The Rôle of Acth, Cortisone and Hydrocortisone in Surgery

Article1 October 1955THE RÔLE OF ACTH, CORTISONE AND HYDROCORTISONE IN SURGERYWILLIAM E. ABBOTT, M.D., HARVEY KRIEGER, M.D., STANLEY LEVEY, Ph.D.WILLIAM E. ABBOTT, M.D.Search for more papers by this author, HARVEY KRIEGER, M.D.Search for more papers by this author, STANLEY LEVEY, Ph.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-43-4-702 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptDuring the past few years a considerable amount of knowledge concerning the use and abuse of ACTH, cortisone and hydrocortisone in the treatment of surgical patients has accumulated. Metabolic alterations of varying magnitude and direction occur in the surgical patient in response to his disease or operation. Since the hormones under discussion are capable of producing significant metabolic changes, it is important to determine whether these are in a favorable or unfavorable direction. The purpose of this paper is to categorize the surgical patients in whom the use of ACTH, cortisone and hydrocortisone (a) is definitely indicated, (b) may be...Bibliography1. KirsnerPalmerKlotz JBWLAP: ACTH in severe chronic ulcerative colitis: observations in four patients, J. A. M. A. 147: 541, 1951. CrossrefMedlineGoogle Scholar2. GrayReifensteinBenson SJRWJA: ACTH therapy in ulcerative colitis and regional enteritis, New England J. Med. 245: 481, 1951. CrossrefMedlineGoogle Scholar3. Machella TE: Problems in ulcerative colitis, Am. J. Med. 13: 760, 1952. CrossrefMedlineGoogle Scholar4. ColeGroveMontgomery WHWJMM: Use of ACTH and cortisone in surgery, Ann. Surg. 137: 718, 1953. CrossrefMedlineGoogle Scholar5. 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