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Biomedical subjects

R Reiss

Publications and source records attributed to R Reiss.

At least 73 records · Page 4Linked to original sources
PubMed1986

Septum of the gallbladder, clinical implications and treatment.

We report four patients with a congenital gallbladder septum whose symptoms resembled those of cholelithiasis, in one case giving rise to acute cholecystitis. Cholecystectomy relieved symptoms in all cases and examination of the operative specimen confirmed the clinical diagnosis and X-ray findings. Ultrasonography made a positive diagnosis in the last two cases and no stones were found in any of the cases described. Cholecystectomy is advocated in symptomatic patients with this condition, even when gallstones are not present.

Adult↗
PubMed1986

Inflammatory fibroid polyp of the jejunum causing intussusception.

A case of inflammatory fibroid polyp of the jejunum is presented. This is the seventh case of this type of polyp in the jejunum and, to the best of our knowledge, the first one producing jejunojejunal intussusception. Symptoms of the inflammatory fibroid polyp in this part of the intestine are usually those of intermittent obstruction or intussusception, as in our patient. The treatment is surgical excision of the polyp.

Female↗
PubMed1986

Macrophage migration inhibition factor test in breast tumors.

Thirty women with breast lumps who attended our outpatient clinic were randomly chosen for this study. The breast tumors were benign in 8 and malignant in 22 patients. Ten healthy women constituted a control group. In 15 of the 22 patients (68%) with malignant lesions, the migration inhibition factor (MIF) test was positive. Only one of the patients with benign lumps had a positive reaction. The MIF test was negative in all women in the healthy control group. It seems reasonable to conclude that the human cell-mediated immunity system is affected by the presence of breast cancer, and that the MIF test aids in the differentiation between benign and malignant breast tumors and has a sensitivity of at least 70%. The test may be of value in the postoperative follow-up of patients with breast cancer.

Adult↗
PubMed1986

Primary duodenal carcinoid with malignant carcinoid syndrome: a case report.

Primary duodenal carcinoid causing a malignant carcinoid syndrome is rare. Herein a case is reported. In view of this case and a review of the literature, the carcinoid syndrome is almost pathognomonic of massive liver metastasis or involvement of organs whose venous drainage is not through the portal system. The right upper quadrant abdominal pains accompanied by symptoms that resemble even part of the carcinoid syndrome should initiate the investigational process including proximal gastrointestinal endoscopy to avoid delay in diagnosis of duodenal carcinoid.

Carcinoid Tumor↗
PubMed1985

Acquired immunodeficiency syndrome in New York City. Evaluation of an active surveillance system.

In January 1983, the New York City Department of Health initiated an active surveillance program for acquired immunodeficiency syndrome (AIDS) in 19 hospitals and a modified-active surveillance program in the remaining 69 hospitals. We reviewed hospital laboratory and autopsy records in 12 active surveillance hospitals and three modified-active surveillance hospitals six months later. Patients who had opportunistic diseases characteristic of AIDS diagnosed in 1982 (before active surveillance) and 1983 (after implementation of active surveillance) were matched against health department AIDS surveillance reports. For the 16 months we evaluated, 96% of patients identified with AIDS in the 12 active surveillance hospitals and 100% of those in the three modified-active surveillance hospitals had been reported to the health department. The delay between diagnosing a case and reporting it to the health department significantly decreased between 1981 and the first six months of 1983 in all hospitals. The proportion of cases reported within one month of diagnosis increased from 45% to 69% during this period. We conclude that the current surveillance program for AIDS in New York City is effective and that case reporting is sufficiently complete for accurate analysis of disease trends.

Acquired Immunodeficiency Syndrome↗
PubMed1985

Sonographic monitoring to guide the performance of postabortal uterine curettage.

This communication describes a technique of sonographically monitored uterine curettage. This method is of particular value in the management of postabortal endomyometritis associated with retained products of conception or in any situation in which anatomic variation (for instance, retroversion) makes curette insertion difficult.

Dilatation and Curettage↗
PubMed1985

Postoperative course and rehabilitation achievements of colostomates.

Forty colostomates (mean age, 61.5 years) were examined and interviewed 3 to 174 months (mean, 47.5 months) after creation of their colostomies, to try to determine their rehabilitation achievements after leaving the hospital. All patients had permanent colostomies, most of them after Miles' operation for carcinoma of the rectum. Most patients leave the hospital distressed and unprepared for independent life. They lack confidence and urgently need the help of the community health services, which repeatedly disappoint them. Patients are not aware of the anticipated problems and available agencies that offer support. They have irregular bowel habits, discharge of gas and unpleasant odor, as well as diminished sexual and social life. Irregularity of bowel habits seems to be the most difficult unresolved problem and is the main cause for social handicap, a handicap which is exacerbated by various commonly occurring surgical complications.

Adaptation, Psychological↗
PubMed1985

Emergency abdominal procedures in patients above 70.

The tremendous increase of emergency abdominal operations in elderly adults is due to the growing geriatric population, many with abdominal pathology. There also seems to be a greater willingness of the surgeon to operate on these patients. This report deals with 200 consecutive abdominal emergency operations in patients above age 70. During a period of 8 years, 472 operations in this age group were performed; there was a total of 871 emergency operations in all ages. The number of men was higher than women. The commonest cause of surgery in this group was biliary disease, followed by intestinal obstruction. Appendicitis was responsible for only 15% of the geriatric emergencies. The results suggest that early surgery with definitive procedures offers the best chance of success.

Abdomen, Acute↗
PubMed1985

Simultaneous local recurrence of retroperitoneal paraganglioma with liver metastases.

A 68-year-old woman with a history of a nonfunctional paraganglioma resected 23 years previously presented with an abdominal mass. Tumor metastases to the liver were seen at the second operation. The tumor had a more pleomorphic appearance, but was otherwise similar to the original tumor. We discuss the difficulty of predicting the later malignant behavior of the tumor from the original biopsy specimen.

Aged↗