Abstract
Individuals who are seropositive for the human immunodeficiency virus (HIV) often suffer from disorders affecting the anorectum, but unfortunately the best kind of treatment frequently seems questionable. In a retrospective investigation we reviewed 29 HIV-positive patients with anorectal lesions who had experienced a proctologic operation. Our impression correlates with other findings according to which HIV-positive patients in advanced stages have a poorer post-operative outcome in terms of morbidity and survival than patients in an early CDC disease stage. This implies that the indication for a proctologic operation in an immunocompromised state has to be considered carefully.
MeSH terms
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AIDS-Related Opportunistic Infections / diagnosis
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AIDS-Related Opportunistic Infections / mortality
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AIDS-Related Opportunistic Infections / surgery
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Adult
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Anus Diseases / diagnosis
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Anus Diseases / mortality
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Anus Diseases / surgery*
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Anus Neoplasms / diagnosis
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Anus Neoplasms / mortality
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Anus Neoplasms / surgery*
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Female
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HIV Infections / classification
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HIV Infections / diagnosis
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HIV Infections / mortality
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HIV Infections / surgery*
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Humans
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Male
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Middle Aged
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Postoperative Complications / etiology
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Prognosis
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Rectal Diseases / diagnosis
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Rectal Diseases / mortality
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Rectal Diseases / surgery*
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Rectal Neoplasms / diagnosis
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Rectal Neoplasms / mortality
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Rectal Neoplasms / surgery*
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Survival Rate
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Treatment Outcome