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Biomedical subjects

P Gertsch

Publications and source records attributed to P Gertsch.

At least 109 records · Page 6Linked to original sources
PubMed1983

[Modification of arterial blood flow using venous occlusion plethysmography].

Arterial blood flow volume was registered simultaneously by pulsed Doppler and venous occlusion plethysmography in 14 limbs of healthy subjects aged 25 to 36 years. The results were as follows: from the beginning of venous occlusion and during venous filling phase, arterial flow diminishes to 73% of its initial value. This diminution is due to a progressive decrease in arterial systolic flow as well as an increase in diastolic arterial reflux. The results reflect the increase in peripheral resistance as well as the elasticity of the arteries, which, during the diastole, return upstream a part of the arterial systolic flow.

Adult↗
PubMed1983

Long-term follow-up after a distal splenorenal shunt procedure. A clinical and hemodynamic study.

Of 26 patients who underwent distal splenorenal shunting 4 or more years ago (1969 to 1978), 10 died 3 to 87 months postoperatively (mean 38.5 months). Six deaths were due to liver failure, two to hemorrhagic peptic ulcer disease (the shunt remained patent in each patient), one to brain hemorrhage, and one to sepsis. Eight of the surviving patients resumed professional activity, one showed transient signs of encephalopathy, one had a single episode of recurrent variceal bleeding that could be managed conservatively, and no patient had ascites. Eight patients were investigated angiographically and endoscopically. Preoperative and postoperative measurements of the portal vein showed a decreased diameter in five patients and no opacification in the other three 29 to 97 months after surgery. At endoscopy four patients had small residual esophageal varices, one patient had none, and the other three had large varicosities with variceal pressures between 30 and 40 cm H2O in two and above 40 cm H2O in one. Although the incidence of postoperative encephalopathy and variceal bleeding was low after distal splenorenal shunting, the operation did not prevent a decrease in hepatopetal portal flow and did not always abolish the esophageal varices.

Adult↗
PubMed1983

Endoscopic non-aggressive assessment of oesophageal variceal pressure compared with wedged hepatic venous pressure in alcoholic liver cirrhosis.

Ten alcoholic cirrhotic patients presenting with oesophageal varices underwent simultaneous measurement of wedged hepatic venous pressure and endoscopic variceal pressure. The latter was obtained by means of a pneumatic pressure gauge fixed to the tip of a gastrofibroscope. The correlation between these two parameters was highly significant.

Aged↗