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Biomedical subjects

H Saisho

Publications and source records attributed to H Saisho.

At least 163 records · Page 9Linked to original sources
PubMed1981

Collateral veins in portal hypertension: demonstration by sonography.

The diagnostic value of real-time sonography for portal hypertension was assessed in 38 patients with collateral veins using a linear array scanner in comparison with percutaneous transhepatic portography. The frequency of detection of collaterals by sonography relative to that by percutaneous transhepatic portography was 85% for the coronary, 100% for the paraumbilical, and 10% for the short gastric veins. Sonography demonstrated the paraumbilical vein in three patients in whom portography failed to opacify it. Real-time sonography is perhaps the first-choice procedure for the demonstration of collateral veins and diagnosis of portal hypertension.

Collateral Circulation↗
PubMed1980

Ultrasonically guided percutaneous contrast medium injection and aspiration biopsy using a renal-time puncture transducer.

A real-time transducer for ultrasonically guided puncture was used for percutaneous contrast medium injection and aspiration biopsy in 160 patients with various diseases of the abdomen. Opacification of the bile ducts, pancreatic duct and the portal vein was accomplished in 157 patients. Percutaneous aspiration biopsy provided cytological proof of malignancy in 56 of 64 patients with suspected carcinoma. Ducts or vessels less than 10 mm wide on ultrasound images were successfully opacified, and biopsy confirmed at 2 X 2.5-cm carcinoma.

Biopsy, Needle↗
PubMed1980

Real-time sonography of the pancreatic duct: application to percutaneous pancreatic ductography.

Using a linear-array electronic real-time scanner, ultrasonic pancreatograms were obtained in 21 of 25 normal adults and in 28 of 29 patients with pancreatic disease. The normal pancreatic duct was seen as a thin anechoic tube with echogenic walls and an inner diameter under 0.8 mm. In patients with pancreatic disease, changes in the duct such as dilatation, obstruction, and pancreatic stones could be seen. When ultrasonic pancreatograms were compared with endoscopic pancreatograms in the same patients, there was a good correlation in the patterns of duct dilatation. Using a real-time transducer to guide a thin needle for puncture, both percutaneous pancreatic ductography and percutaneous aspiration biopsy of the pancreas were successfully performed as a single procedure in eight patients with carcinoma of the head of the pancreas. There were no major complications, and the examination provided a definitive diagnosis in all patients.

Adult↗
PubMed1977

Congenital cystic dilatation of the common bile duct: relationship to anomalous pancreaticobiliary ductal union.

Thirty patients from 15 to 69 years of age with congenital cystic dilatation of the common bile duct were studied. The diagnosis was made by intravenous cholangiography in 70% of the patients and by percutaneous transhepatic cholangiography and/or endoscopic retrograde cholangiopancreatiography in the entire group. Cystic dilatation was also noted in the intraphepatic bile ducts in 12 patients. A union between the common bile and main pancreatic ducts occurred at a high position in 17 of 18 patients in whom both ducts were adequately opacified, forming an abnormally long common channel. One patient with choledochodele had a normal union. The anomalous unions were of two types: the pancreatic duct entering the common duct and the common duct entering the pancreatic duct. The mode of union was correlated with the degree of extrahepatic bile duct dilatation, age of onset, and frequency and severity of symptoms. It is postulated that the congenital anomaly in the union of the two duct systems is the cause of the disease and the congenital choledochocele has a different etiology.

Adolescent↗