ISSN:0192-0790    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

Hans Eppinger (1879-1946) of Vienna killed himself on being summoned to the Nuremberg trials after World War O. It seems likely that, at the very least, be had planned some lethal experiments on prisoners in the Nazi concentration camps. Now that a prize in his name is given at the Falk Symposium in Europe, wide discussion of Eppinger's alleged complicity in concentration camp experiments is appropriate.

ISSN:0192-0790    

出版商:OVID    

年代:1984

数据来源: OVID

ISSN:0192-0790    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

ProxProximal esophageal strictures have received little attention in the gastroenterologic literature. Of 238 esophageal strictures endoscopically recognized at the Phoenix V.A. Medical Center over the past 7l/2 years, 20 lesions were in the upper or mid and upper esophagus (8.4%). Sixty percent of these lesions were benign, mostly as the result of total laryngectomy and postoperative irradiation. In contrast to more distal lesions, proximal esophageal strictures often required initial rigid bougienage with Peustow dilators and frequent dilation thereafter.

ISSN:0192-0790    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

The conventional Brooke ileostomy is performed far more frequently than the Kock continent ileostomy. To determine the relative satisfaction with these operations, patients whose Brooke ileostomy had been converted to a Kock pouch were questioned about changes in their life-styles. Data were obtained from 80 patients who had worn an external appliance from 4 months to 33 years before the change-over to a Kock pouch. Improvement was reported in social activities (96.2%), athletic endeavors (87.5%), and sexual relations (76.2%). Patients spent less time caring for the stoma (92.5%) and wore street and beach attire with greater ease (97.5%). An average reduction of 75% was noted in ileostomy maintenance costs. The overall patient satisfaction with the Kock pouch was 98.7% despite an appreciable incidence of pouchitis and revisional operations. In our experience, the readier acceptance by patients of a continent internal reservoir over an external fecal-filled appliance has led to the performance of proctocolectomies for ulcerative colitis at an earlier stage of the disease.

ISSN:0192-0790    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

In order to detect early pancreatic changes in chronic alcoholism, we reviewed pancreatograms (ERP) in 35 patients with alcoholic chronic liver disease who had no clinical evidence of pancreatitis. The patients were grouped by the length of history of alcohol intake (group 1: 5-15 years; group 2: more than 15 years), and on the basis of daily alcohol intake (group 1: 100-150 g/day; group 2: 150-200 g/day; group 3: more than 200 g/day). Pancreatic changes were present at ERP in 48.6% of patients, suggesting mild pancreatitis in 15 patients and advanced pancreatitis in two. Pancreatic lesions were significantly more frequent (p<0.01) in those who took more than 200 g of alcohol each day. There was no correlation with the length of history of alcoholism or with hepatic lesions. Our data confirm that asymptomatic pancreatitis is frequent in chronic alcoholism and that ERP can detect pancreatic lesions not otherwise demonstrable.

ISSN:0192-0790    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

Isospora belliis a cause of protracted diarrhea in immunocompromised patients. Acquired immunodeficiency syndrome (AIDS), seen mostly in homosexual men and narcotic addicts, predisposes affected persons to a number of opportunistic infections. AsIsospora besllihas been reported only once in this group, we report.Isospora belliin an AIDS patient with chronic diarrhea.

ISSN:0192-0790    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

Progressive anemia, melena, and sudden massive upper gastrointestinal bleeding in a man with cutaneous neurofibromatosis (von Recklinghausen's disease) since childhood prompted endoscopic demonstration of multiple gastric neurofibromas. One source of gastric bleeding removed by endoscopic electrosurgery proved to be a malignant schwannoma (spindle cell sarcoma). A pulmonary schwannoma, multifocal intracerebral spindle cell sarcomas, an extra-adrenal pheochromocytoma, and ocular neurofibromas were other features of this neuroectodermal dysplasia. Neurogenic tumors of the gastrointestinal tract are rare, commonly present with dyspepsia, abdominal pain, anemia, or hemorrhage, and should be suspect in the clinical setting of cutaneous neurofibromatosis. In the patient with systemic neurofibromatosis, endoscopic removal represents a safe method of diagnosis and treatment of bleeding neoplasms in the stomach or duodenum.

ISSN:0192-0790    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

Aortoesophageal fistula is a rare cause of massive gastrointestinal hemorrhage, and may occur as a sequela to prosthetic replacement of the thoracic aorta. Esophageal compression necrosis with leakage of microorganisms into the proximal suture line is probably central to pathogenesis. Like the more common aortoduodenal fistula, diagnosis by traditional radiographic and endoscopic methods is difficult. We report here such a fistula, in which computed tomographic soft tissue abnormalities were characteristic of perigraft abscess; fistulization occurred subsequently. CT holds potential for being a sensitive study to show localized perivascular infection, an important precursor to aortoenteric fistula, and as such should be positive early in the development of a fistula.

ISSN:0192-0790    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

During the period 1979-1982, 10 cases of cholangiocarcinoma associated with hepatolithiasis were seen. We report the clinical features of 10 cases of cholangiocarcinoma in association with hepatolithiasis, along with detailed histopathology from the four resected specimens. Our observations suggest that whenever intrahepatic stones are encountered in patients over 50 years of age with a long history of recurrent cholangitis and intractable pain, further examination incuding echo-guided aspiration cytology, liver scanning, and peritoneoscopy should be performed to rule out a coexisting cholangiocarcinoma.

ISSN:0192-0790    

出版商:OVID    

年代:1984

数据来源: OVID