PubMed Health⌕ Search

Biomedical subjects

K Keminger

Publications and source records attributed to K Keminger.

At least 37 records · Page 2Linked to original sources
PubMed1978

[The radiological evaluation of the abnormal thymus and its frequency in myasthenia gravis (author's transl)].

The radiological evaluation of the thymus is discussed and the results of 159 pneumomediastinums are described. Amongst these patients, 28.5% had a persistent thymus, 41.1% showed partial involution of the thymus, 22.5% showed total involution and in 7.9% a thymoma was found. Comparison of patients with myasthenia gravis with a group suffering from autoimmune diseases showed a similar incidence of abnormal thymuses. The value of radiology in assessing the need for thymectomy as a treatment is stressed.

Adult↗
PubMed1978

[Liver transplantation in a case of angiosarcoma and thorotrast fibrosis (author's transl)].

After a short survey of the development of liver transplantation on the basis of three liver transplants performed in this department, a case of angiosarcoma due to thorotrast fibrosis is reported. The problems cocerning surgical technique have been overcome at this time. However the questions concerning immunology, procurement of organs and organ preservation are predominant. Critically observed, liver transplantation has not yet emerged from the stage of clinical experimentation today.

Hemangiosarcoma↗
PubMed1978

[Intraoperative biliary tract injuries].

Twelve iatrogene bile duct injuries are reported. Eleven occurred in operations of the bile system, and one in a gastric resection (B II). The injury should be diagnosed immediately, especially by intraoperative cholangiography. Operative treatment is discussed. Eleven patients survived, one died of pulmonary embolism (operative mortality, 8,3%). One patient had to be reoperated because of stenosis of the common bile duct. Choledochoduodenostomy was performed. The follow-up of 11 patients showed good results without any recurrence of jaundice or pain.

Adult↗
PubMed1977

[Colon transplant for oesophageal carcinoma (author's transl)].

The most suitable procedure for oesophageal replacement is colon interposition. The extent and staging of the tumour and the patient's general condition must be considered more than hitherto in the assessment of the indication for surgical intervention. Colon interposition only for the purpose of restoring the act of swallowing is not indicated because of the poor life expectation and the high operative mortality. Alternative modern methods are megavoltage irradiation and tubular prosthetics in the case of disturbance in swallowing. In accordance with the literature we elect to use one layer of interrupted sutures. With anisoperistaltic interposition the incidence of cervical fistula development seems to be higher.

Colon↗
PubMed1977

[Complications after oesophageal replacement (author's transl)].

The best procedure for substituting the oesophagus is the interposition of colon. Leakage of the cervical anastomosis is the most frequent complication. In our own material this complication was more frequent after anisoperistaltic interposition. There is no criterion for more severity with a second layer. For replacement of the cervical part of the oesophagus we used revascularized jejunal-autografts twice with success.

Colon↗
PubMed1976

[Parathyroid adenoma from the surgical view point. Report of 65 cases].

Experience in the surgical management of a series of 65 cases with hyperparathyroidism is described (primary HPT: 55, secondary HPT: 3, tertiary HPT: 2, malignant HPT: 5) The consecutive forms of primary HPT, i.e. quarternary or quinternary HPT, and of secondary HPT, i.e. tertiary HPT, are discussed in more detail. Dystopic location was observed in 12.3%. In 4.6% no adenoma was found during the operation. A modern method for the localisation is the measurement of parathyroid hormone levels by radioimmunoassay. In nearly all publications we observe an increase in the renal forms. Intensive search for primary HPT is essential in all cases with recurrent renal calculi.

Adenoma↗
PubMed1976

[Report of 125 esophageal carcinomas (author's transl)].

This report concerns our experience in the treatment of 125 patients with carcinoma of the esophagus during 17 years (excluding the cardiac region of the stomach). In our material predisponsing factors had no effect upon the age of the patients. The symptomatology is described, the causes of postoperative complications and mortality are discussed. The principal indications are mentioned and technical considerations are summariced. Radical tumor resection resulted in a 2 year survival rate of 23 percent. Palliativ resections in cases of advanced carcinoma are refused because of the high mortality rate and the small expectation of life.

Adenocarcinoma↗
PubMed1976

[Paraneoplastic syndromes affecting the nervous system and the musculature associated with malignant tumours of the thyroid gland (author's transl)].

Two cases are presented of the paraneoplastic syndrome in patients with a malignant tumour of the thyroid gland. The first case presented with a pseudomyasthenic syndrome (in conjunction with a haemangio endothelioma) and the second case with a form of neuromyopathy (in conjunction with a partly solid and partly hormone-producing thyroid carcinoma). The pathogenesis and classification of the so-called carcinomatous neuropathies is briefly outlined and the initially atypical course taken by the first case is discussed.

Aged↗
PubMed1976

[A clinical-radiological investigation concerning the accuracy of diatrizoate (Gastrografin) in the demonstration of anastomosis dehiscence and perforation of the gastro-intestinal tract (author's transl)].

A Gastrografin test is described for diagnosing perforations and dehiscence of anastomoses in the gastro-intestinal tract by carrying out a simple urine analysis. False positive and false negative results can be avoided by obtaining radiographs of urine samples under standard conditions. The accuracy of the method was checked in 97 patients by comparing the results of the urine analysis with radiographic examinations and with the clinical course. From this, it appears that the test is reliable, simple and capable of being used anywhere. The test is therefore recommended a) where there is a lack of radiographic facilities, b) for immobile patients, c) where there is clinical suspicion of a perforation or dehiscence of an anastomosis in the absence of radiographic findings and d) in individual cases where the radiographic changes are positive.

Abdomen, Acute↗