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Biomedical subjects

E Kvist

Publications and source records attributed to E Kvist.

58 records · Page 4Linked to original sources

Gallstone ileus. A retrospective study.

Eight patients have been admitted with gallstone ileus (GSI) to the Herning Central Hospital during the period 1960--1977. All of the patients were subjected to enterolithotomy only. One patient died postoperatively. On follow-up examination 6 months to 11 1/2 years after operation, one patient complained of a recurrence of cholecystitis, but refused operation. The other patients had no biliary tract complaints. We still consider, due to the above, that enterolithotomy alone is a sufficient primary procedure, and that only in cases of new biliary tract complaints can cholecystectomy and closure of an eventual fistula be considered.

Aged↗

Vascular injury complicating meniscectomy. Report of a case.

Severe haemorrhage occurred from the posterior wall of the capsule during meniscectomy in a 17-year-old girl. Arteriography showed an aneurysm originating from a larger branch of the popliteal artery, and the aneurysm was extirpated. Exploration of the blood vessels (or arteriography) is advisable, should severe bleeding occur during meniscectomy or postoperatively.

Adolescent↗

Ceftriaxone/metronidazole is more effective than ampicillin/netilmicin/metronidazole in the treatment of bacterial peritonitis.

In a prospective, open, controlled clinical study, 190 consecutive patients who were thought to have bacterial peritonitis before operation, were randomised to antibiotic treatment during and after operation with either ceftriaxone 1 g plus metronidazole 1.5 g once daily (n = 94) or ampicillin 2 g plus netilmicin 150 mg twice daily plus metronidazole 1.5 g once daily (n = 96). Incisional and deep surgical wound infections, postoperative pneumonia and urinary tract infection as well as deaths caused by infection were recorded. Ceftriaxone-metronidazole was significantly more effective than ampicillin-netilmicin-metronidazole, 6/94 wound related infections (6%) compared to 18/96 (19%) (p = 0.02). In patients with peritonitis caused by a perforated colon or appendix the rates of clinical failure were 6% and 28%, respectively. We consider ceftriaxone plus metronidazole an efficient and easily administered antibiotic regimen in patients with bacterial peritonitis, and both the wide range of activity against Gram-negative aerobic rods and the long half life of ceftriaxone seem to be beneficial.

Adolescent↗