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Papers by Åke Andrén-Sandberg
Scandinavian journal of social medicine, Sep 1, 1982
Injuries sustailled in junior league handboll. A prospective stud)' of validity in the registrati... more Injuries sustailled in junior league handboll. A prospective stud)' of validity in the registration of sports injuries.
Scandinavian Journal of Social Medicine, 1982
In a study of injuries sustained in junior league handball, all injuries during 685 hours of play... more In a study of injuries sustained in junior league handball, all injuries during 685 hours of play sustained by 7 320 players have been registered in a cup tournament. Junior handball appears generally to have a very low injury risk, but with a clearly indicated tendency towards more injuries in the higher age group and fewer injuries in the lower age group and among girls. The more serious injuries sustained during a junior handball tournament are carefully registered by the tournament doctor, but the less serious injuries must, if so wished, be registered by other means, for example by telephone call or postal report after the tournament games.
The scientific literature also in small medical subjects like pancreatology is today enormous-and... more The scientific literature also in small medical subjects like pancreatology is today enormous-and it is not possible to keep updated unless making very strong and focused efforts. The present review is an attempt to make it easier for clinical pancreatologists to keep updated. From the beginning the consecutive quarterly reviews were an effort to make the reviewers updated, but hopefully it can be used also of others with the same interest, i.e. clinical pancreatology. However, it will still be a personal review, which means that the selection of presented articles have been up to the reviewers, and other authors should probably have made at least some other choises. There must be made some limitations, otherwise a review in this form should not be possible to write due to lack of time and lack of brain capacity, and probably not possible to read either. Regarding the limitations, first of all almost all of the articles have been read in their full length, but the writing here is ba...
Pancreatology, 2011
100). Complete sample analysis replacing hematocrit with hemoglobin level predicted a nonsevere c... more 100). Complete sample analysis replacing hematocrit with hemoglobin level predicted a nonsevere course in 182 patients, of whom 2 patients had severe acute pancreatitis (94.3% specificity and 98.9% positive predictive value). Conclusion: HAPS is a highly specific scoring algorithm that predicts a nonsevere course of acute pancreatitis. Therefore, HAPS might be an additional tool in the clinical assessment of acute pancreatitis where early screening is important to treat the patients at an optimal level of care.
World Journal of Surgery, 1996
During the late 1960s total pancreatectomy was advocated on theoretic grounds as an operation sup... more During the late 1960s total pancreatectomy was advocated on theoretic grounds as an operation superior to subtotal (Whipple) resection in patients with pancreatic cancer. There are, however, no prospective randomized studies and only few institutional comparisons between the two operations. The aim of the present paper was to report the clinical outcome of total and subtotal pancreatectomy, respectively, in a consecutive series of patients with exocrine pancreatic cancer. The short-and long-term results of 89 consecutive patients who underwent total pancreatectomy (1959-1984) for pancreatic cancer were retrospectively compared with a similar group of 36 patients who had a subtotal pancreatectomy (1985-1992) for the same diagnosis. The clinical characteristics were on the whole similar in the two groups. Postoperative mortality and morbidity, the amount of intraoperative bleeding, operation time, reoperation rate, postoperative days in the intensive care unit, and duration of hospital stay were statistically significantly increased after total pancreatectomy. The 5-year survival rate was lower after total pancreatectomy when hospital deaths were included in the analysis. At multivariate analysis total pancreatectomy adversely influenced long-term survival compared to subtotal resection, as did positive lymph nodes and poor histologic differentiation. Better early and long-term results were found after subtotal than after total pancreatectomy in patients with exocrine pancreatic cancer. Although the two operations were done during different time periods, we believe the results suggest that total pancreatectomy cannot be recommended as a routine treatment for this patient group.
Annals of Surgery, 1983
A retrospective analysis of factors influencing short-term and long-term survival after total pan... more A retrospective analysis of factors influencing short-term and long-term survival after total pancreatectomy for pancreatic cancer was done in 86 patients. Among the 41 factors studied, hospital mortality was significantly affected by age over 70 years, preoperative diabetes, pain as presenting symptom, S-bilirubin, preoperative bile drainage, prophylactic antibiotic treatment, stage of the tumor, and experience of the surgeon. The only factors which had a statistically significant influence on longterm survival were stage of the tumor and sex of the patient.
The first reports on pancreatic cancer resections were published after operations performed by Fr... more The first reports on pancreatic cancer resections were published after operations performed by Friedrich Trendelenburg (Bonn) in 1882, Theodor Billroth (Wien) in 1884, Alessandro Codivilla (Imola/Bologna) and William S Halsted (Baltimore) in 1898, Walter Kausch (Berlin) in 1912, Georg Hirschel (Heidelberg) in 1914 in 1937. Presumably, the majority of these operations were performed for cancers of the papilla of Vater rather than for exocrine pancreatic cancer. It wasn't until the publication by Allan Oldfather Whipple (New York) with two co-workers in 1935 [1] and subsequently his own article on "The rationale of radical surgery for cancer of the pancreas and ampullary region" in 1941 [2] that highlighted to surgical societies that pancreatic head cancer was technically resectable.
Scandinavian journal of social medicine, Sep 1, 1982
Injuries sustailled in junior league handboll. A prospective stud)' of validity in the registrati... more Injuries sustailled in junior league handboll. A prospective stud)' of validity in the registration of sports injuries.
Scandinavian Journal of Social Medicine, 1982
In a study of injuries sustained in junior league handball, all injuries during 685 hours of play... more In a study of injuries sustained in junior league handball, all injuries during 685 hours of play sustained by 7 320 players have been registered in a cup tournament. Junior handball appears generally to have a very low injury risk, but with a clearly indicated tendency towards more injuries in the higher age group and fewer injuries in the lower age group and among girls. The more serious injuries sustained during a junior handball tournament are carefully registered by the tournament doctor, but the less serious injuries must, if so wished, be registered by other means, for example by telephone call or postal report after the tournament games.
The scientific literature also in small medical subjects like pancreatology is today enormous-and... more The scientific literature also in small medical subjects like pancreatology is today enormous-and it is not possible to keep updated unless making very strong and focused efforts. The present review is an attempt to make it easier for clinical pancreatologists to keep updated. From the beginning the consecutive quarterly reviews were an effort to make the reviewers updated, but hopefully it can be used also of others with the same interest, i.e. clinical pancreatology. However, it will still be a personal review, which means that the selection of presented articles have been up to the reviewers, and other authors should probably have made at least some other choises. There must be made some limitations, otherwise a review in this form should not be possible to write due to lack of time and lack of brain capacity, and probably not possible to read either. Regarding the limitations, first of all almost all of the articles have been read in their full length, but the writing here is ba...
Pancreatology, 2011
100). Complete sample analysis replacing hematocrit with hemoglobin level predicted a nonsevere c... more 100). Complete sample analysis replacing hematocrit with hemoglobin level predicted a nonsevere course in 182 patients, of whom 2 patients had severe acute pancreatitis (94.3% specificity and 98.9% positive predictive value). Conclusion: HAPS is a highly specific scoring algorithm that predicts a nonsevere course of acute pancreatitis. Therefore, HAPS might be an additional tool in the clinical assessment of acute pancreatitis where early screening is important to treat the patients at an optimal level of care.
World Journal of Surgery, 1996
During the late 1960s total pancreatectomy was advocated on theoretic grounds as an operation sup... more During the late 1960s total pancreatectomy was advocated on theoretic grounds as an operation superior to subtotal (Whipple) resection in patients with pancreatic cancer. There are, however, no prospective randomized studies and only few institutional comparisons between the two operations. The aim of the present paper was to report the clinical outcome of total and subtotal pancreatectomy, respectively, in a consecutive series of patients with exocrine pancreatic cancer. The short-and long-term results of 89 consecutive patients who underwent total pancreatectomy (1959-1984) for pancreatic cancer were retrospectively compared with a similar group of 36 patients who had a subtotal pancreatectomy (1985-1992) for the same diagnosis. The clinical characteristics were on the whole similar in the two groups. Postoperative mortality and morbidity, the amount of intraoperative bleeding, operation time, reoperation rate, postoperative days in the intensive care unit, and duration of hospital stay were statistically significantly increased after total pancreatectomy. The 5-year survival rate was lower after total pancreatectomy when hospital deaths were included in the analysis. At multivariate analysis total pancreatectomy adversely influenced long-term survival compared to subtotal resection, as did positive lymph nodes and poor histologic differentiation. Better early and long-term results were found after subtotal than after total pancreatectomy in patients with exocrine pancreatic cancer. Although the two operations were done during different time periods, we believe the results suggest that total pancreatectomy cannot be recommended as a routine treatment for this patient group.
Annals of Surgery, 1983
A retrospective analysis of factors influencing short-term and long-term survival after total pan... more A retrospective analysis of factors influencing short-term and long-term survival after total pancreatectomy for pancreatic cancer was done in 86 patients. Among the 41 factors studied, hospital mortality was significantly affected by age over 70 years, preoperative diabetes, pain as presenting symptom, S-bilirubin, preoperative bile drainage, prophylactic antibiotic treatment, stage of the tumor, and experience of the surgeon. The only factors which had a statistically significant influence on longterm survival were stage of the tumor and sex of the patient.
The first reports on pancreatic cancer resections were published after operations performed by Fr... more The first reports on pancreatic cancer resections were published after operations performed by Friedrich Trendelenburg (Bonn) in 1882, Theodor Billroth (Wien) in 1884, Alessandro Codivilla (Imola/Bologna) and William S Halsted (Baltimore) in 1898, Walter Kausch (Berlin) in 1912, Georg Hirschel (Heidelberg) in 1914 in 1937. Presumably, the majority of these operations were performed for cancers of the papilla of Vater rather than for exocrine pancreatic cancer. It wasn't until the publication by Allan Oldfather Whipple (New York) with two co-workers in 1935 [1] and subsequently his own article on "The rationale of radical surgery for cancer of the pancreas and ampullary region" in 1941 [2] that highlighted to surgical societies that pancreatic head cancer was technically resectable.