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Biomedical subjects

J Karcz

Publications and source records attributed to J Karcz.

At least 19 recordsLinked to original sources

[Gastrointestinal complications in children with hemolytic-uremic syndrome].

Eight children out of 106 with haemolytic-uraemic syndrome (HUS) had marked gastrointestinal complications requiring close cooperation between the paediatrician and paediatric surgeon. These children showed signs of ileus and peritonitis. Six children hat these complications in the prodromal stage, whereas the other two children showed them in the anuria stage. The complications were closely connected with multiple erosions of the mucosa and ulcerations of the intestinal wall which resulted in perforation of the intestinal wall in two cases. In two further cases, intestinal vagination was seen which was limited toward the small intestine. All operated children died. The authors are of the opinion that prognosis in HUS with severe gastrointestinal complications is very infaust.

Abdomen, Acute↗

[Late results of ureterosigmoidostomy in treating extrophy of the bladder (author's transl)].

26 children with extrophy of the bladder were treated surgically during a period of 23 years. In all cases a ureterosigmoidostomy was performed with a follow up of 1-22 years in 15 of 26 cases. In 9 children the clinical, radiological, and biochemical findings were good in 4 satisfying and 2 bad due to hydronephrosis and electrolyte disturbances. The authors recommend direct implantation of the ureters into the rectosigmoid, according to the technique of Goodwin. This approach is simple from a technical point of view and the immediate and late complications are less frequent than with other methods.

Bladder Exstrophy↗

[Peritoneal dialysis for treatment of hemolytic-uremic syndrome in children (author's transl)].

After a short introduction on etiology, symptomatology and therapy the authors present 4 cases of hemolytic-uremic syndrome. All children were treated with peritoneal dialysis which was repeated many times, when the anuric-condition lasted for a long time. Indications and the technique of the peritoneal dialysis are given. The authors prove that the peritoneal dialysis therapy of hemolytic-uremic syndrome has good results at different ages.

Acute Kidney Injury↗