PubMed Health⌕ Search

Biomedical subjects

F Schillinger

Publications and source records attributed to F Schillinger.

At least 55 records · Page 3Linked to original sources
PubMed1994

[Renal transplantation in Bourneville tuberous sclerosis].

A 37 year-old patient with tuberous sclerosis and renal failure had renal transplantation performed, after 21 months of hemodialysis treatment and cerebral glioma removal, with good results 7 years later. In order to assess renal transplantation as a treatment for end-stage renal failure of tuberous sclerosis, we have reviewed the literature. 14 observations could be analysed: the patients were young with a mean age of 29.2 years, women in majority, with minor neurologic involvement. Because of the risks of neoplastic transformation and angiomyolipoma bleeding, bilateral nephrectomy is cautious, before or during the renal transplantation. Otherwise a close monitoring of the native kidneys by CT-scan is necessary. So the patients with tuberous sclerosis are good candidates for renal transplantation, with the same results as other patients of the same age, with no aggravation of the neurologic disorders, even when a cerebral tumor has been removed, as in our case.

Adult↗
PubMed1994

[Central venous stenosis in hemodialysis: comparative angiographic study of subclavian and internal jugular access].

From January 1986 to December 1990, we studied angiographically the subclavian-brachiocephalic vein of 100 patients dialysed on subclavian catheter for 50 (first group) and on internal jugular catheter for the 50 others (second group). These 2 groups are not statistically different for age: 61.6 +/- 11.3 years in the first and 61 +/- 11.1 in the second, for sex: respectively 48% and 56% of women, for time-length of catheter insertion: respectively 31 +/- 21.8 days and 31.7 +/- 16, and for number of dialysis sessions: respectively 13.5 +/- 9.1 and 13.6 +/- 7.1. The type of catheters, the frequency of removal for poor flow (16% in both groups) or for infections (6% in both groups) and the local nursing are similar in the 2 groups. Only the side of cannulation differs: the right side is used in 58% of cases in the first group and 78% in the second one. The angiographic study reveals a stenosis of the vein in 42% of the subclavian group and in 10% of the internal jugular group. The left side presents more risks of stenosis than the right, what can be explained by anatomical features. The strictures, whose severity is variable, are mainly located at and slightly above the junction of jugular and subclavian veins. This significative difference in favour of the internal jugular route asserts its superiority on subclavian route in respect of venous access of dialysed patients.

Aged↗
PubMed1993

[IgG kappa myeloma with Fanconi's syndrome and crystalline inclusions. Immunohistochemical and ultrastructural study].

An IgG kappa light-chain myeloma, remarkable for the presence of inclusions in plasmocytes and proximal renal tubular cells, was discovered during investigations for renal failure associated with partial Fanconi's syndrome. An immunohistochemical study showed that the crystalline inclusions were positive for IgG and kappa light-chain in plasmocytes and exclusively for kappa light-chain in the renal tubular cells. An ultrastructural study showed that the inclusions were localized in lysosomes and had a 55 A periodicity. This case is similar to the forty odd myelomas or light-chain diseases reported in the literature and revealed by Fanconi's syndrome. Their prognosis is good, with a slow progression towards late renal failure. In our patient the preference of lesions for proximal tubular cells, the site of protein catabolism, was particular since in myelomas they are usually located in the distal tubular cells.

Aged↗
PubMed1993

[Arteriovenous fistula complicated by "fat arm" caused by proximal venous occlusion--salvage by axillo-jugular crossing bypass].

Although subclavian vein cannulation is more and more avoided for temporary angioaccess in hemodialysis patients may still now present stenosis or thrombosis of this catheterized central vein. Complications may appear, sometimes severe, after creation of an ipsilateral arteriovenous fistula. It is important to treat them but also to conserve the new created vascular access, in order to maintain these patients as long as possible on hemodialysis treatment. According to the circumstances, different procedures are used, and among them, the axillary-contralateral internal jugular vein crossing bypass as here reported.

Aged↗
PubMed1992

[Human papillomavirus, cervical intraepithelial cancer and immunosuppression. Two cases in renal transplant recipients].

Immunosuppression is therapeutically induced in an increasing number of patients, exceeding largely the only transplant recipients. Its carcinological complications are a major preoccupation, among which the uterine cervix intraepithelial neoplasia. The strong relationship between these genital neoplasia and the lesions caused by human Papillomavirus is now evident and has to be taken in consideration for an early and regular follow-up of these women. Cervical smear tests, colposcopic assessment and histological examinations allow to undertake the adequate treatment and to give some preventive advice.

Adult↗
PubMed1992

[Human papillomavirus and intraepithelial cervical cancer after renal transplantation. Apropos of 2 observations].

Therapeutic immunosuppression applies to an increasing number of patients, exceeding largely the only transplant recipients. Among its detrimental carcinological complications are the uterine cervix intraepithelial neoplasia whose strong relationship with the lesions due to human papillomavirus is well known. They need an early and regular follow-up of the concerned women, by cervical smear tests, colposcopic assessment and histological examinations, to undertake in time the adequate treatment, without forgetting to give some preventive advice.

Adult↗
PubMed1992

[Psychological impact of periodic hemodialysis in the adult].

End stage renal failure and its therapeutic procedures disorganize patient's world through the important modifications concerning his body and his personal, familial and socio-professional life. In proportion as the different stages of his psychological adjustment appear, the patient must mobilize several adaptive mechanisms to face fears, deterioration of body-image and numerous restrictions due to illness and its treatment. The quality of his personal response and of the family, society and medical staff responses will determine his compliance to the uremic status with its therapeutic pressures, and so the results of the treatment and the quality of his rehabilitation.

Adult↗
PubMed1992

[Post-catheterization venous stenosis in hemodialysis: comparative angiographic study of 50 subclavian and 50 internal jugular accesses].

From January 1986 to December 1990, we studied angiographically the subclavian-brachiocephalic vein of 100 patients dialysed on subclavian catheter for 50 (first group) and on internal jugular catheter for the 50 others (second group). These 2 groups are not statistically different for age: 61.6 +/- 11.3 years in the first and 61 +/- 11.1 in the second, for sex: respectively 48% and 56% of women, for time-length of catheter insertion: respectively 31 +/- 21.8 days and 31.7 +/- 16, and for number of dialysis sessions: respectively 13.5 +/- 9.1 and 13.6 +/- 7.1. The type of catheters, the frequency of removal for poor flow (16% in both groups) or for infections (6% in both groups) and the local nursing are similar in the 2 groups. Only the side of cannulation differs: the right side is used in 58% of cases in the first group and 78% in the second one. The angiographic study reveals a stenosis of the vein in 42% of the subclavian group and in 10% of the internal jugular group: a dramatic difference in favour of the internal jugular route, whose superiority on subclavian route is asserted in respect of venous access of dialysed patients.

Aged↗
PubMed1991

Post catheterisation vein stenosis in haemodialysis: comparative angiographic study of 50 subclavian and 50 internal jugular accesses.

From January 1986 to December 1990 we studied angiographically the subclavian-brachiocephalic vein of 100 patients dialysed by subclavian catheter for 50 (first group) and by internal jugular catheter for the 50 others (second group). These two groups were not statistically different as regards age (61.6 +/- 11.3 years in the first and 61 +/- 11.1 in the second), sex (48% and 56% were women), duration of catheter insertion (31 +/- 21.8 and 31.7 +/- 16 days), and the number of dialysis sessions (13.5 +/- 9.1 and 13.6 +/- 7.1). The type of catheters, the frequency of removal for poor flow (16% in both groups) or infections (6% in both groups), and the local nursing were similar in the two groups. The only difference was the side of cannulation: the right side in 58% of cases in group 1 and 78% in group 2. The angiographic study revealed a stenosis of the vein in 42% of the subclavian group and in 10% of the internal jugular group: a dramatic difference in favour of the internal jugular route, whose superiority over the subclavian route is asserted in respect of venous access of dialysed patients.

Aged↗