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Biomedical subjects

T Banciu

Publications and source records attributed to T Banciu.

70 records · Page 4Linked to original sources
PubMedDate not supplied

Serum gamma-glutamyltranspeptidase assay in the detection of alcohol consumers and in the early and stadial diagnosis of alcoholic liver disease.

Gamma-glutamyltranspeptidase (GGTP) assay, clinical and morphologic investigations were performed in three groups of subjects: 1) 128 healthy subjects, exposed to high alcoholic risk; b) 97 chronic alcohol consumers, hospitalized; c) 87 patients with alcoholic liver disease (ALD) morphologically confirmed. The GGTP assay was positive in 80% of the drinkers; the values varying according to the amount and the duration of alcohol consumption. The correlation index between the GGTP values and the morphologic aspects was 0.51 for chronic drinkers with ALD. The positivity degree of this test and the anatomo-clinical aspects of liver injury were well correlated, maximum values corresponding with severe liver damage. Our results show the value of GGTP assay in the detection of chronic alcoholics and of ALD.

Alcohol Drinking↗
PubMedDate not supplied

Laparoscopic contribution to liver tumour diagnosis.

From the about 3000 laparoscopies effected in our Department, 276 liver tumors (9.2%) were detected. Of these, 47 (17%) were primary adenocarcinomata (28), or adenocarcinomata grafted on cirrhosis (19). The large majority (195 cases: 70.6%) consisted of metastases of digestive (gastric, large intestine, pancreatic) or extradigestive (breast, ocular, genital) tumors. In 34 cases the tumor formations where represented by hydatic cysts, abscesses and hemangiomata (3 cases). The decisive contribution of peritonescopy to the diagnosis of the primary or the metastatic liver cancer as well as of other liver tumors is obvious.

Adenocarcinoma↗
PubMedDate not supplied

Morphological markers with predictive-evolutive value in liver diseases.

A morphological, endoscopic and bioptic (histologic and electron microscopic) study carried out in 86 patients with acute persisting hepatitis (APH) and 240 patients with noncirrhogenous alcoholic hepatitis (AH) allowed the observation of some aspects with predictive-evolutive value in liver diseases. In APH the endoscopic observation of a change of colour from bright red to variegated and the appearance on histologic examination of portal infiltrate with invasive tendency as well as of collagen spurs penetrating in the portal spaces, suggest the onset of the chronicity. In AH the changes with predictive value present in both AH and hepatic steatosis are, the alterations of the liver surface, and especially perivenular and perisynusoidal fibrosis.

Biopsy↗
PubMedDate not supplied

Study of gastroesophageal reflux by determination of endoesophageal pH using the Heidelberg telemetering capsule.

Gastroesophageal reflux (GER) was determined by recording the endoesophageal pH using the Heidelberg telemetering capsule in 60 patients with various esogastroduodenal diseases. Gastroesophageal reflux was found present in 29 patients (48.3%). The nature (acid in 27 cases, alkaline in 2 cases) as well as the degree of reflux (score 1-6.5) could also be determined by this method. Radiologically reflux could only be detected in 12 out of the 29 patients (41.6%) of whom 9 with hiatal hernia. Only 62% of the GER cases were symptomatic, this being in agreement with the high scores and with the presence of esophagitis confirmed histologically. In chronic ethanol consumers (24 cases) the incidence of GER was increased (70.8%) suggesting the role of alcohol in the relaxation of the lower esophageal sphincter. In conclusion this method proved useful for the detection and quantification of GER.

Adult↗
PubMedDate not supplied

The hepatic component in alcoholic encephalopathy.

In a group of 34 chronic alcohol addicts with neuropsychic manifestations--alcoholic encephalopathy (AE)--and 9 subjects with chronic non-alcoholic liver diseases, biochemical (ammonemia, pyruvicemia, lactacidemia), enzymatic (gamma-glutamyltranspeptidase (gamma-GPT)) and morphological assays were carried out comparatively with conventional liver investigations. Alcoholic liver disease was found present in 16 patients (47%). A peculiar biochemical profile was observed in subjects with hepato-alcoholic encephalopathy: ammonemia 191.3 +/- 70.3 gamma %, pyruvicemia 2.7 +/- 0.82 mg %, lactacidemia 15.76 mg % and gamma-GPT 80.5 U/l, as compared with ammonemia 121 +/- 33.5 gamma %, pyruvicemia 2.74 +/- 1.2 mg %, lactacidemia 16.65 mg % and gamma-GPT 42.6 U/l in AE without hepatic disease, and in non-alcoholic liver diseases in which ammonemia was 88.6 gamma % (in chronic hepatitis) and 126.3 gamma % (in hepatic cirrhosis). Thus, coexisting involvement of the liver and presence of portal-systemic shunts in AE can be estimated by the assay of certain biochemical and enzymatic parameters.

Adult↗