Search PubMed⌕ Search

Biomedical subjects

D Jaspersen

Publications and source records attributed to D Jaspersen.

32 records · Page 2Linked to original sources
PubMed1992

[Doppler ultrasound detection of ischemic colitis].

A 67 year old female patient came to admission because of colic abdominal pain and suspicion of intestinal bleeding. Coloscopically we found disseminated ulcerations within hemorrhagic swollen mucosa at left flexure, right and lower colon were without pathological finding. We thought of ischemic colitis and performed endoscopic dopplersonography. A reduced flow noise over the anastomotic loop between upper and lower mesenteric artery was evident. By means of histology and radiology ischemic colitis was confirmed and after therapy cicatrical healing resulted. As far as we know for the first time ischemic colitis could be recognized with endoscopic dopplersonography.

Aged↗
PubMed1991

[Dual cause of obstructive jaundice: cholangiolithiasis and malignant choledochal stenosis].

Endoscopic retrograde cholangiopancreatography in a 78-year-old woman with right-sided upper abdominal pain and jaundice (total bilirubin 8.9 mg/dl) revealed two stones, of about 1 cm diameter each, in the biliary duct. They were removed after papillotomy. Because of persisting jaundice (total bilirubin 7.6 mg/dl) and a history of two years of recurrent cholecystitis a cholecystectomy was performed. At operation an advanced carcinoma of the gallbladder was discovered, with tumour compression of the extrahepatic choledochal duct. After removal of the gallbladder the stenosis was bridged with a T-drain. For permanent bile diversion of a self-expanding stent was endoscopically implanted. The patient has been symptom-free so far for 6 months. It is stressed that, especially in elderly patients, malignant choledochal stenosis must be included in the differential diagnosis of obstructive jaundice caused by stones and diagnostic procedures undertaken accordingly.

Age Factors↗
PubMed1991

[Proctoscopic Doppler sonography in hemorrhoidal hemorrhage--vascular diagnosis and therapy follow-up].

Painless bright red peranal bleeding is a leading symptom of first and second degree hemorrhoid. After having excluded the possibility of bleeding in an upper region diagnosis is made proctoscopically, which is generally followed by injection therapy. Arterial blood supply can be reliably imaged with the aid of 20 MHz microvascular Doppler sonography and the success of therapy can be verified as well as documented after injecting a sclerosing substance.

Adult↗