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Inflammatory bowel disease
motactic factors. Am Rev Resp Dis 1982; 125: 335-40. 6. Nuytinck JKS, Goris RJA, Weerts JGE, Schillings PHM, Schuurmans Stekhoven JH. Acute generalized microvascular injury by activated complement and hypoxia: the basis of the adult respiratory distress syndrome and multiple organ failure? Br J Exp Path01 1986; 67: 537-48. 7. Bowers TK, Ozolins AL, Ratliff NB, Ja-
cob NS, Hammerschmidt DE. Hyperacute pulmonary vasculitis in rabbits receiving prolonged infusion of activated complement. Inflammation 1983; 7: l-13. 8. Gee MH, Tahamont MV, Flynn JT, Cox JW, Pullen RH. Prostaglandin El prevents increased lung microvascular permeability during intravascular complement activaton in sheep. Circ Res 1987; 61: 420-8. 9. Casey LC, Fletcher JR, Chernow B,
Ramwell PW. Species variability in the cardiovascular and hematologic effects of zymosan-activated plasma infusion. J Surg Res 1986; 40: 202-9. 10. Larsen GL, Webster RO, Worthen GS, Gumbay RS, Henson PM. Additive effect of intravascular complement activation and brief episodes of hypoxia in producing increased permeability in the rabbit lung. J Clin Invest 1985; 75: 902-10.
discourse on redo biliary operations and the reoperative management of complications related to the pancreas. The contributions in the text are concise, well written, and to the point. The management of endocrine problems, including those of the thyroid and parathyroid, is well covered. I have only one major criticism with the text; that regards the chapter covering reoperative gastric surgery. The coverage of this important subject is inadequate as many of the postgastrectomy problems and their surgical correction are not included. The contributor’s personal experience would have been a worthwhile addition. The references are more than adequate, are up-to-date, and the illustrations are detailed and of excellent quality. The book will be splendid reading and of immense value to the busy clinical surgeon who encounters such problems, and also will serve as an excellent guide to young surgeons and residents in training.
cause has been determined. However, a great deal of useful information has been learned. I found the sections on epidemiology, and etiology and pathogenesis most interesting; they were complete and very well written. The chapters on the clinical aspects of the disease summarized the current knowledge in that area. The endoscopy chapter was well summarized, but I am not yet ready to accept without reservation the concept of frequent colonoscopic screenings with biopsies as a very useful, cost-effective method of detecting high-risk cancer patients, (or patients with early cancer) with ulcerative colitis. The ultimate cost per curable cancer found is probably greater than $200,000. In this cost conscious era, this amount may be too high for society as a whole, although the individual patient saved may not think so. The chapter on indications for surgery written by Dr. Greenberger, a gastroenterologist, was a delight. I wish the practicing gastroenterologists would follow these recommendations when caring for such patients; alas, it rarely hap pens that they practice what their own experts preach. The discussions of the surgical management of inflammatory bowel disease were well done, particularly with regard to the management of the perineal wound. The newer operations for continence are well described in adequate detail for the nonsurgeon to understand the significant risks involved. Overall, this is an excellent book and one that the surgeon involved in the care of these difficult patients would do well to have as a reference source.
Rook Reviews Reoperative Surgery.
Edited by Ronald K. Tompkins. Philadelphia: JB Lippincott, 1988. 560 pages. $65.00.
This book by Ronald K. Tompkins and 29 contributors is timely, unique, and informative. It is extremely well organized from start to finish, and exemplifies the tremendous work and close relationship between author and contributors. Not only are reoperative problems in general surgery addressed, postoperative issues involving some of the subspecialites are also included in a precise and authoritative manner. To my knowledge, no single text has previously been published that includes such an orderly management of complications involving the various organ systems from the esophagus to the anus. The book begins with an overview of the surgical principles involved in remedial operations by Robert M. Zollinger, the mentor of the author. The role of the anesthesiologist in the preoperative and postoperative care of reoperative cases is stressed, this is a delightful addition to the text. The chapters on reoperative esophageal surgery and inflammatory bowel disease are each a classic and represent an in-depth analysis by experts who not only stress sound surgical principles, indications, and contraindications, but also record their extensive personal experiences with such complex problems. The chapter on postoperative liver problems is excellent and beautifully written by one of the masters in the field. Articles discussing secondary operations resulting from hepatic problems are seldom encountered in the literature. Of particular interest is the authoritative 168
J. Lynwood Herrington, MD Nashville, TN
Inflammatory Rowe1 Disease.
Edited by Joseph B. Kirsner and Roy G. Shorter. Philadelphia: Lea & Febiger, 1988. 760 pages. $98.50.
This third edition of a classic is an extremely well developed treatise on what is a very frustrating illness for both gastroenterologists and surgeons alike. In the 8 years since the last edition, reams of research have been carried out in an attempt to elucidate the cause of inflammatory bowel disease. Unfortunately, no
THE AMERICAN JOURNAL OF SURGERY
VOLUME 158 AUGUST 1989
Martin H. Max,
MD
Maywood, IL
cob NS, Hammerschmidt DE. Hyperacute pulmonary vasculitis in rabbits receiving prolonged infusion of activated complement. Inflammation 1983; 7: l-13. 8. Gee MH, Tahamont MV, Flynn JT, Cox JW, Pullen RH. Prostaglandin El prevents increased lung microvascular permeability during intravascular complement activaton in sheep. Circ Res 1987; 61: 420-8. 9. Casey LC, Fletcher JR, Chernow B,
Ramwell PW. Species variability in the cardiovascular and hematologic effects of zymosan-activated plasma infusion. J Surg Res 1986; 40: 202-9. 10. Larsen GL, Webster RO, Worthen GS, Gumbay RS, Henson PM. Additive effect of intravascular complement activation and brief episodes of hypoxia in producing increased permeability in the rabbit lung. J Clin Invest 1985; 75: 902-10.
discourse on redo biliary operations and the reoperative management of complications related to the pancreas. The contributions in the text are concise, well written, and to the point. The management of endocrine problems, including those of the thyroid and parathyroid, is well covered. I have only one major criticism with the text; that regards the chapter covering reoperative gastric surgery. The coverage of this important subject is inadequate as many of the postgastrectomy problems and their surgical correction are not included. The contributor’s personal experience would have been a worthwhile addition. The references are more than adequate, are up-to-date, and the illustrations are detailed and of excellent quality. The book will be splendid reading and of immense value to the busy clinical surgeon who encounters such problems, and also will serve as an excellent guide to young surgeons and residents in training.
cause has been determined. However, a great deal of useful information has been learned. I found the sections on epidemiology, and etiology and pathogenesis most interesting; they were complete and very well written. The chapters on the clinical aspects of the disease summarized the current knowledge in that area. The endoscopy chapter was well summarized, but I am not yet ready to accept without reservation the concept of frequent colonoscopic screenings with biopsies as a very useful, cost-effective method of detecting high-risk cancer patients, (or patients with early cancer) with ulcerative colitis. The ultimate cost per curable cancer found is probably greater than $200,000. In this cost conscious era, this amount may be too high for society as a whole, although the individual patient saved may not think so. The chapter on indications for surgery written by Dr. Greenberger, a gastroenterologist, was a delight. I wish the practicing gastroenterologists would follow these recommendations when caring for such patients; alas, it rarely hap pens that they practice what their own experts preach. The discussions of the surgical management of inflammatory bowel disease were well done, particularly with regard to the management of the perineal wound. The newer operations for continence are well described in adequate detail for the nonsurgeon to understand the significant risks involved. Overall, this is an excellent book and one that the surgeon involved in the care of these difficult patients would do well to have as a reference source.
Rook Reviews Reoperative Surgery.
Edited by Ronald K. Tompkins. Philadelphia: JB Lippincott, 1988. 560 pages. $65.00.
This book by Ronald K. Tompkins and 29 contributors is timely, unique, and informative. It is extremely well organized from start to finish, and exemplifies the tremendous work and close relationship between author and contributors. Not only are reoperative problems in general surgery addressed, postoperative issues involving some of the subspecialites are also included in a precise and authoritative manner. To my knowledge, no single text has previously been published that includes such an orderly management of complications involving the various organ systems from the esophagus to the anus. The book begins with an overview of the surgical principles involved in remedial operations by Robert M. Zollinger, the mentor of the author. The role of the anesthesiologist in the preoperative and postoperative care of reoperative cases is stressed, this is a delightful addition to the text. The chapters on reoperative esophageal surgery and inflammatory bowel disease are each a classic and represent an in-depth analysis by experts who not only stress sound surgical principles, indications, and contraindications, but also record their extensive personal experiences with such complex problems. The chapter on postoperative liver problems is excellent and beautifully written by one of the masters in the field. Articles discussing secondary operations resulting from hepatic problems are seldom encountered in the literature. Of particular interest is the authoritative 168
J. Lynwood Herrington, MD Nashville, TN
Inflammatory Rowe1 Disease.
Edited by Joseph B. Kirsner and Roy G. Shorter. Philadelphia: Lea & Febiger, 1988. 760 pages. $98.50.
This third edition of a classic is an extremely well developed treatise on what is a very frustrating illness for both gastroenterologists and surgeons alike. In the 8 years since the last edition, reams of research have been carried out in an attempt to elucidate the cause of inflammatory bowel disease. Unfortunately, no
THE AMERICAN JOURNAL OF SURGERY
VOLUME 158 AUGUST 1989
Martin H. Max,
MD
Maywood, IL