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Biomedical subjects

S W Trenkner

Publications and source records attributed to S W Trenkner.

23 records · Page 2Linked to original sources

The combined Collis gastroplasty-Nissen fundoplication: surgical procedure and radiographic evaluation.

The combined Collis gastroplasty-Nissen fundoplication consists of a combination of an esophagus-lengthening Collis gastroplasty with 360 degrees complete Nissen fundoplication operation. This report reviews the clinical and radiographic features of 60 consecutive patients who underwent this operation for the control of symptomatic gastroesophageal reflux. The surgical procedure, the technique of postoperative radiographic examination, normal radiographic anatomy, and abnormalities detectable radiographically are briefly described. All patients were examined on the seventh postoperative day initially with iodinated water-soluble contrast medium followed by barium to establish integrity of the gastroplasty tube, fundoplication wrap, and dilated esophageal stricture. Later in the postoperative period, elective barium esophagrams were prompted by complaints of dysphagia (three patients) and symptoms of gastroesophageal reflux (five patients).

Adult↗

Double-contrast examination. Part I: Oesophagus, stomach and duodenum.

The double-contrast upper gastrointestinal radiograph is an excellent modality for detailed evaluation of the oesophagus, stomach and duodenum. Through its use subtle inflammatory and neoplastic lesions can be diagnosed. It also provides a more detailed look at gross pathology than can be achieved with conventional studies alone. Despite the benefits of double-contrast the single-contrast phase of the study remains important and it is included in all cases. This combined study remains an important modality in the diagnosis of upper gastrointestinal disease.

Choristoma↗

Esophageal food impaction: treatment with glucagon.

Nineteen patients who had foreign bodies in the distal esophagus were examined prospectively to determine the efficacy of intravenous glucagon in relieving the obstruction. The administration of glucagon resulted in clearance of the impacted food in seven patients. Although the success rate is relatively low, the risk is minimal and justifiable. Use of intravenous glucagon is a safe, worthwhile initial step in the treatment of distal esophageal foreign bodies.

Adult↗

Lymphomas in solid organ transplantation.

BACKGROUND: The purpose of this investigation was to identify and characterize abdominal lymphomas as they occur in a large solid-organ-transplant population. METHODS: A large transplant population was isolated, and all patients developing an abdominal lymphoma were identified. These patients were further characterized after review of their medical records and radiologic examinations. RESULTS: Twenty-eight (1%) of 2925 patients developed lymphoma following transplantation. Of these 28 patients, 14 developed abdominal manifestations of disease. Examples of the wide variety of abdominal manifestations of posttransplant lymphoma are presented. Most of these patients had positive titers for Epstein-Barr virus and were treated with cyclosporin as a part of their immunotherapy. The majority of patients died secondary to this aggressive disease process. CONCLUSION: The development of lymphoma following solid organ transplantation is more common than in the general population. One-half of the patients in our study population developed abdominal manifestations of this disease.

Abdominal Neoplasms↗