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Biomedical subjects

M H Bronner

Publications and source records attributed to M H Bronner.

6 recordsLinked to original sources
PubMed1986

Pancreaticopleural fistula: demonstration by computed tomography and endoscopic retrograde cholangiopancreatography.

Pancreaticopleural fistula is an uncommon complication of chronic pancreatitis or pancreatic trauma. Clinical features include pleural effusion and resulting pulmonary symptoms. Abdominal pain and other clinical manifestations of pancreatitis may be minimal or absent. As in this case, computed tomography and endoscopic retrograde cholangiopancreatography may provide complementary diagnostic information in the evaluation of this condition. A discussion of the pathophysiology, diagnosis, and management of pancreaticopleural fistula is presented.

Adult↗
PubMed1986

Ventricular ectopy associated with peroral colonic lavage.

Peroral colonic lavage solutions are widely used to prepare patients for colonoscopy. The effects of peroral colonic lavage on cardiac rhythm have not been evaluated previously. Using continuous electrocardiographic monitoring, the authors evaluated cardiac rhythm in 22 patients undergoing 24 colonoscopic examinations. Monitored periods included a control phase, the period of preparation with the lavage solution, and the period of colonoscopy. In 12 of 24 evaluations, patients demonstrated an increase in ventricular ectopy during the preparation phase compared to the control period (p = 0.01). Two patients demonstrated ventricular tachycardia, four patients manifested complex ventricular ectopy without ventricular tachycardia, and six patients demonstrated an increase in simple premature ventricular contractions. The authors conclude that peroral colonic lavage is associated with increased ventricular ectopy.

Adult↗
PubMed1986

Estrogen-progesterone therapy for bleeding gastrointestinal telangiectasias in chronic renal failure. An uncontrolled trial.

Gastrointestinal telangiectasias cause hemorrhage in patients with chronic renal failure. Therapies using vasoconstrictors, endoscopic application of heat, and surgery have had limited efficacy. Because several reports have suggested that estrogen or estrogen-progesterone therapy may control mucosal bleeding from telangiectasias in patients with hereditary hemorrhagic telangiectasia, we treated seven patients with chronic renal failure and bleeding gastrointestinal telangiectasias with systemic estrogen or estrogen-progesterone in an uncontrolled trial. Bleeding ceased in all patients. Blood transfusion requirements decreased from a mean of 1.2 U/month before treatment to 0.21 U/month after treatment. No significant side effects were noted. Results of this trial indicate the need for controlled investigations of this type of hormonal therapy.

Aged↗