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Biomedical subjects

E Bodner

Publications and source records attributed to E Bodner.

At least 91 records · Page 5Linked to original sources
PubMed1981

[Accuracy of ultrasonics in gallbladder diseases (author's transl)].

Report on 158 ultrasonics findings of gallbladder diseases, all of them controlled by laparotomy. The diagnostic accuracy for stones was 99.3% with one false-positive but without any false-negative result. Because ultrasonics is a less time consuming and inexpensive method without trouble for patients, it should be used - if possible with a real-time equipment - as the first apparatively-diagnostic procedure in cases of suspected gallbladder diseases.

Adult↗
PubMed1981

[Computer tomographic diagnosis of pancreatitis and pancreatic cancer].

The article reports on 78 CT scans of surgically verified diseases of the pancreas, namely, 30 cases of chronic pancreatitis, 12 cases of haemorrhagic-necrotizing pancreatitis, and 36 cases of carcinoma of the pancreas. 12 of these cases were operable, whereas 234 were inoperable. The operable carcinomas were so small that proper diagnosis was effected in 50% only, whereas the inoperable carcinomas eluded CT identification in 17% of the cases only. The most important signs of an operable carcinoma of the pancreas are a well-defined enlargement and inhomogeneity of the parenchyma with reduced contrast, especially on bolus injection, as well as dilatation of the bile duct system. The most essential criteria for inoperability are absence of boundaries, especially towards the dorsal side, with infiltration of the retroperitoneal fatty tissue, and lack of delineation of the large vessels. According to the present state of the art, CT does not supply definite criteria for differentiating between an operable carcinoma of the pancreas and chronic fibrotic pancreatitis. Overstepping of the marginal contours is a reliably distinctive feature between carcinoma and pancreatitis, but it also points to the inoperable nature of the disease. Haemorrhagic-necrotizing pancreatitis is characterized by definite CT criteria, so that diagnosis is easy.

Adult↗
PubMed1980

[Clinical aspects of duodenal diverticula].

On the basis of 42 patients the problems of diagnostics, indication for operation and the operative technique of diverticula of the duodenum are described and discussed. It must be emphasized, that in most cases these diverticula do not cause any symptoms. Precondition for successful surgery is adequate experience in surgery.

Adolescent↗
PubMed1980

[Operative procedures for chronic pancreatitis (author's transl)].

The long-term results of 50 patients with chronically calcifying or chronically obstructive pancreatitis who underwent 61 operative interventions without immediate lethality show a superiority of resection over drainage operation. Even in cases of continued alcohol misuse pain was reduced permanently in many cases, however, the time of survival is shortened.

Adult↗
PubMed1979

Diagnosis of resectable pancreatic carcinomas by means of ERCP and intraoperative fine-needle biopsy.

In 27 out of 30 resectable carcinomas of the pancreas or the periampullary region we succeeded in recognizing microscopically the malignant nature of the lesion before removing the neoplasm. This was possible 3 times preoperatively during ERCP by means of forceps biopsy taken from the tumorinfiltrated duodenal wall and with 24 patients intraoperatively by means of fine needle biopsy and cytological rapid diagnosis.

Biopsy, Needle↗
PubMed1978

[The influences of anesthetic methods on intraoperative cholangiometry (author's transl)].

The influence of several anaesthetic methods on the tonus of the sphincter of Oddi was investigated in 45 selected patients undergoing cholecystectomy (halothane; fentanyl; fentanyl-droperidol (DHB); all in combination with N2O:O2 and relaxant). The fentanyl collective showed a significant rise of the common bile duct pressure, while the fentanyl-DHB and the halothane collectives did not show any statistical difference in their parameters. From these results neuroleptanalgesia appears to be a surtable method for biliary surgery.

Adult↗
PubMed1978

[Spontaneous perforation of the gall bladder (author's transl)].

We suggest to differentiate between the real spontaneous perforation of the gallbladder and the inflammatory rupture and contrast both with the traumatic form. In one case treated by us we suceeded in finding the cause of the perforation to be an antatomical deficiency. Sterile cholascos should be distinguished from severe bile peritonitis.

Adult↗
PubMed1978

[Neuroma of the cystic nerve stump. No explanation for post-cholecystectomy pain].

The investigation of 20 clinical patients and the autopsy material of 15 cases showed that neuromas of the cystic duct stump following cholecystectomy represent a regular pathomorphologic condition and have no correlation with any postoperative symptoms. Identical morphologic alterations can also be found on arterial stumps after resection of abdominal organs. Therefore, we suggest eliminating the cystic duct neuroma from the list of possible causes of symptoms after cholecystectomy.

Cholecystectomy↗
PubMed1978

[Surgical palliative procedures in patients with carcinoma of the biliary tract (author's transl)].

A report is given of 72 patients suffering from carcinoma of the extrahepatic biliary ducts. Carcinoma of the gallbladder usually grow fast invading the surrounding tissue. Thus cholecystectomy can be performed only as a pallouative procedure in most cases, and partial resection of the liver does not yield better results in general. Carcinoma of the ductus hepaticus usually grows slowly and metastases are formed lately in the course; thus patients usually die due to occlusion of the ducts and jaundice rather than due to the malignancy as such. In these cases good drainage of the bile is essential, in an early stage this can be achieved by placing a tube across the tumor, in later stages an intrahepatic cholangiojejunostomy is to be performed. The technique of this procedure and results obtained in 10 cases are reported.

Aged↗
PubMed1977

[The intramural duodenal diverticulum, a topical variation of the intraluminal duodenal diverticulum (author's transl)].

The intramural duodenal diverticulum is a topical variation of the intraluminal duodenal diverticulum. It is manifested not before adult age by noncharacteristic upper abdominal symptoms. Diagnosis is made by radiologic examinations, the therapy is excision of the diverticulum. Structure and topography of the diverticulum are explained by its embryological development.

Adult↗
PubMed1977

[Palliative treatment of primary and metastatic tumors of the pancreas].

In primary carcinomas of the pancreas the palliative intervention shows worse results than the radical operation according to our experiences. Deviation is only justified with local irresectable tumours as a symptomatic procedure. In cases of metastatic tumours in the pancreas palliative resection may be the only way in order to eliminate complications (jaundice, pains, hemorrhage, tumour induced pancreatitis) caused by these growths. By means of six cases it is demonstrated that palliative surgery can be remarkably successful in cases of metastasis in the pancreas.

Female↗