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Biomedical subjects

J Reuss

Publications and source records attributed to J Reuss.

21 records · Page 2Linked to original sources

[Sonographic detection of fistulas in Crohn disease].

The sonographic detection of fistulas in Crohn's disease has been almost impossible up to now and had therefore not been attempted. Two findings of an enterocutaneous and a blind-ending colohepatic fistula are demonstrated. Probably sonographic diagnosis of fistulas is better than has been believed so far, due to the high contrast of tiny gas bubbles; the "compression technique" to bypass meteoristic intestinal loops, which is been increasingly employed, and the improved physical resolution that allows to distinguish between different layers of the intestinal wall, are further contributing factors to the increasing use of sonography in this category of diagnostics.

Abscess↗

[Diagnosis of cavernomatous transformation of the portal vein].

In 10 patients at the age of 17 to 59 years the diagnosis of a cavernomatous transformation of the portal vein primarily was made by sonography and was confirmed by computer tomography and angiography, respectively. These findings were seen by chance when an abdominal ultrasound was performed in order to clarify splenomegaly or esophageal varices. The characteristics of the disease are the positive proof of a convoluted agglomeration of racemose venous structures that have replaced the normal single portal vein and signs of portal hypertension. The sonographic figures are so typical that ultrasound is the decisive procedure in its diagnosis and that direct or indirect splenoportography is not necessary. The present results show that clinical manifestations of cavernomatous transformation of the portal vein are delayed sometimes in to adolescence and that invasive diagnostic methods are only necessary when shunt operation is planned.

Adolescent↗

[Sonographic findings in analgesic nephropathy].

Demonstration of circular papillary calcifications in renal sonography, frequently combined with urinary retention and reduction of kidney size, can be used as evidence of analgesic nephropathy. This previously not described sonomorphologic pattern was observed in 8 out of 10 patients on dialysis treatment with previously known abuse of analgesics and in 5 out of 8 patients with compensated reduction of renal function and established abuse of analgesics. In addition, this sonographic pattern was also reported in 6 patients with increased serum creatinine concentration of unknown origin. This resulted in detection of a previously unknown abuse of analgesics.

Analgesics↗