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Biomedical subjects

H Bally

Publications and source records attributed to H Bally.

4 recordsLinked to original sources

[Surgery in para-esophageal hiatal hernia: technic and results].

40 patients with paraesophageal hiatus hernia have undergone surgery over a period 25 years' period. Surgery consisted of gastropexy in 38 patients (ventral corpopexy in 32, fundophrenicopexy in 19), narrowing of the hiatus in 24 and fundoplication in 14. There was one operative death (2.5%). On follow-up 3 to 24 years later (mean 12.5 years) 17 of 20 patients (85%) have good or excellent results. 2 patients without additional antireflux surgery had to be reoperated later because of severe reflux disease (secondary fundoplication). 1 patient with gastropexy and fundoplication has recurrent reflux disease. X-ray studies in 18 patients showed recurrent paraesophageal hiatus hernia in 9 (50%). After operation for paraesophageal hiatus hernia a good clinical long-term result can be expected. To reduce the frequency of recurrent hernia, technical modifications should be considered.

Adult↗

[Paraesophageal hiatal hernia--risks and surgical indications].

During a 25-year period, 40 patients with paraoesophageal hiatus hernia were operated on by narrowing of the hiatus and gastropexy. The main symptoms were: epigastric pain (40%), reflux symptoms (25%), cardiac symptoms (20%), dysphagia (20%) and dyspnea (8%). Six patients were free of symptoms. Anaemia was present in 33%, gastric ulcer in 15%. Six patients (18%) had to be operated on as emergencies because of gastric ulcer complications in 4 (3 perforations, 1 severe bleeding) and incarceration in 2 patients. Considering the important risk of acute complications in paraoesophageal hernia an elective gastropexy seems generally advisible--also in patients with few or no symptoms, provided there are no contraindications.

Adult↗

Automaticity, retrieval processes, and reading: a longitudinal study in average and impaired readers.

In this longitudinal investigation, the development of word-retrieval speed and its relationship to reading was studied in 72 average and 11 severely impaired readers in the kindergarten to grade 2 period (5-8 years). Subjects received a battery of 3 reading measures and 4 continuous naming tests with varied stimulus requirements. Results indicated that the relationship of retrieval speed to reading is a function of development and the correspondence between higher- and lower-level processes in the specific retrieval and reading measures. As automaticity in retrieval developed in average readers, naming-speed/reading relationships moved from strong, general predictions to highly differentiated ones. The strongest correlations were between naming speed for graphological stimuli and lower-level reading tasks. Impaired readers performed slower than average readers on all naming measures across all years, particularly on graphological symbols. 3 dyslexic subgroups emerged: the largest was globally impaired across all naming rate and reading tasks; 2 smaller subgroups had early specific, retrieval-rate deficits and dissociated reading deficits.

Child↗

The effect of adding albumin to solutions of somatostatin (SST-14) on inhibiting pentagastrin-stimulated acid secretion in man.

The aim of this study was to identify the somatostatin (SST-14) dose dissolved in 0.1% human albumin solution equivalent to the commonly used therapeutic dose (3.5 micrograms kg-1 h-1) dissolved in saline in inhibiting pentagastrin-stimulated gastric acid secretion in healthy volunteers. Gastric acid secretion was stimulated for 3.5 h by intravenous pentagastrin (3 micrograms kg-1 h-1). 0.875 or 1.75 micrograms kg-1 h-1 SST-14 dissolved in 0.1% albumin was significantly (p less than 0.05) less effective in inhibiting stimulated gastric acid secretion than the standard therapeutic dose. There was no difference achieved in the degree of inhibition with albumin added or not to the 3.5 micrograms kg-1 h-1 dose of SST-14. However, an intermediate dose (2.625 micrograms kg-1 h-1) of SST-14, whether dissolved in albumin or saline alone, was as effective as the standard therapeutic SST-14 dose. We conclude that at these high does the absorption of a small quantity of SST-14 to glass and plastic surfaces of the infusion sets has no influence on the therapeutic effect.

Adult↗