Search PubMed⌕ Search

Biomedical subjects

H G Reichelt

Publications and source records attributed to H G Reichelt.

34 records · Page 2Linked to original sources
PubMed1985

[Partial Budd-Chiari syndrome with Zahn infarct of the liver in venous transmitted tumor thrombosis of a uterine cancer].

Aspects of a patient's case are reported in which tumorogenic thrombosis, originating from a clinically occult uterine carcinoma, was transmitted via the ovarian vein into the inferior vena cava, thus leading to hepatic vein occlusion (partial Budd-Chiari syndrome) with hepatic infarct. The specific angiographic signs of Zahn's infarct are described and interpreted.

Adenocarcinoma↗
PubMed1985

[Inoperable cancer of the left hepatic duct--CT criterion and relation to angiography findings].

In the diagnosis of pancreaticobiliary tumors, computerized tomography is becoming the routine examination method. Occasionally, due to the complexity of anatomical factors, diagnosis of tumor origin and operability is difficult. Vascular invasion, as an indicator of the inoperability of a cystic duct carcinoma, is demonstrated angiographically and compared with the CT finding of a preaortic soft-tissue shadow.

Aged↗
PubMed1979

[Hepato-biliary sequential scintigraphy for diagnosis of bile-passage after bilio-digestive anastomosis (author's transl)].

37 patients with bilio-digestive anastomosis--18 choledocho- and 19 hepatico-jejunostomies Roux-en-Y--had been followed up for 6--62 months. Hepato-biliary sequential scintigraphy showed in 26 patients both unimpeded bile passage and normal function of the jejunal loop. 6 patients had stenosis in the common bile duct or the anastomotic region with cholangitis and cholostasis. In 5 patients we observed an impaired function of the jejunal loop. Though all of these patients had clinical symptoms only one patient developed cholostasis.

Bile Duct Diseases↗
PubMed1978

[Hepatobiliary sequential-scintigraphy--progress in the evaluation of postcholecystectomy complains (author's transl)].

The hepatobiliary sequential-scintigraphy is a nuclear diagnostic procedure useful in assessing the function of liver and biliary system. 40 patients with and 20 patients without complains following cholecystectomy were examined. The value of this method in establishing biliary causes for such complains is demonstrated by typical cases. Simplicity and safety in application as well as diagnostic sensitivity should place the method in the first place evaluating postcholecystectomy complains. Succeeding indirect and direct radiologic techniques then may be used systematically with benefit for the patient and physician. Results indicate, that the procedure will be essential as well in evaluation as in analysis of nature and frequency of such complains by its superior presentation of intrahepatic bilestasis and functional mechanisms of the biliary system including the sphincter of Oddi.

Biliary Tract Diseases↗
PubMed1978

[Hepato-biliary sequential scintigraphy. A diagnostic possibility for monitoring bile secretion following orthotopic liver transplantation].

One often finds complicating diagnostic uncertainties, when evaluating cholestasis in the early postoperative phase as well as in the follow-up of orthotopic liver transplants. One potential complication is the obstruction of the biliary tract caused by various conditions. The diagnostic value of hepatobiliary sequential imaging is demonstrated in there patients. This method is a noninvasive, simple way of investigating the bile flow after orthotopic liver transplantation, and therefore proves a valueable tool among the diagnostic procedures used for differentiation of the cholestasis syndrome.

Bile↗
PubMed1978

[Heatobiliary sequential scintigraphy. Value of this nuclear-medicine-diagnostic technic in the pre- and postoperative stages following hepato-biliary-tract injuries].

The increase in accidental abdominal trauma with liver injury and the wide spread of invasive gastroenterologic/radiologic procedures with the risk of liver or biliary tract damage necessitate diagnostic methods for detection and postoperative control of such lesions. Diagnostic procedures in acute liver damage are discussed. Hepato-biliary sequential scintigraphy proves reliable in detection of bile leakage into the peritoneal cavity. Because of the sensitivity, the method should be used before radiologic investigations, e.g., in diagnosis of postoperative biliary structures and in the examination of functional behavior of biliodigestive anastomoses. Intrahepatic bile stasis is recognized as the forerunner of cholangitis.

Accidents↗
PubMed1977

[Hepato-biliary sequential scintigraphy-developments, methods and recommendations for its clinical use. Experience in 350 patients with (99m)Tc-Solcoscint-Hepatobida (author's transl)].

Hepato-biliary sequential scintigraphy is an isotope method in the diagnosis of liver and biliary disease. The value and accuracy of the diagnostic information depends on the development of high resolution gamma cameras and new radiopharmaceuticals; these are described briefly. Our investigations on 350 patients were carried out (99m)Tc-Soloscint-Hepatobida. A number of clinical examples illustrate the scope and value of the examination; from these the indications can be deduced. Hepto-biliary scintigraphy will not replace proven gastro-enterological and radiological methods of investigation, but may be added to these in order to obtain rapid and reliable information. This will be of assitance both to the physician and the patient in deciding which of the more complex methods should be employed next.

Acetanilides↗
PubMed1977

[Diagnostic exploration of biliodigestive anastomoses with isotopes (author's transl)].

Using the radiopharmaceutical Solcoscint-Hepatobida (99mTc) and a high definition camera, sequential hepato-biliary scans were performed. Twenty-five patients were used to demonstrate the value of the method for the evaluation of biliodigestive anastomoses and for the recognition of post-operative complications. The method can be recommended in combination with radiological procedures or in situations where radiology cannot be used.

Bile Ducts, Intrahepatic↗
PubMed1977

Xeroradiographic studies in 150 patients with solitary scintigraphically nonfunctioning nodules of the thyroid gland.

Xeroradiographic studies were performed in 150 patients with a solitary scintigraphically nonfunctioning nodule of the thyroid gland. This procedure was demonstrated to be superior to conventional radiographic techniques in imaging the trachea, in the visualization of the cervical subcutaneous and visceral compartments and in the identification of cystic walls. It is also a sensitive method for the detection of calcifications. Psammoma bodies are typical for malignant changes in nodes whereas other types of microcalcifications are nonspecific. Coarse, amorphous calcifications are typical for benign adenomas with regressive changes; shell-like calcifications are seen in longstanding cysts.

Cysts↗
PubMed1977

[The functionally defective Roux Y-loop in biliodigestive anastomoses].

In comparison to common radiologic methods hepato-biliary sequential scintigraphy proves superior in the investigation of the choledocho-(hepatico-)jejunostomy Roux-en-Y. The functional behavior of the jejunal-(Roux-en-Y-) loop is demonstrated. After biliary-intestinal anastomoses, 15 healthy patients showed normal dynamic studies with unimpeded bile passage. Hypotonic loops with intrahepatic bile stasis responsible for cholangitis were seen in 2 patients. A strangulation phenomenon on the level of the mesocolon hiatus responsible for upper abdominal pain is demonstrated in one case.

Bile↗
PubMed1977

[Polycistic liver disease. The hepato-biliary sequential scintigraphy in comparison with other diagnostic procedures (author's transl)].

Hepato-biliary sequential scans are a diagnostic nuclear medicine procedure which might be applied widely with new radiopharmaceuticals and high solution gamma cameras. Typical sequential scans of polycystic liver disease (2 cases) are demonstrated for the first time. Valuable diagnostic information is obtained by usage of all technical facilities to differentiate other diseases, for instance mistaken parenchymal liver changes due to cystic renal disease or metastatic liver disease.

Cysts↗
PubMed1977

[Hepato-biliary sequence-scintigraphy in pre- and postoperative upper abdominal diagnosis. Studies on 200 patients using the radiopharmacon 99mTechnetium-Solcoscint-Hepatobida].

Hepato-biliary dynamic studies with 99mTc-Solcoscint-Hepatobida are suggested in the pre- and postoperative investigation of patients with possible surgical disease of the biliary tract. The equipment used for the studies was a gamma camera. The diagnostic criteria used were those of blood retention, liver, gall bladder, and biliary tree visualisation. Results from findings in 200 patients are presented to demonstrate the ability of the technique; especially to disclose evidence indicating intra- or extrahepatic causes of cholestasis.

Adult↗
PubMed1977

[Use of a new method for the determination of the duodeno- and jejunogastral reflux after gastric surgery].

The use of hepato-biliary sequential scintigraphy with 99mTechnetium as a new method to demonstrate duodenogastric or jejunogastric reflux is described. In contrast to other techniques, the benefit of minimal stress for patients, routine practice, and combined measurement of fasting and postprandial reflux is pointed out. First clinical studies in postoperative patients are presented and it is accentuated, that this technique has a special field of application in gastric surgery.

Duodenal Diseases↗