[Blood disease. Extramedullary plasmacytoma with histologic confirmation by transthoracic biopsy].
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Biomedical subjects
Publications and source records attributed to U Drochner.
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Pancreatic pseudocysts with mediastinal extension are a rare clinical entity. The pseudocysts traverse the diaphragma by way of the esophageal hiatus or by erosion directly through the diaphragma. Although the predominant clinical manifestations are related to the chest, proper management should include laparotomy and cystenteric anastomoses. In some cases the mediastinal components rapidly disappear without any specifically treatment.
Percutaneous endoscopic gastrostomy (PEG) is a simple technique for the endoscopic placement of a permanent feeding access. The procedure is relatively safe and the technique well established. PEG can, however, be associated with serious complications and death. Following the rare PEG-related complication of an abdominal dislocation we review technique, indications and complications of this sixteen year old method.
Temporary pacemaker therapy is defined as a limited electrical stimulation of the heart with an external generator. This method is used in emergency situations for patients with bradycardia or asystolia. Since the first implantation of a permanent pacemaker in 1958, the types of indications changed according to technological development of the generators. In former times, total AV-block of the heart was the classical indication. Today, also patients with bradyarrhythmia or sinus node dysfunction are given a pacemaker based on hemodynamic findings. More possibilities in pacemaker programming also requires more education of physicians.