PubMed HealthSearch

Biomedical subjects

R Markert

Publications and source records attributed to R Markert.

15 recordsLinked to original sources

[Psychological determinants of symptoms in patients after cholecystectomy].

Psychological testing revealed the participation and features of emotional traits and personality of patients in the development and course of various diseases. The authors applied psychological testing to two groups of patients: 1) operated on for cholecystolithiasis, and 2) those with various symptoms after cholecystectomy. The methods applied extended the data on the non-medical determinants of the experienced symptoms. The tests demonstrated differences in neurotic reactions between two groups of patients. It seems that such processes as self-concentration, increased anxiety level, neurotic substrate of behaviour and low emotional resistance were characteristic of the group dissatisfied with the results of cholecystectomy. The personality of these patients may influence the psychological determinants of the experienced symptoms.

Cholecystectomy

[The value of ultrasonography in the diagnosis of traumatic liver injuries].

The dramatic advances in ultrasonography has opened new diagnostic possibilities making possible assessment of the internal structure of parenchymal organs. Two cases of traumatic liver rupture are described, one was found accidentally, in the second case USG protected the patient from undergoing exploratory laparotomy. In view of the simplicity, speed and complete safety of the method it is a very useful diagnostic procedure helping in correct diagnosis.

Adult

[Cause of pain in patients surgically treated for cholelithiasis and post-cholecystectomy syndrome].

Cholecystectomy does not mean an end of all problems in every patients because some of operated patients continue to complain. Usually such complaints are called post-cholecystectomy syndrome. Eighty three patients, who underwent cholecystectomy were examined. Postoperative complications were excluded, and post-cholecystectomy syndrome diagnosed because of persisting complaints. Definite additional disease associated with gastric and duodenal disorders was found in about 50% of all examined patients (56 cases). In further 23 patients repeated diagnostic tests enabled to establish probable reason of the disorders. The studies have shown that disorders noted after cholecystectomy and termed as post-cholecystectomy syndrome are as much as in 63% of patients not related to previous surgery. Therefore, this widely used name should not be applied to all complaints following cholecystectomy, and attempts of finding other causes of the ailments including other organs diseases should be undertaken.

Adult