PubMed HealthSearch

Biomedical subjects

G Bretzke

Publications and source records attributed to G Bretzke.

10 recordsLinked to original sources

[The site of recurrent ulcer following stomach surgery (Billroth I and II)].

In 69 patients with recidivation ulcer after an operation of the stomach (51 times Billroth II and 18 times Billroth I) was investigated whether or not there are differences in the localisation of an ulcer. In patients operated on according to Billroth II ulcers of the anastomoses are dominating, whereas in patients operated on according to Billroth I the majority of ulcers is to be found in the residual stomach. The causes for the deviating distribution pattern are not unequivocal. Changed diagnostics (in the first place endoscopy), different effect of the bile reflux, differing colonisation with Campylobacter pylori and differences in the size of the resection are discussed. The free interval between operation and recidivation of ulcer is distinctly shorter in Billroth I patients.

Adult

[Diagnosis of an organic disease in an accentuated personality].

In a female patient with Dunbar-syndrome the cause of the complaints is not recognized during 18 years. Therefore, the symptomatology of the stenosis of the truncus coeliacus is briefly outlined. The patient reacts more and more neurotic on the misunderstanding of organically conditioned complaints, so that at last a consilium of experienced specialists makes the diagnosis "functional intestinal disturbances, hypchondriac depressive syndrome in accentuated personality". Therefore functional disturbances are to be diagnosed only then (also in the psychopathologic behaviour of the patients!), when an organic disease is excluded. The difficulty to justify such a demand is great.

Adult

[Morphological and clinical liver changes after taking oral contraceptives].

In 155 women of the age group 16-45 years after intake of oral contraceptives in 68.4% (106 cases) histologically provable liver changes were found. Sinusoidal ectasias of different size and drug-conditioned hepatitides most frequently occurred. An isolated intrahepatic cholestase only rarely existed. Increases of transaminase are the most frequent reference to a lesion of the liver parenchyma after intake of oral contraceptives. The author adopts a definite attitude to the differential diagnosis and its difficulties between a drug-conditioned hepatitis and the usual virus hepatitis.

Adolescent

[Experiences with ultrasound hepatography in the A picture method in the diagnosis of liver metastases].

In 600 patients by means of the A-picture method ultra-sound investigations of the liver were performed in order to find metastases of the liver. After an intermediate evaluation of 120 patients anatomical control findings by laparoscopy, operation and section are present. In 88% the result of the ultra-sound investigation proved as correct. False positive findings were provoked above all by the coarse-nodular liver cirrhosis. Despite certain restrictions the ultra-sound investigation of the liver is an important diagnostic remedy to find liver metastases, since it is painless, simple and harmless.

Humans

[Hemobilia].

Explore the source record for details and available documents.

Aneurysm

[Urinary hydroxyproline excretion in liver cirrhosis].

In 50 patients with a laparoscopically ascertained liver cirrhosis the hydroxyproline excretion was estimated in the 24-hour-urine. There could not be found any significant differences between hydroxyprolinuria in normal persons and in patients with liver cirrhosis. The increased hydroxyproline excretion is an unspecific symptom and thus cannot contribute to the diagnosis and the observation of the course of a liver cirrhosis.

Adult

[The Saint syndrome].

At the instance of a 78-year-old female patient the possible causes of the simultaneous appearance of gallstones, hiatal hernia and diverticulum of the colon are discussed. The syndrome might be the sequel of a weakness of the connective tissue. But it would be also thinkable that it is an accidental combination of diseases, the number of which increases at growing age.

Age Factors