A 61-year-old woman with paresthesia and coldness of the right forearm came to our institute. Her right arm was strangulated and tracted by a vinyl string tied at her right brachium. No pulsation of her right radial artery was detected, and her forearm had swollen with subcutaneous hematoma. Her arteriography showed occlusion of the distal site of the right brachial artery, and just proximal to the brachial arterial bifurcation was enhanced by collaterals. She underwent emergency revascularization 6h after injury. There was a thrombus in the artery at the strangulated site, and the arterial intima was circumferentially dissected. The injured site of the artery was completely resected and interposed with basilic vein. Although 8h had passed from injury to reperfusion, myonephropathic metabolic syndrome did not occur after the operation. Her brachial arterial pulsation is now well palpable. The arterial occlusion was probably caused by the circumferential tear of the intima due to not only direct strangulation but also strong traction of the arm. It is necessary to resect a sufficient length of injured artery.

During the 10-year period from January 1978 to December 1987, our department of surgery performed a total of 1, 839 surgical operations for cancer of the stomach. The surgical removal rate stood at 96.9%, and 80.2% of the patients who underwent surgery were cured. The cases of early grastic cancer accounted for 54.3%. The death rates under and after the operation were 0.3% and 0.8%, respectively.
The 5-year suvival rates for progressive cancer removal cases and cured cases are 53.9% and 74.2%, respectively.
To improve the results of treatment, improvements should be made to the method of physical examination for early detection of diseases and diagnostics, and surgical techniques. In addition, interdepartmental collaboration in therapy is called for.