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Biomedical subjects

T Christiansen

Publications and source records attributed to T Christiansen.

At least 73 records · Page 4Linked to original sources

Choice of care for minor trauma: hospital or general practice?

This paper analyses the question whether minor trauma should be treated in hospital or general practice. It shows what kind of data are necessary and that this data can be obtained from different countries, with basic similarities in their health care system. In a period of tight budgets there is a tendency to focus on a narrow economic analysis. This article, however, shows the complexity of the simple question of where minor trauma should be treated and stresses other important aspects which should supplement an economic analysis. These aspects are illustrated with data from different investigations in Denmark and the United Kingdom.

Adult↗

The incidence of severe duodenal anomalies in patients submitted to barium meal examination, in normals, and in different clinical subgroups.

The incidence of severe duodenal anomalies (MD) has been investigated in 458 patients submitted to barium meal examination and in 176 subjects comprising various clinical subgroups. The incidence of MD in patients submitted to barium meal examination was 11.6%. The incidence of MD in 25 normals was 4%, which was not significantly different from the incidence (10%) of MD in patients with gastroesophageal reflux symptoms. Compared with in normals, MD occurred with a significantly higher incidence in 45 patients with X-ray-negative dyspepsia (24%), in 36 patients with the irritable bowel syndrome (44%), and in 37 patients with asthma (38%). It is concluded that demonstration of MD in a patient is only indicative of a possible disorder.

Adolescent↗

Duodenal diverticula demonstrated by endoscopic retrograde cholangio-pancreatography (ERCP)--their relationship to biliary calculi and gastrooesophageal reflux.

In 24 patients with duodenal diverticula, demonstrated by ERCP, food-stimulated gastrooesophageal reflux was demonstrated in 33% of the patients and biliary tract calculi in 81%. This is in contrast to a previous study in patients with duodenal diverticula demonstrated by barium examination where gastroesophageal reflux occurred in 81% and biliary tract calculi in 38% of the patients. Differences in clinical selection are believed to be the underlying cause to these varying results.

Adult↗

The incidence, reproducibility and mechanism of gastrooesophageal reflux demonstrated by radiology in normals, dyspeptics, and patients with oesophagitis.

The incidence, reproducibility, and mechanisms of food-stimulated gastrooesophageal reflux demonstrated by radiography were investigated in 100 subjects: 30 normaldeletes, 52 dyspeptics, and 18 patients with oesophagitis. The average incidence and reproducibility were in normals: 17%-76% respectively, in dyspeptics: 40%-86% respectively, and in oesophagitis: 83%-81% respectively. In normals only active gastrooesophageal reflux was noticed whereas in dyspeptics and patients with oesophagitis free as well as active gastrooesophageal reflux occurred.

Adolescent↗

Solid and papillary epithelial neoplasm of the pancreas presenting as a traumatic cyst. Case report.

A 16-year-old girl presented with a left-sided abdominal mass following blunt trauma. Clinically and ultrasonographically a pseudocyst of the pancreas was suspected. Computed tomography demonstrated a moderately vascularized tumour mass in the pancreatic tail, with a central cystic space. Distal pancreatectomy was subsequently performed. Histologic examination revealed a solid and papillary epithelial neoplasm of the pancreas. This is a well-defined clinicopathologic entity, mostly found in young women. Histologic evidence of aggressive behaviour is sometimes seen, and was found in the present case. The prognosis after surgical removal is good, however, which emphasizes the importance of recognizing this rare tumour.

Abdominal Injuries↗