An appraisal and comparative study of the measurement of portal pressure by transparietal intrasplenic and intrahepatic manometries, and laparotomy.
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Esophageal function was investigated by quantitative intraluminal pressure measurements in three patients with Behçet's disease. All three had motility disorders partially resembling those described in diabetics and partially those from patients with scleroderma. These motility disturbances may be secondary to a neurological involvement in Behçet's disease.
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In a series of 40 patients with severe head injury (L.C.S. less than or equal to 12), we simultaneously studied the variations of intracranial pressure (I.C.P.) and cerebrospinal fluid (C.S.F.) spaces (ventricular and subarachnoidal) on C.T.-scan. At the time of C.T.-scan, normal C.S.F. spaces mean a normal I.C.P. (less than 15 torr) but cannot preclude a secondary intracranial hypertension. With a collapse of the C.S.F. spaces, it is to be geared that a severe hypertension occurs (greater than 40 torr).
Combined pressure and pH measurement of distal esophagus is very important for an accurate diagnostic approach and a correct therapeutic course of gastro-esophageal reflux disease. Sixty-eight patients with suspected gastroesophageal reflux disease have been examined by combined pressure and pH-measurement. Collected data confirm the method worth, that allows to study gastro-esophageal reflux and the esophageal motor dysfunction related.
In 27 patients with refluxoesophagitis the resting LES-pressure was approximatly 80% lower than in 12 patients with asymptomatic hiatal hernia and 15 controls. All patients in the first group were operated on and 21 fundoplications (Nissen) and 6 anterior plications (Dor) were performed. The postiperativ LES-pressures were 70% higher than praeoperative and almost identical for both methods. The effective restitution of a functional sphincter with these operations could be demonstrated in this way.
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