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Biomedical subjects

N Rotman

Publications and source records attributed to N Rotman.

66 records · Page 4Linked to original sources
PubMed1984

Chronic pancreaticopleural fistulas.

We report two cases of chronic pancreaticopleural fistulas occurring in chronic pancreatitis. In both cases the primary clinical manifestation was a recurrent left pleural effusion with a high content of pancreatic amylase. The pleural effusion was associated with subcutaneous fat necrotic lesions in one patient, and with expectoration of an amylase-rich fluid in the other. Endoscopic retrograde cholangiopancreatography is important because this examination allows a precise evaluation of the ductal morphology and is indispensable to the surgical procedure. We recommend surgical treatment when the fistula does not close spontaneously within two weeks. Both patients were successfully treated by surgery.

Aged↗
PubMed1982

[Treatment of acute necrotizing pancreatitis with peritoneal lavage. 12 cases].

In an intensive care unit 12 consecutive patients with acute necrotizing pancreatitis were treated with peritoneal lavage. All clearly improved: pain was promptly relieved and the symptoms of shock and respiratory failure regressed. None of the patients died during the first 10 days. The five deaths recorded were due to late septic shock consecutive to suppuration of the pancreatic gland. It is concluded that peritoneal lavage helps to tide patients over the critical first days of severe acute pancreatitis.

Acute Disease↗
PubMed1982

Campylobacter jejuni as an etiological agent of diarrheal diseases in Israel.

During a 2-yr period starting on 22 July 1979, Campylobacter jejuni was isolated in 3,008 stool cultures from 2,450 persons--2,430 (43.%) out of 56,439 patients with acute gastroenteritis and 20 out of 200 asymptomatic household contacts. No isolates of C. jejuni were obtained from any of a control group of 222 subjects. In 176 patients with C. jejuni, Salmonella and/or Shigella were isolated concomitantly. All illnesses were mild to severe and all patients, including 61 requiring hospitalization, recovered uneventfully. Patients' ages ranged from 2 wk to 88 yr, with infants and children comprising 84% of the total. Ninety-one institutional and 36 family outbreaks accounted for 606 patients. Except in two cases related to C. jejuni-infected dogs, no source or route of transmission was established. Sixty-two percent of the patients came from 18 urban localities and 38% from 125 rural settlements widely dispersed throughout northern Israel.

Adolescent↗
PubMed1980

"In vivo" kinetics of 99m-technetium labelled leucocytes in dogs and the effects of an abscess.

A new labelling method of blood white cells using "cold" pyrophosphate and 99m-technetium pertechnetate was assessed in 6 normal dogs and 6 dogs with turpentine induced abscesses (8). In normal dogs, blood kinetic studies showed a two component exponential disappearance pattern of the radioactivity, the late half-life being from 4 to 20 hours. Direct organ counting and external computer assisted gamma camera counting showed an immediate accumulation in the lungs followed by a progressive decrease. There is a marked uptake into the liver and spleen. In bearing abscesses dogs, there is an obvious increase in local radioactivity, in spite of a decreased local blood supply, allowing scintigraphic demonstration of such foci in a limb. However, the abscess model is far from perfect and further studies are required before there is a routine use in man for the detection of abscesses.

Abscess↗
PubMed1977

[Early neurological complications after cardiac surgery under ECC].

A non-trifling frequency (3,3 p. 100) of neurologic complications is observed after surgery under E.C.C. The part of some factors has been analysed and discussed, especially those played by the type of the system used, quality of the E.C.C., and the patients' conditions. Many problems are still unresolved. The actual gravity of observed troubles must bring a better harshness in preventive treatment, and to a more adjusted treatment when these troubles are noted.

Adolescent↗
PubMedDate not supplied

Orthotopic liver transplantation in the presence of partial or total portal vein thrombosis: problems in diagnosis and management.

From January 1989 to May 1992, 70 orthotopic liver transplantations (OLT) were performed in 69 patients, 53 of whom had cirrhosis (77%). Eleven patients (16%) had preoperative partial or total portal vein thrombosis (PVT). Ten of these patients had cirrhosis of various causes. PVT was total in three cases and partial in eight. Total PVT was detected preoperatively in all three cases. By contrast, partial PVT was diagnosed preoperatively in only three of the eight cases. In the five other cases of partial PVT, the obstruction was discovered intraoperatively during dissection of the portal vein. Surgical management of PVT consisted of phlebothrombectomy in ten cases followed by usual end-to-end portal anastomosis in nine cases and anastomosis of the graft's portal vein to the splenomesenteric confluence in one case. Atypical anastomosis of the graft's portal vein to a dilated choledocal vein was performed in one case of total PVT. There were no deaths or complications related to the presence of preoperative PVT or to its management. One patient died postoperatively of primary graft nonfunction at day 5. One patient had arterial thrombosis 3 months after OLT and was successfully retransplanted. Two patients died of recurrent carcinoma 3 and 7 months after OLT. Eight patients are alive 4 to 39 months after OLT. We conclude from this series that (1) the prevalence of preoperative PVT among patients transplanted for advanced cirrhosis may be high (19% of the cirrhotics in this series); (2) PVT is often partial and so difficult to diagnose preoperatively; (3) PVT, even when total, can be managed successfully during surgery and does not seem to affect survival.

Adult↗
PubMedDate not supplied

[Infiltrating hematoma of the hepatic pedicle and gallbladder wall. Ultrasonographic and x-ray computed tomographic aspects].

A case of infiltrative hematoma of the porta hepatitis and the gallbladder wall is reported. It is a rare complication of anticoagulant treatment. The sonographics findings were 1 degree an echogenic material surrounding the porta hepatis, and 2 degrees a gallbladder wall thickening. Both these lesions appeared as dense areas on computed tomography (CT) scan. The aetiologies of hemorrhagic cholecystitis are discussed.

Aged↗
PubMedDate not supplied

[Extra-corporeal circulation. Experimental study. Comparative study of various oxygenators (author's transl)].

An experimental study of three different types of oxygenator was carried out in the dog during two hours extra corporeal circulation. The hemodynamic aspects and the characteristics of pulmonary elasticity that a previous study permitted us to choose as controls of the quality of extracorporeal perfusion, were studied. The results show that the pulmonary arterial resistances and the indices of pulmonary compliance do not recover during E.C.C. to their initial values, in the case of an E.C.C. using a bubble oxygenator. These results should be taken into consideration in the choice of the most suitable oxygenator.

Animals↗