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Biomedical subjects

J Romeu

Publications and source records attributed to J Romeu.

89 records · Page 5Linked to original sources

Gastrointestinal telangiectasias. A source of bleeding in patients receiving hemodialysis.

Endoscopy was used over a five-year period to determine the cause of acute or chronic gastrointestinal (GI) tract bleeding in 46 patients receiving long-term hemodialysis. Nine (19%) of the patients were found to be bleeding from telangiectasias. We observed the occurrence of such lesions in the stomach, the small bowel, and the colon. Endoscopic cauterization of the lesions in three patients and jejunal resection in another stopped previously recurrent GI tract bleeding.

Aged↗

Endoscopic removal of an obstructing duodenal duplication cyst.

Duplications are congenital lesions, spherical or tubular in shape and composed of a muscular wall with a gastrointestinal lining. They may be found at any level from the mouth to the anus, and are usually intimately attached to some portion of the gastrointestinal tract (1, 2). The endoscopic removal of both primary duodenal polyps and prolapsing antral polyps which cause outlet obstruction has been previously described. We report a case of a symptomatic duplication cyst of the apex of the duodenal bulb, which was removed endoscopically. A patient with outlet obstruction symptoms due to a duplication cyst of the duodenal apex is described. Complete cessation of symptoms followed endoscopic removal of the cyst.

Aged↗

Upper gastrointestinal bleeding in patients with portal hypertension: a reappraisal.

The current medical literature states that upper gastrointestinal bleeding in patients with cirrhosis and portal hypertension originates from a variety of sources. Although variceal bleeding has been recognized as the principal source, acute erosive gastritis and peptic ulcer are said to be the bleeding site in a large percentage of cases. In 140 consecutive patients with endoscopically documented esophageal varices who came to our service with upper gastrointestinal hemorrhage, varices were the source of bleeding in approximately 90%, regardless of whether the underlying liver disease was due to alcoholism or not. We conclude that: 1) patients with varices almost always bleed from varices, and 2) the incidence of erosive gastritis and peptic ulcer as a cause of bleeding in this group has been overemphasized.

Adult↗

The role of endoscopy in suspected amebiasis.

The diagnosis of amebic colitis can be difficult and confusing. The gross endoscopic appearance as well as the results of endoscopic biopsy can be extremely helpful in differentiating amebiasis from other forms of colitis. Clinical symptoms, laboratory studies, x-ray findings, cultures, and even serological studies may not be sufficient for making an accurate diagnosis. To illustrate the potential difficulties we are reporting three patients in whom the diagnosis of amebiasis was considered but in whom endoscopy was important for arriving at the correct diagnosis.

Adolescent↗

Chronic recurrent spontaneous bacterial peritonitis.

The mortality rate in spontaneous bacterial peritonitis is reportedly high. Patients rarely survive the initial infection. Most patients die either because of infection or end-stage liver disease. A patient with alcoholic cirrhosis and portal hypertension with five distinct episodes of spontaneous bacterial peritonitis over a 2 1/2-year period is described.

Ascites↗

Lipid proctitis.

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Female↗

Spontaneous resolution of mediastinal pancreatic pseudocyst.

We report the findings in a 39-year-old man with alcoholic pancreatitis and a lower posterior mediastinal mass. Endoscopic retrograde pancreatographic and ultrasonographic studies permitted an unequivocal diagnosis of mediastinal pancreatic pseudocyst. The pseudocyst resolved spontaneously five weeks after diagnosis, without specific therapy.

Adult↗

Relapsing systemic infection due to Rhodococcus equi in a drug abuser seropositive for human immunodeficiency virus.

A case of recurrent multisystemic infection due to Rhodococcus equi in a patient with antibody to the human immunodeficiency virus (HIV) but without AIDS is reported. This case, which occurred in a woman with a history of alcohol and drug abuse, is, to our knowledge, the first such case described. The infection involved the lungs, kidneys, brain, and bloodstream. Despite several courses of therapy with antibiotics to which her isolates of R. equi were susceptible in vitro, the patient experienced multiple relapses before her death. On the basis of this case and a few others reported in HIV-infected patients, we recommend an initial antibiotic course at least 6-8 weeks in duration, and we suggest that combination antibiotic treatment be considered. We also suggest that infection with R. equi be included in the diagnostic criteria for AIDS.

Actinomycetales Infections↗

[Sinusitis in children: epidemiologic findings in a school-child population].

We effectuated is school children an X-ray clinical correlation of the paranasal sinus. Anamnesis and ENT exploration had been made in 283 children between 4 and 8 years of age, followed by an X-ray research of the paranasal sinus. We made up various groups according to their clinical state and X-ray characteristics.

Age Factors↗