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Biomedical subjects

P Oberlin

Publications and source records attributed to P Oberlin.

At least 37 records · Page 2Linked to original sources

[Therapeutic attitude in choledocoduodenal fistulas complicating duodenal ulcer].

The authors present 5 observations of choledocoduodenal fistula complicating chronic duodenal ulcer disease. Four cases were observed in Central Africa, the other in France. After a study of the frequency, and especially of the higher incidence in Africa, the authors review the problems associated with the pathology, clinical and diagnostic aspects of this complication. Moreover, they evoke the essential problems of management, as based on their experience and a review of the literature: medical vs. surgical treatment, should and how they treat the biliary lesions. Their individual results are criticized. A policy for the management of this complication is considered.

Adult↗

[Nephrotic syndrome with minimal glomerular lesions, sensitive to corticoids, disclosing a chordoid sarcoma].

A 65 year old woman had a minimal changes nephrotic syndrome (MCNS) with steroid-induced remission. An underlying malignancy was discovered at the time of relapse of proteinuria: it was a retroperitoneal chordoid sarcoma. Even though the tumor could not be excised, complete remission was again observed with corticosteroids. There was no second relapse when prednisone was discontinued and during the seven months before the patient died. This is a new unusual case of MCNS associated with carcinoma. The response of nephrotic syndrome steroid therapy is further suggestive evidence that deficiency in T-cell function may be involved.

Acute Kidney Injury↗

[Treatment of perforated duodenal ulcers (author's transl)].

No single therapeutic procedure exists for the treatment of perforated duodenal ulcers, and a marked degree of bias is found in published results. These studies are analysed, and a therapeutic schedule proposed which takes into account the chronicity of the ulcer lesion before perforation, the open or covered nature of the ulcer as shown by radiographic examination with a water-soluble medium, and the general condition of the patient.

Duodenal Ulcer↗

[Fascicular nailing of the femur and tibia. 14 years' experience. Report of 275 cases (author's transl)].

The use of the fascicular four-pin nail has been introduced to correct certain inadequacies revealed by the rigid nailing according to Kuntscher's method; made up of four tiny pins soldered at each end, it fits the curve of the bone; its elasticity allows a much greater resistance to repeated strain as compared to other nails; an experimental study which compares the stability of fresh femurs cut then nailed according to different methods, reveals a definite superiority for the fascicular nail. The clinical use for 14 years (275 nailings among which 92 cases werefresh closed fractures of the femur) confirms that such a method provides the advantage of nailing without reaming as well as the possibility of immediate weight bearing ambulation for most patients (75% in the cases of resh femur or tibia fractures).

Biomechanical Phenomena↗

[Is conservative treatment justified in the case of advanced infantile tuberculosis of the hip? (author's transl)].

In the case of advanced children tuberculosis of the hip, the authors propose a more active treatment than Wilkinson's, which is less conservative. A local curetting is important, and if the acetabulum reveals a geodic aspect, this surgery may be done by pelvic approach. After an orthopedic traction, the surgical method is more efficient and permits better flexibility of the hip, only to be noticed under general anesthesia. After surgery, this traction must be prolonged for a several months and kinesitherapic mobilisation must be associated. The excellent result, both clinical and radiographic obtained by the authors seems to justify the use of the above mentioned method.

Acetabulum↗