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Biomedical subjects

J L Butsch

Publications and source records attributed to J L Butsch.

14 recordsLinked to original sources

The effect of nalbuphine on the common bile duct pressure.

The effect of Nalbuphine on the common bile duct pressure of ten women who had cholecystectomy and common duct exploration for cholelithiasis and choledocholithiasis was studied. In this pilot study, intravenously inject Nalbuphine (20 mg) significantly raised the common duct pressure (P less than 0.01). However, none of the patients experienced pain as a result of the elevation in the biliary pressure; there was no deleterious cardiopulmonary effect.

Adult

Intramural hematoma of the small bowel: a possible lethal complication of herniography.

A severe and possible lethal complication of herniography is reported. A 3-year-old child who was born with an undescended testicle on the right side and a normal descended testicle on the left underwent a herniography study. Twelve hours following the procedure, he developed lower abdominal pain which progressed over the next 72 hours. A diagnosis of mesenteric hematoma was entertained and he underwent abdominal surgery. At operation a large intramural hematoma was found in a segment of nonviable bowel. This segment was resected with an end-to-end anastomosis. The postoperative course was uneventful.

Child, Preschool

Bilateral vocal cord paralysis. A complication of percutaneous cannulation of the internal jugular veins.

A severe complication resulted from internal jugular cannulation. An obese patient had hematomas after bilateral attempts. The first cannulation (on the right) was successful after many tries; the second (on the left) was not. The patient was hoarse after the first attempt; more so and dyspneic after the second. Laryngoscopic examination showed paralysis of the vocal cords. Tracheostomy was done. Two weeks later, the cords were seen to move normally. The tracheostomy was removed, and recovery was uneventful.

Catheterization

Serendipitous passage of a common duct stone following ampullary cannulation.

A transduodenal endoscopic pancreatocholangiography dislodged a distal common duct stone. The conclusion that the stone was disimpacted by the manipulation was reached by (1) demonstration of a negative shadow representing a stone in the distal part of the common duct on roentgenograms following injection of contrast material after successful ampullary cannulation, (2) the clinical sequence of events that followed ampullary cannulation, and (3) the operative finding of a grossly dilated common duct without the presence of a stone and normal intraoperative and postoperative T-tube cholangiograms.

Ampulla of Vater

Subclavian thrombosis following hockey injuries.

Subclavian thrombosis is not an uncommon disease following an injury. It has been reported following severe trauma to mere hyperabduction of the arm. Heretofore it has not been reported following a hockey injury. I wish to report two cases where subclavian thrombosis occurred following a hockey injury. The records of the National Hockey League for a 3-year period along with the world literature have been reviewed. The mechanisms producing the thrombosis and pathogenesis are described along with the modes of diagnosis and treatment.

Athletic Injuries