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Biomedical subjects

F Burcharth

Publications and source records attributed to F Burcharth.

At least 73 records · Page 4Linked to original sources

[Suprarenal cysts].

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Adrenal Gland Diseases↗

Comparison of splenoportography and transhepatic portography in the diagnosis of portal vein thrombosis.

Accurate diagnosis and localization of thrombosis in the portal venous system is essential for proper surgical treatment. We compared the results of percutaneous transhepatic portography and splenoportography in 66 patients with cirrhosis of the liver. The two methods agreed on absence of thrombosis in 48, and in presence of thrombosis (verified later by surgery/autopsy) in four patients. In 12 patients an apparent thrombosis diagnosed by splenoportography was disproved by transhepatic portography, and vice versa in two patients. Free portal pressure and splenic pulp pressure did not differ significantly irrespective of the 'diagnosis' of thrombosis. We conclude, that transhepatic portography is better than splenoportography in making the diagnosis of thrombosis in the portal venous system although failure to visualize the splenic vein may indicate splenoportography.

Female↗

Endoscopic diagnosis and extraction of biliary ascaris.

A woman was admitted to hospital after several episodes of severe upper right abdominal pain and vomiting. Previously she had had cholecystectomy for gallbladder stones, and later endoscopic papillotomy to treat common duct stone. Endoscopic retrograde cholangiography diagnosed an Ascaris worm in the common bile duct. One end of the 20 cm long living worm was caught in a Dormia basket when it protruded through the papillotomy opening, and the worm extracted with the endoscope.

Adult↗

A new transhepatic endoprosthesis to prevent dislodgement.

A new transhepatic endoprosthesis, a so-called screw endoprosthesis with a spiral-shaped elevation to prevent dislodgement, is presented. The elevation is created by a silver wire wound around the endoprosthesis. Further, the wire may be used as a marker for radiotherapy or for taking biopsies, and it makes it easier to control the position of the endoprosthesis. The screw endoprosthesis was used in 22 patients, including 9 patients with high strictures in which dislodgement is known to be frequent, and 2 patients in whom previously inserted ordinary endoprostheses had been dislodged. The insertion of the screw endoprosthesis was easy. The complication rate was similar to that of ordinary transhepatic endoprosthesis. No cases of dislodgement were observed.

Adult↗

Pancreatic pseudocysts during first attack of acute pancreatitis.

One hundred and forty-eight patients admitted with their first episode of acute pancreatitis were examined by ultrasonography. During the acute attack 1 or more pseudocysts were found in 19 patients (13%), pancreatic abscess in 2, whereas 127 had a normal or swollen pancreas. Two small cysts resolved spontaneously, eight were cured after ultrasonically guided needle aspiration or catheter drainage, and cystogastrostomy was necessary in four cases. One patient refused treatment. Abscesses requiring surgical drainage developed in four of the patients with pseudocysts. The study showed that pseudocysts may appear as early as within 1 week of the first episode of acute pancreatitis. Some pseudocysts may resolve spontaneously, and ultrasonically guided aspiration or drainage may cure approximately half of the pseudocysts.

Acute Disease↗

Comparison of ultrasonography and transhepatic cholangiography in the evaluation of obstructive jaundice.

The diagnostic value of ultrasonography and percutaneous cholangiography was compared in 114 consecutive patients with obstructive jaundice. The final diagnosis was obtained by surgery or autopsy. Transhepatic cholangiography diagnosed obstruction and its level in all patients, whereas ultrasonography failed to find obstruction in 3 patients and was unable to determine the level in 11 patients. The cause of obstruction was correctly assessed in 106 patients by transhepatic cholangiography and in 74 by ultrasonography. In 15 patients with obstruction caused by common duct calculi ultrasonography only diagnosed the five, and in 9 patients malignant obstruction was diagnosed as calculi. Ultrasonography is a reliable tool for diagnosis of obstructive jaundice and in most cases for localisation of the level of the obstruction. However, diagnosis of the cause of obstruction and of its precise topography requires direct cholangiography.

Adult↗