[Therapeutic gastrointestinal endoscopy].
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Biomedical subjects
Publications and source records attributed to A Rosseland.
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A prospective study was undertaken to investigate the frequency of bacteremia after endoscopy of the gastrointestinal tract. In one out of 100 patients undergoing gastroscopy and in one out of 25 patients undergoing coloscopy, positive blood cultures could be demonstrated. In both cases anaerobe lactobacilli were recovered. No bacteremia was demonstrated in 25 patients undergoing endoscopic retrograde cholangiopancreatography (ERCP).
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Endoscopic papillotomy with removal of common bile duct stones was successfully performed in 14 patients. In 11 patients stones were found after cholecystectomy. In the remaining 3 patients there was a high operative risk. No serious complications occurred. Consequently the removal of choledocholithiasis by endoscopic papillotomy is an alternative to traditional treatment.
In spite of the fact that the concept of intestinal angina is more than 70 years old, it is not generally accepted and only 400 cases of elective revascularization of the celiac/mesenteric arteries are reported in the literature. Two typical cases of intestinal angina treated with elective revascularization are presented and the pertinent literature is reviewed. An aggresive approach to the problem, followed by adequate reconstruction, is recommended.
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Popliteal vessel injury still carries a high amputation rate despite the progresses which have been made in vascular surgery. Three patients with such injuries treated with vascular repair are reported and a review of the recent literature is given. Prognostic factors as early diagnosis, delay in treatment, associated injuries as fracture/dislocation and venous injury, soft tissue injuries, adequate vascular repair, and postoperative complications are discussed.
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