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Biomedical subjects

A Patkó

Publications and source records attributed to A Patkó.

8 recordsLinked to original sources
PubMed1983

[Pathologic relations and diagnostic difficulties in pancreatic and gallbladder diseases following gastric surgery].

The authors studied the diagnostic possibilities of biliary and pancreatic diseases in patients after different types of operation of the stomach. In these cases, too, ERCP and PTC are suitable methods of examination. The authors studied 28 patients after gastric surgery: Billroth I gastrectomy: 6 cases, Billroth II gastrectomy: 21 cases and gastroenterostomy without gastrectomy: 1 case. Technical difficulties in connection with ERCP arose only with patients after Billroth II gastrectomy and the examination was successful in 67% only of the patients. The rate of successful examination of the bile duct system can be improved with the help of PTC. Apart from the technical difficulties, the analysis of the clinical material revealed data on the connections between gastric surgery and the development of biliary and pancreatic diseases. A few of these are well known in literature, but the traction and torsion of the duodenum during the preparation of the duodenal stump or gastroduodenostomy can also lead to the ductal deformity and the development of biliary and pancreatic diseases.

Adult↗
PubMed1982

[Chronic calcifying pancreatitis].

During the last 4 years, 34 patients with calcification in the pancreatic region are observed. The clinical data were analysed retrospectively and the significance of the chronic calcifying pancreatitis was studied. The occurrence of the disease is on the rise all over the world, caused above all by the spread of alcoholism. The pathogenic factors, epidemiology, clinical symptoms and questions of diagnosis, differentiation and therapy are discussed. In the diagnostic procedure the native abdominal X-ray film and the ERCP are the most important methods. The progress of chronic pancreatitis can be showed down and the complaints decreased with early diagnosis, adequate therapy and if the pathogenic factors (alcohol, bile stones etc.) are eliminated.

Adult↗
PubMed1981

[The clinical significance of juxtapapillary diverticula: endoscopic and radiological study (author's transl)].

The significance of duodenal diverticula is studied, in particular with respect to the supposed role of juxtapapillary diverticular in the development of biliary and/or pancreatic diseases. Duodenal diverticula were found in 72 cases with the help of duodenoscopy and ERCP, i.e. in altogether 1% of the patients investigated by upper GI endoscopy. On the basis of their observations and the data reported in the literature, the authors conclude that the pathological role played by juxtapapillary diverticula in the development of biliary and/or pancreatic diseases is by obstructing the pancreatic juice and bile flow. Stones are frequently found in the common bile duct in patients with juxtapapillary diverticula. At biliary surgery the observed diverticulum, which impedes biliary flow, must be taken into consideration, too. In such cases the aim of surgery is to guarantee free biliary flow, without which the operation cannot be considered successful.

Aged↗
PubMed1981

[Differential diagnostic possibilities of the liver and bile duct cysts (author's transl)].

The authors examined the diagnostical possibilities of the liver and bile duct cysts with different origin. On the base of the literature and own experiences surveyed the specific signs and the diagnostic value of peritoneoscopy, liver biopsy, scintigraphy, angiography, gray-scale ultrasonography, ERCP and PTC in the hepato-biliary cysts. GSU is the most suitable method to demonstrate the cystous character, but the connection with the biliary tract can be verified by ERCP. Peritoneoscopy is the best procedure in the diagnosis of the polycystic liver; the congenital liver fibrosis can be recognized by biopsy, only. The hepato-biliary cysts can be separated preoperative with the parallel adoption of these methods, in the majority of cases.

Bile Duct Diseases↗
PubMed1980

Obstructive jaundice caused by postsurgical granuloma of the common bile duct.

The bile duct can be visualized by injecting contrast material directly into the biliary system. The authors describe three cases of inflammatory, postsurgical granuloma in the vicinity of the cystic stump that gave rise to obstructive jaundice and the symptoms of choledocholithiasis, following bile duct operation. For diagnosis, endoscopic retrograde cholangio-pancreatography (ERCP) and percutaneous transhepatic cholangiography (PTC) were used. The importance of this change, the diagnosis, differential diagnosis and treatment are discussed.

Aged↗
PubMed1980

[Importance of X-ray examination and endoscopy in the diagnosis of hyperplasia of Brunner's glands (author's transl)].

A rare and interesting alteration--hyperplasia of Brunner's glands--is reported. In 18 cases hyperplasia of Brunner's glands were verified by endoscopy and histology as well. Frequency of occurance, clinical characteristics, X-ray symptoms of the hyperplasia of the Brunner's glands and the radiological methods of its diagnosis are described. Importance of the aimed X-ray film, carried out by Spot-filmkamera and of graded compression is emphasized. Differential diagnosis between polypoid hypertrophic duodenitis and hyperplasia of Brunner's glands are discussed in detail.

Brunner Glands↗
PubMed1980

Diverticulum of the bile duct. Diagnosis by endoscopic retrograde cholangiopancreatography and ultrasonography.

Diverticulum of the bile duct is a rare disorder having the lowest incidence among the congenital dilatations of the biliary system. The abnormality was recognized preoperatively in two patients by endoscopic retrograde cholangiopancreatography (ERCP) and ultrasonography. Data from the 24 cases so far reported have been reviewed and the clinical features. diagnostic and therapeutic possibilities discussed.

Adult↗