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Biomedical subjects

F Hauzeur

Publications and source records attributed to F Hauzeur.

10 recordsLinked to original sources

[Deep duodenoscopy and ERCP].

The deep duodenoscopy serves for the endoscopico-bioptic clarification of radiologically unclear findings distally from the bulb (niches, sockets, stenoses) and of the positional relations between diverticulum and papilla. As a rule, it is connected with an endoscopic retrograde cholangiopancreaticography (ERCP). The endoscopic retrograde pancreaticography is indicated in relapsing chronic pancreatitis for proving or excluding of changes needing operation which are taken into consideration as partial factors of the relapsing course as well as in suspicion to a local pancreatitis complication and carcinoma of the pancreas. The endoscopic retrograde cholangiography is a decisive aid for the differentiation of the cholostatic icterus. It improves the diagnostics of complaints after operative interventions at the system of the biliary ducts, facilitates the diagnosis of the papillary stenosis and is indicated in insufficient conventional contrasting the biliary ducts. The complications (pancreatitis, cholangitis, cystic infection) have become rare with increasing experience. Contraindications are the florid pancreatitis and cholangitis.

Cholangiography

[Modern pancreatic function tests].

The functional diagnostics is a corner-pillar of the difficult diagnostics of pancreas. Despite new tests many wishes remain open. The secretine-pancreozymine test and the Lundh-test give good informations, but they are expensive and for the patients considerably stressing. They certainly are not regarded as screening tests. The suitable and justifiable tests for epidemiologic examinations (estimations of stool enzymes and of serum isoamylase) are less specific and sensitive. A differentiation between chronic pancreatitis and neoplasm of the pancreas is not possible with the help of the functional diagnostics. The results of functional examinations may be correctly evaluated only within all informations which concentrate at the patient's bed.

4-Aminobenzoic Acid

[The contribution of ERCP to the diagnosis of chronic pancreatitis].

A survey is given of the present state of the ERCP in the diagnostics of the chronic pancreatitis. The ERCP is not suited for the proof of early changes in the chronic pancreatitis; it does not allow an exclusion diagnosis. The value of the ERCP in the chronic pancreatitis consists in the fact to render the indication to operation by the proof changes which should be operated on, or to precise it, respectively, and to prevent unnecessary test laparotomies. For this reason the ERCP is indicated above all in the ascertained chronically relapsing pancreatitis and in the persistence of symptoms after an acute inflammatory attack. The most comprehensive information about the morphologic state of the pancreas is got by the combination of the ERCP with methods which reflect the size and the external form of the organ and give evidence concerning the structural changes (sonography, computer tomography).

Cholangiography

[Deep duodenoscopy and endoscopic retrograde cholangiopancreaticography].

A survey is given on indications, results and complications of the deep duodenoscopy and endoscopic retrograde cholangiopancreaticography. The endoscopic retrograde pancreatography is indicated in the chronic forms of pancreatitis, in suspicion to cysts of the pancreas or tumours. Its results have a decisive influence on the indication to surgical procedure and on the planning of the intervention. The endoscopic retrograde cholangiography is of greatest practical significance for the differential diagnosis of the cholestatic icterus: non-obstructed bile ducts exclude an extrahepatic icterus and render a laparotomy useless. Furthermore, the endoscopic retrograde cholangiography is indicated when the demonstration of the duct is intravenously insufficient, when papillary or prepapillary narrowings are present and in the etiologically unclear syndrome of postcholecystectomy. The most dangerous complications of the endoscopic retrograde pancreatography are the acute pancreatitis and the infection of cysts. Cholangitides and septicaemias appear after the endoscopic retrograde cholangiography only in such cases when obstructions of the drainage are present.

Cholangiography

[Endoscopy and biopsy of the esophagus].

Since glass fibre instruments are used, the number of oesophagoscopies very much increased. The complication rate is small. The oesophagus can be inspected without any gaps in all sections. Our knowledge on pathogenesis and distribution of certain diseases of the oesophagus has considerably been enlarged by modern biopsy and endoscopy. In the urgent clarification of acute causes of haemorrhage in the upper alimentary tract endoscopy stands in the first place compared with all other diagnostic methods. The interpretation of the findings in the oesophagus demands an experienced and critical examinator, as the bioptic particles frequently are very small.

Biopsy

[Radiography and endoscopy in the diagnosis of the gastroduodenal ulcer].

In the clarification of circumscribed processes in stomach and duodenal bulb radiodiagnostics and endoscopy supplement themselves in an ideal way. The endoscopy seems to have advantages in recognition and explanation of findings on the cardial and subcardial parts of the stomach as well as on the operated stomach. Deformation of the duodenal bulb and changes of the post-stenotic parts can be better judged radiologically. The complete healing of an ulcer is exactly recognisable only by means of endoscopy. Linear ulcers are often not to be seen in radiodiagnostics. With the help of the aimed biopsy the decision on benignity or malignity of the ulcerating process has become easier. Every radiologically not certainly explainable findings and every discrepancy between X-ray picture and complaints of the patients should bring about an endoscopic examination.

Biopsy

[Complete gastric erosions--a relatively frequent gastroscopy finding].

While by means of the semiflexible Wolf-Schnidler-gastroscope no complete erosions had been seen, they were found in 12.7% in 615 gastroscopies, carried out with glass fibre endoscopes. In nearly 80% of the patients the erosions, appearing in most cases in a larger number, were localised in the antrum ventriculi. As the most frequent concomitant disease the gastroduodenal ulcer was found. Roentgenologically in no case the diagnosis erosion was made. As to the soft tissues defects of the epithelium could rarely be ascertained, however, more frequently a foveolar pseudohyperplasia as the morphological substrate of the marginal wall. Chronic-atrophic changes of the mucous membrane in the environment of the erosions were by far more frequently to be proved than superficial gastritides or normal findings on the mucous membrane of the stomach.

Chronic Disease