Publications (5)0 Total impact

  • T Bjerkeset · T H Edna · J O Drogset · M Svinsås
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    ABSTRACT: During 1980-89, 224 patients, 129 women and 95 men, median age 72 years (18-96 years), were treated for common bile duct stones. 26 of the patients had remote cholecystectomy. 67 patients had additional acute cholecystitis, 37 acute cholangitis and 25 acute pancreatitis. 173 patients underwent a traditional open operation, 37 endoscopic papillotomy (EPT) and 14 were treated conservatively. No deaths occurred after elective operations in 52 patients, and one death occurred after early planned operation in 95 patients. Emergency operations and delayed operations for acute disease were encumbered with a lethality of 12%. During the last two years of the study, old septic patients were treated with papillotomy, and there was no mortality among the last 39 patients. The study shows that non-septic patients with common bile duct stones can be safely treated by open operation. Old patients with severe complicated gall stone disease should be treated by endoscopic papillotomy at an early stage.
    Tidsskrift for Den norske legeforening 09/1997; 117(20):2939-41.
  • T Bjerkeset · T H Edna · J O Drogset · M Svinsås
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    ABSTRACT: During the period 1980 to 1989, 342 patients with acute cholecystitis, 202 women and 140 men, with median age 71 (19-100) years, were admitted to our department. The treatment strategy during the period was early planned cholecystectomy in operable stabile patients with a duration of the disease of less than 7-8 days. Seven patients (2.0%) died, three after emergency operation, three after delayed operation when conservative treatment had failed, and one after medical treatment only. None of 192 patients treated with early planned operation died, and there was no lethality among the patients below the age of 75. The stay in hospital was reduced by 5.2 days after early planned operation. Early planned cholecystectomy for acute cholecystitis is a safe and cost-effective treatment.
    Tidsskrift for Den norske legeforening 09/1997; 117(20):2941-3.
  • T Bjerkeset · J O Drogset · M Svinsås
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    ABSTRACT: A 10-year retrospective review of 1,013 patients with gallstone disease is analysed. The median age of the patients was 66 (18-100) years. 499 patients (49%) were admitted as emergencies. There was a significant relationship between the patient's age, complicated disease and lethality. The mortality was 1%. No patients below the age of 70 died. There was also a significant relationship between duration of the disease and mortality. Emergency operations and delayed operations for acute disease were encumbered with the highest lethality (7%), while early planned operation for acute disease and elective operations showed a lethality of 0.5 and 0.2% respectively. We advocate a more liberal attitude towards elective operations and early operative intervention in elderly patients who do not respond to medical treatment.
    Tidsskrift for Den norske legeforening 09/1997; 117(20):2944-6.
  • T H Edna · T Bjerkeset · M Svinsås · J O Drogset · K Skreden
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    ABSTRACT: To examine the association between blood transfusion and infective complications after biliary operations. Retrospective cohort study. District hospital. 875 consecutive patients who required biliary operations. Postoperative infective morbidity in hospital. 73 patients (8%) developed postoperative infections in hospital. Univariate analysis showed that the development of infections was significantly associated with blood transfusion (p < 0.001), stones in the common bile duct (p < 0.001), operations on the common bile duct (p < 0.001), T-tube drainage (p < 0.001), duration of operation (p = 0.008), and age (p = 0.03). Multivariate logistic regression analysis showed that only blood transfusion and stones in the common bile duct were independent predictors of infection. The corrected odds ratios for infection were 4.7 (95% confidence interval (CI) 2.4 to 9.3) when 1-3 units of blood were given and 5.6 (95% CI 2.3 to 13.6) when more than three units were given. Transfusion is an independent risk factor in the development of postoperative infection in hospital in patients who have had biliary operations.
    The European Journal of Surgery 01/1994; 160(6-7):357-62.
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    ABSTRACT: 311 medial femoral neck fractures (213 of them displaced) treated with a hip compression screw were studied retrospectively. 90 patients were treated with a primary hemiprosthesis during the same period. Fixation was lost in the case of seven fractures within three months after the operation. Two patients developed pseudarthrosis and 53 late segmental collapse. 54 patients have been reoperated, and given an endoprosthesis. The radiographs of 176 patients (114 displaced fractures) who were accessible for follow-up until failure, or for at least three years, were analysed. The rates of late segmental collapse were particularly high for fractures with a postoperative anterior angulation exceeding 15 degrees. Displacement and time until operation were independently related to late segmental collapse.
    Tidsskrift for Den norske legeforening 06/1993; 113(12):1451-3.