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R H Hughes

Publications and source records attributed to R H Hughes.

5 recordsLinked to original sources

Role of endoscopic retrograde cholangiopancreatography after orthotopic liver transplantation.

We reviewed the records of 20 liver transplant patients who underwent 28 procedures [endoscopic retrograde cholangiopancreatography (ERCP)] to rule out biliary obstruction, treat bile leaks, dilate and/or stent strictures, or remove stones and debris. Three patients (two with abnormal T-tube cholangiograms and one with hyperbilirubinemia) underwent ERCP to rule out obstruction. Therapeutic ERCP (sphincterotomy with balloon dilatation or stone extraction) was successful in 16 of 17 patients, including seven of nine in whom there was resolution of bile leaks without the use of stents or surgery. Mild pancreatitis occurring in one patient was the only complication experienced that was related to ERCP. We conclude that ERCP is a safe and important modality in the medical management of biliary tract complications after orthotopic liver transplantation.

Adult↗

Postmortem delineation of infarcted myocardium. Coronary perfusion with nitro blue tetrazolium.

Perfusion of hearts with nitro blue tetrazolium resulted in gross formazan staining of intact myocardium, while infarcted zones and scars were unstained or were poorly stained. Subsequent perfusion with 3.7% formaldehyde solution provided a rigid specimen with well-preserved anatomical structures and landmarks suitable for detailed correlation of three-dimensional infarct distribution with clinical data. Specimens are particularly amenable to further gross dissection of mapping of lesions from interval slices, or both.

Acute Disease↗