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Biomedical subjects

J P Gigon

Publications and source records attributed to J P Gigon.

At least 19 recordsLinked to original sources

[Activities of intensive care units in 1986].

Based on a yearly evaluation carried out by the Swiss Society for Intensive Care Medicine and the Swiss Nurses Association, statistical reports for 1986 from 72 recognized intensive care units are presented.

Critical Care↗

[Evaluation of ambulatory teaching for diabetics in a semi-rural region].

An outpatient educational system for diabetics has been employed in Delémont since 1984 in the form of a 4-day course consisting of a total of 15 teaching hours. This teaching method has been evaluated in the first 51 patients. The level of information (tested by a series of multiple choice questions which are submitted to the patients at the beginning, at the end of the course and three months later) was found to improve. The score (0-17) rose from 6.6 to 11.9 and then 12.5; n = 35; p less than 0.001. The HbA1c fell significantly in a three month period from 8.8 to 7.8%, n = 12, p less than 0.02. The slight lowering of average fasting serum glucose levels (from 10.4 to 9.7 mmol/l) and of the patients' weights (from 75.4 to 74.6 kgs) was not significant. - The advantage of the educational system that has been studied is its low cost and the fact that it is accepted well by patients.

Ambulatory Care↗

Gallstone ileus after endoscopic sphincterotomy.

An attack of gallstone ileus observed in a 60-year-old female patient is reported. In this patient who previously had been cholecystectomized, instant extraction of giant residual gallstones was unsuccessful despite a large endoscopic sphincterotomy. Three days later, she developed colicky abdominal pain and vomiting. At laparotomy nine days after the endoscopic procedure an impacted gallstone measuring 3.5 cm in diameter was removed from the the jejunum, some 50 cm below the ligament of Treitz. This observation demonstrates an unusual complication of endoscopic sphincterotomy and clearly outlines that very large stones can, after an initial delay, pass into the duodenum despite an apparently "unsuccessful" sphincterotomy.

Ampulla of Vater↗