William E. Wheeler’s research while affiliated with San Francisco VA Medical Center and other places


Ad

What is this page?


This page lists works of an author who doesn't have a ResearchGate profile or hasn't added the works to their profile yet. It is automatically generated from public (personal) data to further our legitimate goal of comprehensive and accurate scientific recordkeeping. If you are this author and want this page removed, please let us know.

Publications (14)


Giant Leiomyoma of the Small Intestine With Free Perforation into the Peritoneal Cavity
  • Article

July 1992

·

21 Reads

·

16 Citations

Southern Medical Journal

STEPHEN L. WILSON

·

WILLIAM E. WHEELER

Leiomyomas involving the small bowel are rare benign tumors comprising 0.2% to 1.8% of all gastrointestinal tumors. We have presented a case with the rare complication of a free perforation between the tumor and the peritoneal cavity, causing an acute abdomen.





Flexible Sigmoidoscopy Screening for Asymptomatic Colorectal Disease in Patients With and Without Inguinal Hernia

August 1991

·

3 Reads

·

6 Citations

Southern Medical Journal

Several studies have evaluated the diagnostic value of flexible sigmoidoscopy for screening asymptomatic patients before hernia repair. All have shown a 16% to 28% incidence of neoplastic (malignant or premalignant) lesions. None of these studies compared a similar group of asymptomatic patients without hernia to determine whether the incidence is increased in patients with hernias. We reviewed 87 consecutive cases of male surgical patients without hernia or any anorectal disease who had flexible sigmoidoscopy between June 1986 and December 1989 (group 1) and compared them with a group of hernia patients that we previously reported (group 2). Patients with stool positive for occult blood were excluded from this study. Examinations in both groups were done under the direct supervision of an attending surgeon (W.W., C.S.C., or J.K.). No significant difference was noted between group 1 and group 2 in mean age (mean 65.6 vs 59.7 years), rate of normal findings (68% vs 63%), and incidence of neoplastic lesions (14% vs 22%). All patients tolerated the procedure well, and there were no complications.




Cancer of the Gallbladder

May 1990

·

6 Reads

·

15 Citations

Southern Medical Journal

We have reported a case of primary carcinoma of the gallbladder and reviewed 42 other cases seen at the Marshall University School of Medicine affiliated hospitals over the last 27 years. Most of the patients were female (74.5%) and elderly (mean age 66.9 years), and had metastatic or locally invasive disease (79%); 95% had adenocarcinoma. Preoperative diagnosis of gallbladder malignancy is rare, and long-term survival depends upon early detection. Radical surgery, chemotherapy, and radiation have not improved survival.


Diverticular Disease of the Appendix

April 1990

·

9 Reads

·

34 Citations

Southern Medical Journal

We have discussed a case of appendiceal diverticulitis diagnosed at laparotomy, and reviewed the histologic and clinical findings. Although infrequently encountered, appendiceal diverticulitis must be entertained in the differential diagnosis of pain in the right lower quadrant, especially in the adult patient.


Quantitation of rate of wound closure and the prediction of death following major burns

November 1988

·

8 Reads

·

44 Citations

Burns

Data were obtained from 100 consecutive patients requiring hospitalization for 2 weeks or more for treatment of major burns. Age, total percentage burn, mechanism of injury, presence or absence of inhalation injury, and outcome were recorded. Serial weekly burn wound maps were used to calculate the wound closure index (WCI), previously defined as the slope of a straight line fitted to percentage burn as a function of time by linear regression analysis. Logistic regression analysis was used to construct an equation incorporating age, percentage burn and WCI. Addition of the WCI significantly improved the discriminant ability of the logistic regression model. The composite index correctly predicted survival in 97 percent of patients. Rapid wound closure, as measured by the WCI, correlated with survival.


Ad

Citations (6)


... They usually present with abdominal pain, nausea and vomiting, weight loss and abdominal mass. Unusual presentations include gastrointestinal bleeding, intussusception, volvulus and perforation [3]. In this study we report a case of jejunal leiomyoma presenting as volvulus in an adult patient who required surgical intervention. ...

Reference:

Proximal Jejunum Leiomyoma unmasked as Acute Volvulus in an adult: a rare case report with management review Zlokalizowany proksymalnie mięśniak gładkokomórkowy jelita czczego ujawniający się jako ostry skręt jelit u osoby dorosłej: opis rzadkiego przypadku z przeglądem postępowania
Giant Leiomyoma of the Small Intestine With Free Perforation into the Peritoneal Cavity
  • Citing Article
  • July 1992

Southern Medical Journal

... Gerson et al. included 298 patients undergoing screening flexible sigmoidoscopy with a mean age of 67 years in the case group and 66 years in the control group [6]. Wheeler et al. included 187 patients undergoing screening flexible sigmoidoscopy with a mean age of 59.7 years in the case group with hernias in their original study, which was compared to a control group with a mean age of 65.6 years in the included study [14,15]. The 777 patients included in the study by Avidan et al. each underwent screening colonoscopy. ...

Flexible Sigmoidoscopy Screening for Asymptomatic Colorectal Disease in Patients With and Without Inguinal Hernia
  • Citing Article
  • August 1991

Southern Medical Journal

... The majority of cases are of the acquired type. Risk factors for acquired appendiceal diverticulitis include male sex, age greater than 30 years, chronic appendicitis, Hirschprung's disease and cystic fibrosis [7,8].The exact pathogenesis of acquired appendiceal diverticulitis is not fully understood, but it is thought to be caused by the increased pressure from an obstruction at the orifice secondary to a appendicolith or a mass, resulting in mucosal herniations [9,10]. The inf lammatory reaction leads to atrophy of the lymphoid tissue, which further weakens the appendiceal wall and subsequently exacerbates the herniation [11]. ...

Diverticular Disease of the Appendix
  • Citing Article
  • April 1990

Southern Medical Journal

... Irrespective of burn etiology, age or gender, the most important aspects of burn care are wound coverage and subsequent healing, which determine the severity of local and systemic responses, thus determining the survival or death of a burn patient. 2 In the event of non-healing burn wounds, wound infection and sepsis are the central morbidities leading to a substantially increased mortality. 3 The current standard of care is burn excision within 72-hour post-injury. ...

Quantitation of rate of wound closure and the prediction of death following major burns
  • Citing Article
  • November 1988

Burns

... Firstly, participants were asked whether they acknowledged TeV as mandatory for AWs. Subjects then received a general knowledge test (18,20), containing a total of 16 truefalse statements such as "vaccinations increase the occurrence of allergies" (false), covering some typical misconceptions on vaccination and vaccination policies and derived from an extensive review of the literature about KAP towards TeV (12)(13)(14)(15)(16)(17)(18)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31). A cumulative General Knowledge Score (GKS) was then calculated as follows: when the AWs correctly answered, +1 was added to a sum score, whereas a wrong indication or a missing answer added 0 to the sum score. ...

Inadequate Tetanus Protection Among the Rural Elderly
  • Citing Article
  • March 1985

Southern Medical Journal

... Gerson et al. included 298 patients undergoing screening flexible sigmoidoscopy with a mean age of 67 years in the case group and 66 years in the control group [6]. Wheeler et al. included 187 patients undergoing screening flexible sigmoidoscopy with a mean age of 59.7 years in the case group with hernias in their original study, which was compared to a control group with a mean age of 65.6 years in the included study [14,15]. The 777 patients included in the study by Avidan et al. each underwent screening colonoscopy. ...

Flexible Sigmoidoscopy as a Screening Procedure for Asymptomatic Colorectal Carcinoma in Patients With Inguinal Hernia
  • Citing Article
  • January 1986

Southern Medical Journal