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Biomedical subjects

T Egge

Publications and source records attributed to T Egge.

11 recordsLinked to original sources
PubMed1999

Is a prolonged bleeding time associated with an increased risk of hemorrhage after liver biopsy?

Bleeding time determination is not advised as a general preoperative hemostasis screening test, but it might be useful in some patient groups. Patients referred for liver biopsy frequently have coagulation disturbances and are at risk of hemorrhage. In this prospective study 219 liver biopsies were carried out regardless of a prolonged bleeding time, but with minimum requirements for hemoglobin concentration, platelet count, and tests of the internal and external coagulation pathways. The bleeding time was prolonged in the case of 48 (22%) of the biopsies. Significant bleeding as defined by a hemoglobin decrease of > or =2.0 g/dl occurred in nine patients. Three of these patients were bone marrow transplanted. Patients with a prolonged bleeding time carried a five times higher risk of bleeding (odds ratio = 5.0; confidence interval = 1.1-21.8; p = 0.019). We conclude that the bleeding time may give additional information on the risk of bleeding in some patient groups undergoing liver biopsy.

Adolescent↗
PubMed1997

[Hepatic vein thrombosis. Diagnostic and therapeutic difficulties].

Budd Chiari syndrome (liver vein thrombosis) may be a diagnostic and therapeutic problem. On the basis of four different cases we review the major diagnostic and therapeutic principles involved. Imaging techniques are necessary in order to establish the diagnosis. Ultrasound examination with Duplex doppler is usually sufficient, but MR angiography is also useful. Treatment options are thrombolysis, surgery or liver transplantation. What treatment is selected will depend on the clinical situation and the prognosis.

Adult↗
PubMed1996

Spirometrically controlled high resolution computed tomography - quantitative assessment of density distribution in patients with diffuse fibrosing alveolitis.

STUDY OBJECTIVE: Lung density assessed by high resolution computed tomography (HRCT) is sufficiently sensitive for the diagnosis of interstitial lung disease, but may be hampered by uneven disease distribution. We determined the mean and subpleural density values in patients with diffuse fibrosing alveolitis (FA) and evaluated the diagnostic accuracy of both parameters, expressed as post-test odds ratios. MATERIALS AND METHODS: Pulmonary HRCT was performed on 21 FA patients and compared to scans of 27 healthy volunteers. The HRCT procedure was standardized by taking 3 scans at the carina +/- 5 cm, and by defining inspiration levels at 50% vital capacity. Mean lung density (MLD) and subpleural lung density (SLD) were calculated for all participants. RESULTS: MLD and SLD values for healthy subjects were significantly higher compared with the patient group. Odds ratios were 7.8:1 and 3.9:1 for SLD and MLD, respectively, demonstrating a superior discrimination power of SLD in the diagnosis of FA. CONCLUSION: Diagnostic accuracy of quantitative HRCT measurements in FA was improved by the separate evaluation of subpleural lung density, which is a better indicator of the presence or absence of lung fibrosis than is mean lung density.

Adult↗
PubMed1996

Arterial high flow priapism role of radiology in diagnosis and treatment.

Radiological methods for diagnosis and treatment of arterial high flow priapism are described based on experience with 7 patients, 6 with lesions of the cavernous and 1 with a lesion of the spongious body and glans. Arteriography (7 patients) and cavernosography (6 patients) indicated the site of the lesion in all cases. Color Doppler was useful in the two patients examined. Embolisation was successfully performed in 4 patients and resulted in complete or partial detumescence in all Two patients had a 10 year history without complete loss of erectile function. They had markedly dilated veins at cavernosography, and one responded favorably to venoablative surgery.

Adult↗
PubMed1995

Reproducibility of quantitative, spirometrically controlled CT.

Quantitative spirometrically controlled computed tomography (with 1-mm-thick sections) was performed twice (with a 5-minute break) in 24 adult patients with pulmonary disease to objectively evaluate parenchymal changes in the lung. Twelve measurements of attenuation were made on apical, carinal, and basal scans (right, left, total of each level, total right, total left, total of all three scans), obtained at 50% vital capacity. Since differences in measurements between the first and second examination were not significant, the method provides highly reproducible results.

Adult↗
PubMed1994

Dysfunctional labor after external cephalic version.

OBJECTIVE: To determine whether there is a greater occurrence of dysfunctional labor or a higher incidence of cesarean delivery for failure to progress in women who have undergone a successful version for breech presentation. METHODS: Using a retrospective case-control design, 76 women who had undergone a successful version from January 1988 through July 1993 were identified and their medical records reviewed. The control population was matched for delivery date, parity, and gestational age. RESULTS: There was no difference in the cesarean delivery rates for failure to progress between women undergoing successful version (6%) and the control population (6%). The incidence of dysfunctional labor between the groups did not differ significantly. Dysfunctional labor requiring oxytocin augmentation occurred in 29.6% of women who had undergone a version and in 24.2% of the control population (P = .6530). CONCLUSION: There is no significant increase in the cesarean delivery rate in women undergoing a version for breech presentation.

Case-Control Studies↗
PubMed1990

Isolated cavernous bodies.

Corpus cavernosography in a patient with erectile dysfunction revealed absence of communication between the 2 cavernous bodies. No similar case was found in a review of 100 consecutive cavernosograms or in the literature. The abnormality may be a source of error in pressure recordings or in intravenous injection of pharmaceutical agents.

Adult↗
PubMed1987

Reconstruction of the lateral ligamentous structures of the ankle with a modified Watson-Jones procedure.

A modified Watson-Jones tenodesis using a split of the peroneus longus for correction of chronic lateral ankle instability has been used in a series of 43 ankles. The range of follow-up varied between 2 and 10 years (median 56 months). Functional stability was achieved in most cases. One of the major aims of this study was to analyze the different aspects related to persisting symptoms. The need of a standardized rating system for comparison of the results of the various types of reconstruction procedures is emphasized.

Adolescent↗