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Biomedical subjects

I Erkelenz

Publications and source records attributed to I Erkelenz.

7 recordsLinked to original sources
PubMed1986

Pancreatic calcifications: no indicator of severe exocrine pancreatic insufficiency.

Pancreatic calcifications are believed to occur only in advanced stages of exocrine pancreatic insufficiency. This belief has been reevaluated by correlating the results of the secretin-pancreozymin test, fecal fat analysis, and the presence of pancreatic calcifications on plain abdominal x-rays in 79 patients with chronic pancreatitis. Exocrine pancreatic insufficiency was classified as slight, moderate, or severe according to the results of the function tests, and pancreatic calcifications were assessed semi-quantitatively (grades 1-3) by an independent examiner. The results showed that severe exocrine pancreatic insufficiency did occur even in the absence of calcifications. Calcifications were more frequently detected with increasing severity of exocrine pancreatic insufficiency. The qualitative demonstration of pancreatic calcification was, however, not an indicator of severe, decompensated exocrine pancreatic insufficiency (50% false-positive results). It is concluded that pancreatic calcification is not necessarily an indicator of severe exocrine pancreatic insufficiency, and vice versa. Comparison between the results of tests for endocrine pancreatic function and plain abdominal x-ray showed such similarity that it can also be concluded that pancreatic calcifications are no indication of abnormal endocrine function, and vice versa.

Calcinosis↗
PubMed1982

[Quality criteria of phlebography examination methods. Technically conditioned possibilities of error prediction (author's transl)].

The article describes the technical and anatomical limitations of information supplied by phlebography. Injection of contrast medium into the v. mediana hallucis enables optimal contrast medium distribution. The more proximal the site of injection, the greater the uncertainty of achieving continuous filling of the deep veins with contrast medium. Obstructions during compression (ulcer, oedema) may prove an obstacle to the assessment of insufficient v. perforantes due to overfilling of superficial veins with contrast medium. Even without any abnormal finding it is not possible to stain muscle veins and the v. femoris profunda in about 50% of the examinations. Muscular traction can result in deformation of mainly the v. poplitea and hence results in discontinuous filling with contrast medium if the musculature is not properly relaxed. The veins of the thigh and pelvis must be stained with high contrast in a continuous manner, since otherwise occlusions and collaterals are overlooked in an otherwise normal distal phlebogram. Valve motility can be assessed without additional examination measures directly after ascending phlebography during recumbency of the patient.

Contrast Media↗
PubMed1982

[Criteria for diagnostic and therapeutic methods of vascular embolization (kidneys, spleen, liver) (author's transl)].

Basing on the findings in patients with extensive carcinomas of the kidneys, the article reports on the various possibilities of application of occlusion spirals (Gianturco's method), of injectable occlusion materials and a combinations of both methods. In the authors' own experience, the spiral technique has mostly proved successful in achieving embolization of the arteries of the kidney 24 hours before surgery. Both the spiral technique as well as the use of injectable emblizates and a combination of both are used in the treatment of macrohaematurias in non-operable kidney tumours. The article reports on the technical conditions, indication and methodical limitations of embolization of the splenic artery, basing on three actual cases. The conditions and technique of embolization of branches of the hepatic artery are discussed by means of the findings obtained in two patients with liver metastases of an insulinoma.

Adult↗
PubMed1980

[X-ray diagnosis of Crohn's disease in the intestine (author's transl)].

The article describes the essential roentgenologic findings associated with Crohn's disease in the intestine, manifested as stenoses, thickening of the walls, fistula formation and pseudodiverticula or appearance of Bodart's intermediary segment, on the basis of characteristic findings, followed by valuation in respect of the exclusive possibility of diagnosis via radiology. The article goes into details in respect of differential diagnosis criteria, particularly within the frame of tumour diagnosis. Differentiation can be effected with the help of findings in peritoneal carcinosis and intestinal changes induced by radiation.

Adult↗
PubMed1979

[Phlebography (author's transl)].

The article discusses the limitations of conclusive information supplied by different phlebographic methods. Particular attention is drawn to the insufficient staining properties, partly of the deep veins of the lower leg, the vena femoralis profunda and gastrocnemius veins. When assessing the course of acute phlebothromboses, conclusive information on the extent of thrombus formation is limited in complete obstruction of deep veins as well as in the reformation of thrombi in vessels which have already undergone post-thrombotic changes. Observation of the valvular function can supply essential information on the extent of fibrinolytic effects. Besides the conventional phlebographic techniques, the article also explains methods for the visualisation of rare angiomatoses with osseous involvement, using transosseous pelvic phlebography.

Angiomatosis↗
PubMed1978

[Technique and use of percutaneous transhepatic cholangiography (PTC) with the CHIBA needle (author's transl)].

Experiences with the modified percutaneous transhepatic Cholangiography (PTC) with the CHIBA-needle ("skinny-needle") are evaluated and reported. The procedure is successul in almost all cases with dilated bile ducts. Therefore a failure to opacify the bile ducts with this method suggests an intrahepatic cause of cholestasis. No serious side effects have been observed in 45 cases.

Cholangiography↗