PubMed Health⌕ Search

Biomedical subjects

K F Gürtler

Publications and source records attributed to K F Gürtler.

31 records · Page 2Linked to original sources
PubMed1980

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

Since Crohn's disease often entails complications, surgery is mandatory in many cases. The postoperative relapse rate is high (50-90%). The most important method to discover such relapses is represented by x-ray examination. In 15 surgically treated cases, relapses were observed in 7 patients. The region of the anastomosis is most frequently affected by relapses and complications. Optimal information in respect of differentiation of purely surgically conditioned changes and relapses is given by enteroclysm and double-contrast roentgenography of the colon.

Colon↗
PubMed1979

[Computer tomography of the sacroiliac joints (author's transl)].

Computer tomography, like conventional radiography, can demonstrate inflammatory, degenerative or reparative, traumatic and neoplastic lesions of the sacroiliac joints. In some cases computer tomography adds important information, for instance as regards soft tissue changes near the S.I. joints in the presence of neoplastic or posttraumatic lesions (tumour extension, hematoma). Computer tomography is also able to demonstrate minor disalignment of the sacro-iliac joints (so-called sacro-listhesis).

Bone Diseases↗
PubMed1979

[Computer tomographic demonstration of haematomas in the pelvis and abdomen (author's transl)].

Retro- and intra-peritoneal haematomas have been demonstrated in 19 patients by computer tomography. Absorption values varied from 0 to 65 Hounsfield units. Absorption values are high shortly after the trauma, but fall during the following days and weeks because of absorption and enzymatic chances of the haemaglobin and protein. A diagnosis can only be made with a knowledge of the clinical background. Tumours, abscesses and cysts must be considered in the differential diagnosis. Unlike conventional radiography, haematomas can be directly demonstrated by computer tomography. Angiography may demonstrate the point of bleeding when there is no haematoma, or if an haematoma fails to develop because bleeding is taking place into a hollow organ or a duct.

Abdomen↗
PubMed1978

[Coarctation of abdominal aorta. Congenital or inflammatory origin? (author's transl)].

Angiography in a 28-year-old woman with hypertension revealed coarctation of the abdominal aorta in combination with stenoses of the proximal portions of visceral arteries. One year after the diagnosis was confirmed she had a cerebro-vascular accident. The patient was operated and the hypertension and neurological symptoms returned to normal. The various causes of abdominal coarctation are discussed.

Adult↗
PubMed1978

[Roentgen examination of the operated small bowel (author's transl)].

After operations on the small bowel roentgenology shall help in the diagnosis of complications (suture insufficiency, peritonitis, hemorrhage, ileus), shall analyse the modified function and shall identify reappearing tumors or Crohn's disease. Watersoluble jodated substances are preferable during the first days. Later barium suspensions permit to obtain pictures of good quality. Middle and lower segments of the small bowl are best analysed with duodenal intubation. Pneumocolon gives often the best results in controlling ileocolic anastomosis.

Contrast Media↗
PubMed1977

[Radiological observations of the chest in progressive scleroderma (author's transl)].

All available chest radiographs of 50 patients with progressive scleroderma have been freshly evaluated. In 28 cases (56%), pulmonary involvement was diagnosed; its type and severity was classified according to the specimen films of the ILO-U/C 1971 classification for pneumoconiosis. Serial observations in 27 patients spanning a period of one to 21 years have shown that the course of the disease in the lung is unpredictable. Rapid progress of fibrosis is, however, uncommon. Two radiological appearances in the thorax, which are not specific, but are found predominantly in scleroderma are: 1 an air oesophagram on the lateral thorax film (8 cases) and erosions of the upper rib margins (5 cases). The importance of radiological examination lies in the fact that it confirms the clinical diagnosis and that it may indicate the cause of an otherwise undiagnosed pulmonary fibrosis.

Adolescent↗
PubMed1977

[Angiography of the liver (author's transl)].

Angiography is a decisive technique of diagnosis of space-occupying processes in the liver. In contrast to laboratory-techniques, scintigraphy and ultrasound which ought to precede it, angiography permits a diagnosis of the type of lesion and is a guide to the chances of surgery on the basis of vascular topography. Angiographic findings in primary and secondary benign and malignant tumors of the liver, of cysts, abscesses and trauma are described and demonstrated on cases. The various forms of portal hypertension are a further field for angiographic diagnosis, explained on examples. The techniques of showing the hepatic arteries, the portal circulation and hepatic veins including direct portography are described and their usefulness for the various diseases discussed. The still little tested therapeutic use of liver angiography in hemorrhage and tumors is mentioned.

Adult↗
PubMed1977

[Diagnostic problems in a patient with progressive sclerodermia (author's transl)].

3 characteristic problems of progressive sclerodermia are discussed on the basis of one case: 1. The differential diagnosis of stenosis of the esophagus due either to the disease or to carcinoma, 2. in the presence of a round focus in a lung, the question of its connection with pulmonary fibrosis or bronchial carcinoma, 3. in rapidly increasing interstitial marking the distinction between increasing fibrosis of interstitial superimposed edema.

Carcinoma, Bronchogenic↗
PubMed1977

[Depth therapy with electrons in the thoracic region. V. Dosimetric studies with telecentric small-angle pendulous irradiation (author's transl)].

The conditions of dose distribution in telecentric small-angle pendulous electron irradiation of the thoracic region are reported on the basis of isodoses experimentally found using a phantom. Electron energies from 20 to 42 MeV were used, the axial depth amounted to 20 to 30 cm, the pendulous angles to 30 degrees, 40 degrees, or 60 degrees and the field breadth was 3 or 4 cm. Irradiations were performed monaxially as well as biaxially. The influences of single variables upon the dose distribution and especially on the radiation load to skin, lung and spinal cord are discussed.

Humans↗