[Diagnostic image (146). A man with food passage problems. Intrathoracic pancreatic pseudocyst].
In a 76-year-old man food passage problems were due to an intrathoracic pancreatic pseudocyst.
Aged↗
Biomedical subjects
W Lesterhuis
Publications and source records attributed to W Lesterhuis.
Sclerosing pancreato-cholangitis responsive to steroid therapy.
Four patients with weight loss, jaundice, a sonolucent swelling of the pancreas, and multiple bile-duct strictures are described. These cases of sclerosing pancreato-cholangitis responded to steroid therapy.
Adult↗
[Hyperammonemia in hydronephrosis].
A man aged 81 with bilateral hydronephrosis presented with lethargy deepening into coma caused by hyperammonaemia. The hyperammonaemia was most likely caused by excessive absorption of ammonia produced by Proteus mirabilis in the obstructed and dilated urinary tract. The patient died within a few hours.
Aged↗
Hepatotoxicity associated with herbal tablets.
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Aged↗
Mesalazine as maintenance treatment in Crohn's disease.
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Aminosalicylic Acids↗
[The treatment of hemorrhages from esophageal varices using endoscopic sclerotherapy].
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Esophageal and Gastric Varices↗
[Endoscopic sclerosing of bleeding esophageal varices].
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Adult↗
An endoscopic Doppler probe: preliminary clinical evaluation.
A new pulsed Doppler catheter has been developed for use during gastrointestinal fiberendoscopy. Modern gastrointestinal endoscopy allows inspection of the wall of the entire esophagus, stomach, duodenum, and colon. Diagnosis is performed by inspecting the surface of the mucosa, biopsy, and cytology. However, it is not possible to determine the characteristics of the blood vessels of the wall beneath the mucosa with available techniques. We have developed a Doppler system which is miniature and can be passed down the biopsy channel of standard fiberendoscopes. This 8 MHz device incorporates range limiting to select the depth of interrogation by Doppler. The length of the probe is 2 m, and the diameter is 1.8 mm. This device has been tested in animal studies for efficacy and safety and is now being tested clinically in patients. The probe has been tested for two indications: the detection of the retroduodenal artery prior to endoscopic papillotomy for retained bile duct stones (90 patients); and the detection of flow in esophageal varices before and after endoscopic sclerotherapy (33 patients). Preliminary results are encouraging and suggest that this device can give information about submucosal blood vessels which cannot be detected using other methods.
Ampulla of Vater↗