Exercise Limitation Following Extensive Pulmonary Resection*

Exercise Limitation following Extensive Pulmonary Resection.

Shifting sources of functional limitation following extensive (70%) lung resection.

We previously found that, following surgical resection of approximately 58% of lung units by right pneumonectomy (PNX) in adult canines, oxygen-diffusing capacity (Dl(O(2))) fell sufficiently to become a major factor limiting exercise capacity, although the decline was mitigated by recruitment, remodeling, and growth of the remaining lung units. To determine whether an upper limit of compensati...

pulmonary resection . Gastropleural fistula following

A 77 year old man with an eight month history of polymyalgia rheumatica treated by steroids underwent left lower lobectomy for a non-small cell carcinoma. Following discharge he developed a pneumothorax, empyema, septicaemia, and acute renal failure. Reinvestigation and reoperation showed this to be caused by a non-malignant non-traumatic direct gastropleural

Gastropleural fistula following pulmonary resection.

A 77 year old man with an eight month history of polymyalgia rheumatica treated by steroids underwent left lower lobectomy for a non-small cell carcinoma. Following discharge he developed a pneumothorax, empyema, septicaemia, and acute renal failure. Reinvestigation and reoperation showed this to be caused by a non-malignant non-traumatic direct gastropleural fistula.

Extensive intramural hematoma of the esophagus following endoscopic mucosal resection.

Intramural esophageal hematoma (IEH) is a rare but well-recognized endoscopic finding, which forms part of the spectrum of esophageal mucosal injuries [1,2]. It results from disruption of the vasculature within the submucosal plane of the esophageal wall. This leads to dissection of the submucosa by blood, which extends the length of the esophagus and causes intramural expansion and compression...