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Biomedical subjects

O Ekberg

Publications and source records attributed to O Ekberg.

At least 109 records · Page 6Linked to original sources

Ultrasonography in the diagnosis of gallbladder carcinoma.

Sonographic examination of the gallbladder (GB) was performed in 21.646 patients. A histopathologically documented gallbladder carcinoma (GBC) was present in 59 patients (0.27%). Five different sonographic patterns were revealed with differences in number of associated findings, echo pattern and correct preoperative diagnosis. The sonographic diagnosis was correct in 59% and retrospective diagnosis in 65%. Most of the sonographically detectable GBC were inoperable (90%). 15 fine-needle biopsies were positive in 100% and reduced the number of explorative laparotomies. The survival rate was 3 days to 4 years after the first sonographic examination.

Adult↗

[Radiologic evaluation of the pharynx].

A variety of radiological methods are available for examination of the pharynx and they are reviewed in this presentation. The method should be chosen based on the specific clinical situation. To screen patients with swallowing complaints, a functional analysis is necessary with video or cinetechniques. For delineation of tumour growth, double-contrast radiograms, CT, ultrasound and MR should be considered the methods of choice. Angiography can occasionally be used for intra-arterial infusion in tumour treatment.

Cineradiography↗

The value of herniography in elderly women with groin pain of obscure origin.

In 64 women aged 60-90 (mean 69) years with groin pain of obscure origin (no palpable mass), the diagnostic contribution of positive-contrast herniography was retrospectively evaluated. Groin hernia was found in 28 patients (44%), and was judged to have caused the pain in 18 of them. In 13 of these patients herniorrhaphy relieved the symptoms, and in the other five surgery was contraindicated. The origin of the groin pain in the remaining 46 patients was judged to be musculoskeletal (21), intestinal (11), urogenital (3) or other (11). Herniography thus can substantially contribute in the clinical investigation of groin pain of unclear origin in elderly women.

Age Factors↗

Collagen degradation by experimentally-induced subcutaneous granulation tissue in the rat.

Granulation tissue provoked by implantation of cellulose sponge or a nylon bag degraded a powder of homologous collagen. This activity was located in a non-filtrable tissue fraction and was associated with the appearance of mononuclear and histiocytic giant cells, following an early polymorphonuclear-cell infiltration. The activity could be manipulated experimentally, indicating that this model can be used in investigations of inflammation-induced collagen degradation.

Animals↗

Inguinal hernia in urological patients: the value of herniography.

The value of herniography was reviewed in 45 patients with a variety of urological symptoms (4 with flank pain, 20 with pain from the funicle or scrotum, 11 with symptoms simulating prostatitis and 10 with ill-defined symptoms from the small pelvis). In no patient was a groin hernia palpable at physical examination. However, herniography revealed an inguinal hernia in 6 patients who underwent herniorrhaphy, whereafter 5 became asymptomatic. We recommend herniography in patients with long-standing obscure groin pain to reveal the presence of a nonpalpable inguinal hernia.

Adult↗

Functional analysis of anorectal junction: defecography.

The radiograms and videotape recordings from 32 defecographies in patients with defecation complaints were retrospectively analyzed. The patients had been examined in an upright position during stooling of a barium contrast medium. All patients had had a double contrast colon examinations which was normal. Internal procidentia was found in 20 patients, enterocele in 9 patients, proctocele in 10 patients, a defective opening of the anorectal junction which was ascribed to incoordination of the puborectal sling was present in 15 patients. Most patients had a variety of concomitant dysfunctions.

Adult↗

Pharyngeal and oesophageal function in patients with diabetes mellitus and swallowing complaints.

Pharyngeal and oesophageal function were monitored using cine and video techniques in 18 diabetic patients with swallowing complaints. Morphological lesions had been excluded with double-contrast radiography. Abnormal pharyngeal function was present in 14 patients and abnormal oesophageal function in 10 patients. Eight of these patients had both pharyngeal and oesophageal dysfunction. Dysphagia does not seem to be a frequent symptom in diabetic patients but, when present, warrants a detailed analysis of pharyngeal and oesophageal function in order to reveal the underlying cause. We found cine and video techniques to be of value and we recommend them for use in functional analysis in these patients.

Adult↗

Radiology of the pharynx and oesophagus in young adults.

The indication for and results of radiological examination of the pharynx in 195 young adults (83 men, 112 women; age 13-40 years) were analysed retrospectively. A total of 99 patients were examined because of a suspected foreign body. In only seven was a foreign body revealed; two patients had mucosal tears. Five other emergency examinations were normal. Eighty-seven patients were examined because of long-standing upper oesophageal dysphagia. One had a diverticulum in the pharyngooesophageal segment and another had oesophageal achalasia. Nineteen other patients had pharyngeal dysfunction. Eighteen patients were examined because of retrosternal pain on swallowing. One had a pedunculated pharyngeal cyst while two had pharyngeal dysfunction. The other examinations were normal. Our results show that a careful radiological examination of the pharyngeal function is of value in young adults with swallowing complaints. Even in acute dysphagia a foreign body is seldom revealed. In patients who had undergone cineradiography, 21 of 90 (23%) had some form of pharyngeal dysfunction which could account for the patients' symptoms.

Adolescent↗

Longstanding groin pain in athletes. A multidisciplinary approach.

In 21 male athletes (age 20 to 40 years) with longstanding unexplained groin pain, a multidisciplinary investigation was performed in order to reveal the underlying cause. These examinations included general surgery for detection of inguinal hernia and neuralgia, orthopaedic surgery for detection of adductor tenoperiostitis and symphysitis, urology for detection of prostatitis, radiology for performing herniography and plain film of the pelvic bones, nuclear medicine for isotope studies of the pubic bone and symphysis. In 19 patients there was a positive diagnosis for 2 or more of the diseases (10 patients had 2 diseases, 6 patients had 3 diseases, 3 patients had 4 diseases). Two patients had only signs of symphysitis. Our results show the complexity of longstanding groin pain in athletes. It also explains why therapy for one specific disease entity may fail. We conclude that this clinical setting demands the recruitment of a team with experience of different aspects of groin pain.

Adult↗