented with ischaemic ulceration or gangrene. Vascular reconstruction was undertaken in four patients and satisfactory longterm results were obtained in three patients. Sympathectomy was able to relieve symptoms in 87% of operated patients and ischaemic ulceration healed in 2.6 (mean) ± 1.7 (SD) months after the operation. If the patient continued to smoke, surgical intervention did not exempt the patient from a relapse or amputation. Conclusion: Sympathectomy provides short-term pain relief and promotes ulcer healing in patients with Buerger's disease but carries no long term benefit. Complete abstinence from smoking is the only means of arresting the progression of the disease.
Persistent Identifierhttp://hdl.handle.net/10722/83436
ISSN
2003 Impact Factor: 0.874
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLau, Hen_HK
dc.contributor.authorCheng, SWKen_HK
dc.date.accessioned2010-09-06T08:41:01Z-
dc.date.available2010-09-06T08:41:01Z-
dc.date.issued1997en_HK
dc.identifier.citationAustralian And New Zealand Journal Of Surgery, 1997, v. 67 n. 5, p. 264-269en_HK
dc.identifier.issn0004-8682en_HK
dc.identifier.urihttp://hdl.handle.net/10722/83436-
dc.description.abstractBackground: A retrospective analysis of 103 case records from 1978 to 1996 with a provisional diagnosis of Buerger's disease was undertaken at the Department of Surgery, University of Hong Kong, Queen Mary Hospital. The aim of the study was to elucidate the clinical course and evaluate the results of surgical intervention of Buerger's disease in Hong Kong Chinese people. Methods: Fourteen patients were subsequently excluded from the study because of inability to fulfil our diagnostic criteria. Data on clinical presentation, investigations, indications and results of surgical intervention were reviewed. Sympathectomies and arterial reconstructions were performed on 42 and four patients, respectively, for critical ischaemia or rest pain. Outcome was analysed with respect to the rate of ulcer healing, pattern of recurrence and limb loss. Results: The patients were all young male heavy smokers with a mean age of 36.5 years. The majority of patients (80%) presented with ischaemic ulceration or gangrene. Vascular reconstruction was undertaken in four patients and satisfactory longterm results were obtained in three patients. Sympathectomy was able to relieve symptoms in 87% of operated patients and ischaemic ulceration healed in 2.6 (mean) ± 1.7 (SD) months after the operation. If the patient continued to smoke, surgical intervention did not exempt the patient from a relapse or amputation. Conclusion: Sympathectomy provides short-term pain relief and promotes ulcer healing in patients with Buerger's disease but carries no long term benefit. Complete abstinence from smoking is the only means of arresting the progression of the disease.en_HK
dc.languageengen_HK
dc.publisherBlackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/ANSen_HK
dc.relation.ispartofAustralian and New Zealand Journal of Surgeryen_HK
dc.subjectBuerger's diseaseen_HK
dc.subjectChineseen_HK
dc.subjectRetrospective analysisen_HK
dc.subjectSympathectomyen_HK
dc.titleBuerger's disease in Hong Kong: A review of 89 casesen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0004-8682&volume=67&spage=264&epage=269&date=1997&atitle=Buerger%27s+disease+in+Hong+Kong:+a+review+of+89+casesen_HK
dc.identifier.emailCheng, SWK: wkcheng@hkucc.hku.hken_HK
dc.identifier.authorityCheng, SWK=rp00374en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.pmid9152156-
dc.identifier.scopuseid_2-s2.0-0030806298en_HK
dc.identifier.hkuros24565en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0030806298&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume67en_HK
dc.identifier.issue5en_HK
dc.identifier.spage264en_HK
dc.identifier.epage269en_HK
dc.identifier.isiWOS:A1997YB17300007-
dc.publisher.placeAustraliaen_HK
dc.identifier.scopusauthoridLau, H=7201497812en_HK
dc.identifier.scopusauthoridCheng, SWK=7404684779en_HK

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