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Biomedical subjects

M Jaeger

Publications and source records attributed to M Jaeger.

At least 127 records · Page 7Linked to original sources

[Salmonella colitis].

Salmonella colitis is defined on the basis of 3 case reports and 75 well-documented cases from the literature. Salmonella colitis is an acute ulcerative colitis occurring in enteric salmonellosis. There is complete clinical and endoscopic remission within 4--8 weeks and no relapse. The disease is to be distinguished from idiopathic ulcerative colitis in a salmonella carrier state. The difficulties of this differential diagnosis are demonstrated in a further case report.

Adult↗

[Congenital cystic dilatation of the intrahepatic bile ducts. Caroli's disease and its complications].

Two cases with congenital dilatations of the intrahepatic bile ducts are reported. The clinical, diagnostic and therapeutic aspects and possible complications of this rare disease are discussed. The well-known frequent occurrence of cholangiocarcinoma in Caroli's disease is illustrated by one of our patients. Because of the limited therapeutic possibilities, the prognosis of this illness remains unfavourable.

Adult↗

[Value of sonography in the diagnosis of obscure cholestasis].

A retrospective study has been conducted in 36 cholestatic patients to determine the diagnostic accuracy of ultrasonography in preliminary differentiation of obstructive from non-obstructive hepato-biliary disease. Due to the high rate of correct biliary duct caliber evaluation, ultrasonography has proved itself an excellent screening method in patients with cholestasis of uncertain origin. The choice of the subsequent more invasive diagnostic examinations (ERC, PTC, laparoscopy) depends on the ultrasonic findings.

Biliary Tract↗

[Inquiry of the Swiss Cardiology Society on long-term pacemakers in Switzerland in 1976 and 1977].

The Swiss Society of Cardiology has conducted a national inquiry into the state of pacing in Switzerland for the years 1976 and 1977. With a total of 1250 pacemakers implanted each year and a rate of first implantation of 146 per year and per million inhabitants, this study illustrates the methods of Swiss cardiologists and the problems which they meet in the field. It is generally agreed, as in other countries, that stimulation of the right ventricle by endocavitary approach with demand pacemakers generated by lithium batteries appears to be excellent for the moment. Pacemakers which can be programmed were not in widespread use during the period of this study. The incidence of various complications is considered.

Electrodes↗

A double-blind trial of synthetic salmon calcitonin in the treatment of acute pancreatitis.

A multicenter randomized double-blind trial on the use of synthetic salmon calcitonin (SCT) was carried out in 94 patients with acute pancreatitis. In addition to strict standard treatment--without aprotinin, atropine, or antacids--50 patients received daily 3 x 20 micrograms = 300 MRCU SCT intravenously and 44 patients received placebo for 6 days. Mortality rate was not influenced, overall mortality being 5.3%. The number of patients without pain and with normalized serum amylase on a given day was significantly higher in the group treated with SCT. Other parameters such as doses of analgesics, leukocyte count, and normalization of seven defined clinical and laboratory criteria within 6 days showed a positive trend without reaching significance.

Acute Disease↗

[The fiberoptic-endocopic intubation for the palliatuve treatment of malignant esophageal stenosis].

Fibreoptic-endoscopic dilatation and intubation is a relatively new and safe palliative treatment for patients with inoperable esophageal carcinoma. The procedure is described at length in three patients in whom it produced instant relief of dysphagia and rapid improvement of nutrition. The stay in hospital is reduced to a minimum. Possible complications are discussed.

Bronchial Neoplasms↗

[The role of reduction of the heart rate in the favorable effect of the beta blockers on myocardial ischemia due to isoprenalin in patients with angina pectoris].

In the patient suffering from angina, the protective effect of oxprenolol in the isoprenaline test is demonstrated by the reduction of disappearance of ischemic-type electrocardiographic alterations and of angina and rhythm disturbances. In our study, these results were obtained in spite of neutralization of the negative chronotropic effect of the beta-blocker through the use of an endo-auricular pacemaker. This points indirectly to the role played by the contractile state of the myocard in catecholamine-induced modifications of the oxygen intake of cardiac muscle.

Adult↗

[Electrocardiographic diagnosis of coronary insufficiency by means of right atrial pacing].

In 285 patients who underwent selective coronary arteriography and atrial pacing for electrocardiographic diagnosis of suspected coronary failure, the sensitivity of this test was found to be rather poor: 43% positive results for atrial pacing compared to 50% for the submaximal exercise test, 75% for the maximal exercise test and 63% for the isoprenaline infusion test. In our experience atrial pacing is of diagnostic value only where uncertainty persists after a negative isoprenaline infusion test and an exercise test likewise negative but for some reason submaximal.

Coronary Disease↗

[Spontaneous hemobilia in the differential diagnosis of upper gastrointestinal hemorrhages].

Hemobilia, biliary tree hemorrhage, is characterized by melana and/or haematemesis, biliary colic and clinical jaundice. The rare cause of gastrointestinal bleeding probably accounts for quite a large percentage of gastrointestinal hemorrhages of undetermined source. In the evaluation of gastrointestinal bleeding the hepato-biliary system is seldom examined unless trauma has occurred. However, 10-15% of cases with hemobilia are non-traumatic. Three cases are presented illustrating three different causes of non-traumatic hemobilia observed during the last three years. The diagnostic problems and the therapeutic possibilities are described.

Aged↗

[Proceedings: Results of the surgical treatment of valvulopathies and ischemic heart disease in patients older than 65 years].

53 patients aged from 65 to 76 years underwent surgery for valvulopathies (23 patients), atherosclerotic heart disease (24 patients) or both diseases combined (6 patients). All these cases were in NYHA fonctional classes III and IV except for one patient in class II. Hospital mortality after surgical treatment of these cardiopathies was 3.8% (2 deaths). The late mortality of 19% (10 deaths), though high, was of non-cardiac origin in 7 of these patients. The clinical and hemodynamic findings in the two patients who died in the postoperative period were compared with those in the others. These two patients were more severely ill and had a greater degree of cardiomegaly than the average patient in the surviving group. The satisfactory clinical improvement in these elderly cardiac patients suggests that surgery can be recommended at least up to 75 years of age if there are no obvious contraindications. Life expectancy of 13-16 years for patients aged 65 and 8-9 years for patients aged 75 is a further reason for advocating surgical intervention.

Aged↗