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R F Gittes

Publications and source records attributed to R F Gittes.

At least 145 records · Page 8Linked to original sources

Gallium-67 scans in the diagnosis of pyelonephritis.

Gallium-67 ((67)Ga) citrate was administered intravenously (50 microcuries per kg of body weight) to patients in whom acute and chronic urinary tract infections were suspected. Scanning was done, using both the Anger-type scintillation camera and the rectilinear scanner, 24 to 78 hours after injection of the isotope. The preliminary results imply that (67)Ga renal uptake is present in patients with pyelonephritis whether overt or silent, as well as in patients with uretero-sigmoidostomies. However, (67)Ga renal uptake is not present in patients with radiographic evidence of chronic pyelonephritis without active infection and in patients without renal disease.

Acute Disease↗

Pheochromocytoma. Tumor localization and surgical management.

Recent experience with five cases of pheochromocytoma is the basis for this report. Pharmacological blockade is to be started with phenoxybenzamine before angiographic studies. Arteriography is the preferred localization technique, particularly when combined with bone-subtraction films. Anesthetic management requires special attention to premedication, close monitoring of cardiac rhythm, arterial and central venous pressure, and judicious administration of alpha and beta blockers. Methoxyflurane is no longer the anesthetic agent of choice because of possible nephrotoxicity. Multiple tumors are common. Wide surgical exposure with systematic palpation of autonomic ganglia must be carried out. Manipulation of the tumor does raise arterial blood pressure in spite of adequate preoperative blockade. The alpha blockade prevents the sudden and dangerous vascular collapse which used to be seen after removal of the tumor.

Adrenal Gland Neoplasms↗

Megacalyces.

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Adolescent↗