[Indications and methodological aspects of cardio-computerized x-ray tomography].
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Biomedical subjects
Publications and source records attributed to H G Schulz.
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Because of the possibility of life-threatening late complications by anastomotic aneurysms and the danger of their rupture, all patients in whom a coarctation of the aorta was resected and replaced by a vascular prosthesis must be followed up continuously for life. Their chest x-rays show-in addition to unequivocally normal or pathological findings-sometimes questionable variations of the aortic outline, which must be diagnosed definitely by further investigations. By means of computerized tomography, the suspicion of an anastomotic aneurysm can either be refuted or confirmed in almost all cases. Thus, the invasive examination by aortography, which is desirable before operation of an aneurysm, may be omitted in the group of unsuspicious patients. Out of 198 patients, who received a vascular prosthesis for correction of an aortic coarctation in the time from 1960 to 1980, 27 were examined by computerized tomography because of irregular findings in their chest x-rays. In 6 patients the suspicion of an anastomotic aneurysm was confirmed and could be proved by aortography and reoperation. In 21 patients an aortography could be omitted because of its unsuspicious findings by computerized tomography.
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The particular benefit of computed tomography (CT) is diagnosis of tumours exceeding organ boundaries and producing regional metastases. CT contributes to precise pretherapeutic staging, however, its value depends on tumour type, localization and stage. The main application of CT is the diagnosis of recurrencies of malignant tumours of rectum, uterus and ovary. The wide range of diagnostic application also in diagnosis of distant metastases makes CT superior to all other radiological methods.--In primary diagnosis of tumours of the female genital organs and urinary bladder CT is of minor importance. It has a limited value in ovarian tumours.
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Malabsorption following surgical procedures on the GI-tract happens only in rare cases, such as blindloop-syndrome, short gut-syndrome, internal fistulae and dumping syndrome after partial gastric resection. Pathophysiological background and therapeutical possibilities as well as parenteral nutrition are discussed in detail.
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