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Biomedical subjects

K Pistor

Publications and source records attributed to K Pistor.

32 records · Page 2Linked to original sources
PubMed1980

[Regional service for dialysis and kidney-transplantation in children (author's transl)].

Children with renal failure should be treated in specialized pediatric centres. In October 1977 we initiated a pediatric dialysis unit at the university of Essen, as there were no special facilities for this area (Ruhr). In 18 months 24 children with end-stage renal failure and 15 children with acute renal failure or severe poisoning had to be treated. We performed 2300 hemodialyses and 400 peritonealdialyses; 12 children got a transplant. The pediatric dialysis unit of Essen has all facilities for treatment of children with acute and chronic renal failure. The documented results were possible by cooperation with all specialists of our hospital and with the neighbouring pediatric dialysis centres.

Acute Kidney Injury↗
PubMed1980

[Clinico-pathological data in infants with different types of nephrotic syndrome (author's transl)].

Case reports including light- and electron microscopy about 4 children with infantile nephrotic syndrome are given. Histologic lesions were microcystic renal disease ("Finnish type"), diffuse glomerular mesangial sclerosis, glomerular mesangial proliferation and minimal changes in the 4 patients, respectively. Knowledge of the individual histologic lesion is essential for adequate therapy and the prognosis in all infants with nephrotic syndrome, except in cases with data proving the Finnish type; in some cases, the identification of individual histologic type will lead to adequate genetic counselling of the family.

Biopsy↗
PubMed1979

[Hypertensive emergencies in children with renal hypertension (author's transl)].

Hypertensive emergencies of 10 children with renal hypertension were analysed. Cause of renal disease are chronic renal failure in three, acute renal failure in three, hemolytic uremic syndrome in two, acute post streptococcal glomerulonephritis in one, and renal arterial stenosis in a further patient. Therapy should be started early in the course of the hypertensive emergency, first symptoms are headache and vomiting. Drug of first choice is diazoxide (3-5-(8)mg/kg i.v.). Three patients developed transitory hyperglycemia after repeated injections of diazoxide.

Acute Disease↗
PubMed1977

[The frequency of chronic and terminal renal insufficiency in childhood. Results of an inquiry in Bavaria (author's transl)].

The frequency of chronic renal insufficiency in children and adolescents up to the age of 17 was found by an inquiry addressed to 6625 doctors practising in Bavaria. The survey extended over an observation period of 5 years (1969-1974). According to the results, the frequency of chronic renal insufficiency in the age groups stated was calculated to be 8.7 per million inhabitants. An incidence of 0.83 per million inhabitants per year is to be expected for terminal renal insufficiency. From these figures the annual admissions for dialysis of patients aged between 0 and 17 years in Bavaria can be calculated at 9-13. To cater for these children with terminal renal insufficiency, the capacity must be increased from the present 10 to about 30 dialysis places in the next 5 years.

Adolescent↗
PubMedDate not supplied

[Johanson-Blizzard syndrome].

Johanson-Blizzard syndrome (JBS) is an autosomal recessively inherited disorder that is characterized by pancreatic insufficiency, a distinct appearance with hypo- or aplasia of the alae nasi and dental anomalies. We report on 3 patients with JBS who demonstrate the clinical variability of additional symptoms. In contrast to the common mental retardation in JBS we stress the outstanding intellectual abilities of one patient. It is important to realize the treatable dysfunctions in JBS. Specific therapy of e.g. pancreatic insufficiency and hypothyroidism can lead to a marked improvement of the clinical course. For the first time we discuss a possible sex influence. There is evidence that females have a better prognosis. The literature is reviewed, and aspects of differential diagnosis of JBS are considered.

Abnormalities, Multiple↗
PubMedDate not supplied

[Development of the treatment of chronic renal insufficiency in children in West Germany].

In a 10 year period from January 1969 through December 1978, 527 children up to 16 years of age with end stage renal disease (ESRD) underwent renal dialysis in the Federal Republic of Germany and 156 renal transplantation. From the year 1969-1974 20,8% of the children with ESRD under 5 years of age were dialysed, 55.4% of the children 5-10 years of age and 72.4% of the children with ESRD in the age group 10-16 years. In contrast from the year 1974 through 1978 50% of the children with ESRD under 5 years of age could be dialysed, 84.8% of the children 5-10 years, and 88.8% of the children 10-16 years of age. According the data published by EDTA, the number of dialysis and renal transplantation in children in FRG (BRD) was lower than in other European countries. The number reported to EDTA from FRG thus far had not been accurate. The number of patients dialysed and transplanted had increased each year and since 1974, the number was comparable to France, Netherlands and Switzerland. However, the overall dialysis rate in Europe had reached a plateau since 1974. The 5 year survival rate for children with home or hospital dialysis in FRG (BRD) was 78%, which was worse than the rate reported by EDTA for home dialysis, which was 87%. However, the 5 year survival rate for renal transplantation was 74% for FRG (BRD) and 72% for EDTA (cadaveric renal transplantation), the results were quite comparable.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗
PubMedDate not supplied

[Fournier's gangrene in a 2-month-old infant].

A two month old boy with Fournier's Gangrene of the scrotum as a result of unnecessary needle puncture of the hydrocele is being reported. The importance of appropriate diagnosis operation and drug-therapy is also described.

Gangrene↗
PubMedDate not supplied

[Kidney transplantation in childhood].

40 renal transplantations on children up to 15 years of age have been performed in our hospital in the years 1976 to June 1982 with one exception in 1972. We did verify the findings of previous authors that renal transplantation in children has produced good results so far (1, 5, 6). Dialysis treatment in children often evokes extreme problems for the patients, parents, and medical team. Considering this dialysis is seen as only a provisional measure, transplantation however as the final aim in the therapeutic concept of children with terminal renal insufficiency (1). Furthermore dialysis treatment for infants is justified in our opinion only if a renal transplantation ca be realized.

Adolescent↗