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D Pantanowitz

Publications and source records attributed to D Pantanowitz.

30 records · Page 2Linked to original sources

Isolated granulomatous pancreatitis.

Only five patients with clinically apparent noncaseating granulomatous pancreatitis have been recorded, so far as we can tell. We describe a patient with noncaseating granulomas confined to the pancreas who developed obstructive jaundice and acute abdominal pain.

Abdomen

Carotid body tumors.

A review of carotid body tumors is presented together with a personal series of 16 patients managed in 4 years. Angiography was diagnostic in all instances. Five patients showed evidence of local invasion, while no patient had distant spread. Early recognition and surgical management were effective in the treatment of all operable tumors. Local removal of group 1 tumors without shunting is safe, with no morbidity or mortality in this series. The use of an indwelling shunt in group 2 tumors is recommended because of the risk of vessel wall damage during dissection and because reduction in blood supply to these large tumors facilitates their removal. We also recommend the use of an indwelling shunt in group 3 tumors when an en bloc resection of the vessels and tumor is performed in order to maintain cerebral perfusion.

Adult

Urinary calculi.

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Black or African American

Management options for pancreatic pseudocysts.

Between July 1987 and February 1990, 42 patients with pancreatic pseudocysts were treated. In 83% the pseudocyst was related to alcohol. Patients were managed by observation (7), surgical external drainage (7), and internal drainage (12). Fifteen patients were treated by ultrasound guided percutaneous catheter drainage (UGPCD) with apparent success in 67%. In 5 of these UGPCD was abandoned because of either prolonged drainage or infection of the pseudocyst. In patients with recurrent pseudocysts or in those with failed UGPCD, the cystic collections were successfully drained internally in 16 out of 17 patients (94%). Internal drainage appears to be acceptable treatment for mature pseudocysts, recurrent pseudocysts or for failed UGPCD, provided there is no downstream pancreatic duct obstruction or duct dilatation. If either exist, resection or direct ductal drainage will be required.

Adult