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Biomedical subjects

A Bálint

Publications and source records attributed to A Bálint.

At least 19 recordsLinked to original sources
PubMed1992

[Prevention of carcinoid tumor crisis].

A case of the carcinoid tumour of ileum causing hormone producing multiple hepatic metastases was described. Sometimes after feeding and drinking of beer the "flush" and the diarrhoea appeared. Multiple hepatic metastases were established by ultrasound. Two and a half years ago the patient already was examined and treated by another hospital. In this time the origin of the primaer carcinoid tumour was not found and the superselective embolisation of the right lobe of the liver was made which caused a carcinoid crisis. Later the complaints were renewed and once more the patient was examined. The origin of the illness was proved in the lower ileum by CT (computer tomography), angiography and I131 MIBG (metajod-benzyl-guanidin) scintigraphy. Another embolisation of the liver caused a newer carcinoid crisis. The operation of primaer carcinoid tumour was decided because of the danger of carcinoid crisis and ileus. In the perioperative period the patient was protected against carcinoid crisis by Sandostatin (made in SANDOZ, Basel), because the preoperative therapy, the anaesthetics and the surgical manipulation could have caused a carcinoid crisis. In Hungary the authors used for the first time somatostatin in perioperative period to protect the patient against carcinoid crisis.

Carcinoid Tumor↗
PubMed1991

[Experience with the management of pyogenic liver abscesses by percutaneous transhepatic puncture and drainage].

The authors treated forty-two patients with liver abscesses guided by computer tomography or ultrasound percutaneous transhepatic puncture or drainage from January 1 1983, to 1989 December 31. Closed aspiration or drainage was done in 42 patients altogether 56 times. Three patients died (3/42 = 7.2%), postdrainage complications happened in 9 cases (9/42 = 21.4). Operative intervention was necessary in 11 patient after the percutaneous procedure (11/42 = 26.2%). The authors wrote about the technics particularly of the percutaneous puncture or drainage. The authors are considering the method as an effective treatment for pyogenic liver abscesses if the personal and technical circumstances are given.

Drainage↗
PubMed1991

A case of multiple cholangiogenic liver abscess due to residual biliary stone cured by percutaneous drainage controlled by CT and endoscopic papillotomy.

The case of a patient treated for multiple cholangiogenic liver abscess due to residual biliary stone after acute cholecystitis is reported. The multiple liver cyst was cured by percutaneous transhepatic double drainage controlled by CT as well as puncture and aimed local systemic antibiotic treatment. The residual gallbladder stone was removed by endoscopic papillotomy. A similar case has not been reported so far.

Ampulla of Vater↗
PubMed1991

Technique of extensive proximal selective vagotomy.

Based on the experience of 727 operations, the technique of proximal selective vagotomy used by the authors is reviewed in stages. They consider pyloroplasty justified to perform only in complicated cases (bleeding, perforation, stenosis) for preventing complications. Based on their results (mortality rate: 0.68%, recurrences: 6.3%, excellent or good results: 90%), they argue for the operation.

Chronic Disease↗
PubMed1991

Early complications of gastric resection.

Analyzing the patient material of 506 patients with gastric resection, authors deal with the early complication of resection, its diagnosis and treatment. They review the complications, their frequency and mortality in their own material. After operations made for tumour, complications occurred more frequently than after interventions because of ulcer. Total mortality was 10.2%. In order to reduce mortality they call attention to the possible prevention of complications and their careful management.

Anastomosis, Surgical↗
PubMed1991

Study on dysphagia after proximal selective vagotomy.

The authors examined one of the characteristic complications--dysphagia--of proximal selective vagotomy widely applied in the surgical treatment of duodenal ulcerations. To gain a better knowledge of the causes of this type of complications measuring the pH value for 24 hours and manometric examinations of the lower esophageal sphincter were performed in 12 patients without complaints following operation and in 22 with the complaint of dysphagia. No significant changes were observed between the two groups either in basal sphincter pressure or in the two parameters characteristic for reflux activity, e.g. the number of reflux episodes and reflux index. Operation resulted in a slight increase of the basal pressure and the decrease of reflux activity in both groups. It is likely that postvagotomical dysphagia has a multifactorial background: denervation or mechanical trauma of the lower oesophagus and the uncoordinated and insufficient relaxation of the lower oesophageal sphincter following swallowing.

Adult↗
PubMed1990

Data on the pathophysiology and clinical aspects of the mechanical obstruction of the small intestine.

A brief overview is given of the relevant physiology of the small intestine, and the pathomechanism of the clinical picture, based on a material of 423 patients with mechanical obstruction of the small intestine. The various forms of the mechanical obstruction of the small intestine are reviewed, with special regard to strangulation and adhesive obstruction. The possible forms of treatment are dealt with, with an emphasis on the importance of an early surgical intervention and of a careful after-treatment with a view to reducing the still high morbidity rate.

Adolescent↗
PubMed1987

Proximal, selective vagotomy for the management of the complications (bleeding, perforation, stenosis) of duodenal ulcer.

Analysing the 5-year material including 164 cases (35 haemorrhages, 50 perforations and 79 stenoses), the authors express their preference for extensive proximal selective vagotomy--in some cases--over traditional operations in treating the complications of duodenal ulcer. Operative mortality was 0.6%, while the frequency of recurrences 5.4%. Excellent or good results were observed in 92.3% of the controlled patients.

Constriction, Pathologic↗
PubMed1975

Laryngeal giant cell tumour.

The surgical treatment of an exceedingly rare neoplasm, the laryngeal giant cell tumor, is reported. After removal of the grossly visible part of the growth and reconstruction of the larynx, the lumen of the latter could be preserved by insertion of metal and/or plastic dilator cannulas. Post-operative X-ray treatment has prevented recurrence of the growth throughout the two-year period which has elapsed since the operation.

Adult↗