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Biomedical subjects

A Grundy

Publications and source records attributed to A Grundy.

At least 37 records · Page 2Linked to original sources
PubMed1991

Tuberculous broncho-oesophageal fistula in the acquired immunodeficiency syndrome.

Mycobacteria are the most common bacterial infections occurring in AIDS patients. Although the gastrointestinal tract is commonly involved, there has been only one case report of oesophageal infection. We report a patient in whom oesophageal tuberculosis was the presenting feature of AIDS and review the features of mycobacterial infections in AIDS. The incidence of extrapulmonary infection is common and mycobacterial oesophagitis should be considered in the differential diagnosis of oesophagitis in AIDS.

Acquired Immunodeficiency Syndrome↗
PubMed1991

Technical report: percutaneous treatment of a pancreatic duct fistula facilitated by an hydrophilic guide wire.

A case in which a pancreatico-cutaneous fistula was successfully treated percutaneously is presented. The use of an hydrophilic guide wire enabled a catheter to be negotiated across an irregular abscess cavity and into the occluded main pancreatic duct. The low friction and good flexibility of hydrophilic guide wires can greatly facilitate difficult procedures.

Catheterization↗
PubMed1989

Duodenal pseudotumour: a silent impacted common bile duct calculus.

We report the case of a man with mild dyspeptic symptoms referred for barium meal, who was initially thought to have a duodenal tumour. Subsequent investigation showed this to be a pseudotumour caused by impaction of a gallstone in the distal common bile duct, and endoscopic sphincterotomy effected a cure. This readily treatable condition should be remembered when filling defects are demonstrated in the duodenal loop.

Ampulla of Vater↗
PubMed1988

Balloon dilatation of upper gastrointestinal tract strictures.

Balloon dilatation has been performed in a series of 30 patients with strictures of the upper gastrointestinal tract over a period of 28 months. The technique of balloon dilatation is described and the results of follow-up are presented. Sixty per cent of patients have remained symptom-free following balloon dilatation. Twenty-seven per cent of patients have undergone regular repeated dilatations when symptoms have recurred. There were no complications from the technique. Balloon dilatation is a safe and acceptable alternative to conventional methods of bougienage in the management of upper gastrointestinal tract strictures.

Aged↗
PubMed1987

The intragastric balloon: a novel idea proved ineffective.

Twelve grossly obese patients who weighed 121 +/- 22 kg (mean +/- s.d.) had a free-floating 600 ml spherical intragastric balloon inserted per oesophagus and have been followed for 12-24 months. Nine patients lost up to 21 kg (11 +/- 6.4 kg) over 3 months after which they reached a plateau and then regained weight so that by 1 year only one patient had maintained her weight loss. Three patients could not tolerate the balloon owing to complete reflex inhibition of gastric emptying. Such marginal and temporary weight loss is of no value in the treatment of gross obesity.

Adult↗
PubMed1987

Percutaneous transhepatic cholangiography in the investigation of the persistent postoperative bile leak.

Percutaneous transhepatic cholangiography (PTHC) is now a widely available, inexpensive investigation with a low incidence of complications, especially in the nonobstructed system, and a high success rate. Its role in the management of obstructive jaundice is well established but it is only infrequently performed in the investigation of persistent bile leakage following biliary tract surgery. Four cases are reported in which the superior demonstration of biliary anatomy provided by PTHC allowed successful identification of the site of postoperative biliary leakage. We compared PTHC with other diagnostic imaging techniques available and conclude that it is a safe, accurate, and reliable technique.

Adenocarcinoma↗
PubMed1985

Radiological appearances following vertical banded gastroplasty.

Vertical banded gastroplasty was performed on 19 grossly obese patients. Upper gastrointestinal contrast studies were performed on all patients in the immediate post-operative period and at 3 months and 1 year in 16 and 12 patients, respectively. The immediate and long-term appearances are presented and discussed. The surgical outcome depends on pouch size, outlet diameter and staple line integrity, which are reliably demonstrated by double-contrast barium studies.

Adult↗
PubMed1985

The value of the Radial Head-Capitellum view in radial head trauma.

The value of the Radial Head-Capitellum view has been assessed in a series of 28 consecutive cases of radial head fracture. Additional useful information was obtained in 21% of cases. The Radial Head-Capitellum view may be a valuable additional view in assessing radial head trauma.

Clinical Trials as Topic↗
PubMed1984

Gastrogastric intussuscepting leiomyomas.

Two cases of gastrogastric intussusception of leiomyomas are presented. Intussusception of a fundal mass into the gastric antrum can cause a confusing appearance on the double-contrast barium study. Intermittent intussusception was seen on fluoroscopy in 1 case.

Aged↗