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Biomedical subjects

R Mahlke

Publications and source records attributed to R Mahlke.

24 records · Page 2Linked to original sources
PubMed1981

[Sonographic demonstration of the pancreatic duct and its clinical relevance (author's transl)].

Out of 19 patients with sonographically demonstrable pancreatic ducts, the Wirsungian duct was found to be dilated on endoscopic retrograde cholangio-pancreatography (ERCP) in 18 cases and of normal calibre in only 1 case. The cause of dilatation of the pancreatic duct was chronic pancreatitis in 10 patients and pancreatic carcinoma in 8 patients. There were two differing forms of duct representation in the sonographic picture. Retrospective evaluation of sonographic and ERCP results in 43 patients showed that demonstration of a pancreatic duct of normal calibre is seldom possible using ultrasound. As dilated pancreatic ducts are demonstrable sonographically more readily such a finding must be taken as indicative of pancreatic disease.

Aged↗
PubMed1981

[Tuberculous colitis - diagnostic and therapeutic aspects (author's transl)].

Secondary tuberculous enterocolitis is a rare disease since tuberculostatic drugs have been introduced. Leading symptoms are abdominal pain, loss of weight and diarrhoea. Clinical symptoms, laboratory tests, x-ray, and endoscopic findings may lead to the erroneous diagnosis of colon carcinoma. Coloscopy including biopsy may lead the path to the correct diagnosis; they may in some cases, however, not be conclusive. Surgery is not necessarily mandatory as treatment; drug treatment alone may cause complete healing of intestinal tuberculosis, as a case reported here shows.

Actinomycosis↗
PubMedDate not supplied

Chronic nausea as the leading symptom: an indication for double-contrast examination of the upper intestinal tract following normal gastroscopy.

We report a patient with chronic nausea as the leading symptom of a primary carcinoma of the duodenum located at the flexura duodeno-jejunalis. The tumour was not reached at gastroscopy, which was performed twice. Since this area usually cannot be seen upon gastroscopy or upon small bowel enteroclysma according to Sellink, a double-contrast investigation of the upper gastrointestinal tract using a hypotonic agent should be performed when nausea persists although gastroscopy is normal.

Adenocarcinoma↗