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Biomedical subjects

W Böttcher

Publications and source records attributed to W Böttcher.

32 records · Page 2Linked to original sources
PubMed1983

[Conjugated cholic acid in the portal vein, aorta and hepatic vein in patients with alcohol toxic liver cirrhosis].

In 12 patients with Laennec's cirrhosis conjugated cholic acid was measured by radioimmunoassay simultaneously in the portal vein, the aorta, and the hepatic vein. Furthermore, the concentration was measured for 90 minutes after i. v. injection of cholecystokinin. In the fasting patient the porto-venous extraction ratio was 0.45 (SD 0.23) and the arterio-venous extraction ratio was 0.24 (SD 0,21). 15-30 minutes after cholecystokinin the bile acid concentration significantly increased. In this time the porto-venous extraction ratio rose to 0.71 while the aorto-venous extraction ratio was different. These results agree with the hemodynamics found in cirrhosis. After cholecystokinin the increase in the extraction ratio account for the blood loss by porto venous shunts which corresponds to an increase of the portal compartment.

Adult↗
PubMed1981

[Increased cardiovascular arteriosclerosis risk in patients with analgesic nephropathy (author's transl)].

The retrospective investigation of 54 patients with analgesic nephropathy showed the relatively early occurrence of coronary sclerosis and an increased frequency of arteriosclerotic renal artery stenosis. Angina pectoris was found in 14 patients with a mean age of 48 1/2 years. Summation of risk factors is the probable cause of the tendency for arteriosclerosis: hypercholesterolaemia and hypertriglyceridaemia was found in 29 patients, arterial hypertension in 42 patients, which was so severe in half of the patients that combined treatment with two or more drugs was necessary. The causes of lipid metabolism disturbances as well as the pathogenesis of arterial hypertension are not known. Arteriosclerotic renal artery stenoses observed in 8 patients are not likely to be the cause of hypertension.

Adult↗
PubMed1981

[Fascial closure of median laparotomies with a synthetic, resorbable suture material (polyglycolic acid)].

In a prospective randomized study polyglycolic acid sutures (PGA) and polyester sutures for closure of median abdominal fascial incisions are compared. Occurrence of infection, incisional hernia, wound dehiscence and suture fistulas is evaluated. With regard to these complications no significant differences could be detected. PGA shows its advantage in less tissue reaction (avoiding fistulae).

Fasciotomy↗
PubMed1981

[Splenectomy in Werlhof disease without thrombocyte substitution. Prospective study of 7 consecutive cases].

As a prophylaxis against the risk of postoperative bleeding platelet mass transfusions or transfusions of whole fresh blood are recommended for splenectomy in chronic idiopathic thrombocytopenic purpura. As the efficacy of this treatment is uncertain, seven consecutive patients with platelet counts of 4000/mm3 (2000-16000) were splenectomized without this prophylaxis. Platelet counts rose to 152500/mm3 (70000--305000) 18 h after operation, in every case the critical lower limit of 50000 was exceeded. Apart from one case of transient fever of undetected origin and one small pleural effusion there were no complications. Even in patients with extremely low platelet counts splenectomy can be performed without platelet mass transfusion.

Adolescent↗
PubMed1981

[Initial clinical experiences with heterotopic autotransplantation of the spleen].

Since April 1980 ruptured spleens have been removed in seven patients (6-43 years old) and reimplanted into the omentum majus using a new operative technique. This procedure took about 15 min. Two patients died because of associated trauma to other organs. There were no complications due to this autologous, heterotopic transplantation. Four months after the operation elektrophoresis of immunglobulins, Howell-Jolly bodies and "pitted" RBCs were totally normalized. A 99mTc-scintigram with human albumin-millimicrospheres showed an intact phagocytosis and ingestion by the transplant. Therefore, good protection against infection is to be expected. The heterotopic autotransplantation of the spleen should be used in cases of splenic trauma if the clinical situation demands total splenectomy.

Adolescent↗
PubMed1980

[Alcohol-induced Cushing's syndrome: case report (author's transl)].

Reversible Cushing's syndrome with typical physical appearance and increased basal plasma-cortisol level developed in a 48-year-old man with essential arterial hypertension, as a result of chronic alcohol abuse and could not be supressed by prolonged dexamethason inhibition. Alcohol abstinence within a few weeks produced remission with normal adrenocortical function and regulation without any other therapeutic measures. Renewed alcohol consumption quickly brought about again the alcohol-induced Cushing's syndrome. An abnormality of central regulation with inadequate ACTH secretion was the cause of the hypercortisolism. Previously reported cases of alcohol-induced Cushing's syndrome are not uniform: in some the diagnosis is in doubt.

Adrenocorticotropic Hormone↗
PubMed1980

Extrarenal prorenin and renin in anephric patients.

Active renin was detected in 6 of 7 anephric patients (mean value: 0.72 +/- 0.27 microU/ml, n = 7; normals: 19.7 +/- 2.4 microU/ml, n = 10), using an assay method without intrinsic acid- or cryoactivation. Prorenin, measured as the difference between plasma renin concentration (PRC) before and after acid-activation in vitro, was present in considerable amounts in all patients (32.4 +/- 3.5 microU/ml; normals: 80.7 +/- 9.7 microU/ml). PRC after cryoactivation at--5 degrees C during 1 week was insignificantly lower than after acid-activation in the patients. There was a linear correlation between PRC after either activation procedure (p less than 0.01). Supine or upright posture did not influence active or inactive renin in the anephric subjects. Our studies show that low but significant levels of active renin and a considerable amount of prorenin are detectable in anephric patients. The data suggest that prorenin in normal subjects in a significant proportion is of extrarenal origin. Orthostasis has no effect on extrarenal active or inactive renin.

Adult↗
PubMed1980

Hypercholesterolaemia and hypertriglyceridaemia in patients with analgesic nephropathy.

Patients with analgesic nephropathy are reported to have a higher risk of atherosclerosis. One possible reason for this is a high incidence of hyperlipaemia in patients with analgesic nephropathy. In a retrospective study, serum cholesterol and serum triglyceride concentrations of patients with analgesic nephropathy and moderately restricted renal function were significantly higher compared to a control group with other renal diseases of similar age and degree of renal insufficiency. Hyperlipaemia in analgesic nephropathy is not explained by end-stage renal failure on one side or protein loss as in nephrotic syndrome on the other side. Some possible mechanisms for hyperlipaemia in analgesic nephropathy are discussed.

Adult↗
PubMed1976

Microcirculation of the renal papilla of rats under control conditions and after temporary ischemia.

Blood flow velocities were measured and, with the help of vessel diameters, volume flow rates were calculated in the ascending and descending vasa recta of the renal papilla of young rats using microkymography. Measurements were done under control conditions, and one or three days after temporary ischemia of the kidney (one hr of renal artery occlusion). To test whether the osmolality of the final urine which surrounds the papilla influences the papillary microcirculation, the papillary surface was rinsed with 300 or 1500 mOsm solutions. However, the rinse fluid osmolality had no effect on blood flow. Flow velocity in descending vasa recta(hypertonic rinse fluid) averaged 0.60 +/- 0.04 SEM mm/sec under control conditions, 0.68 +/- 0.08 mm/sec one day after temporary ischemia, and 0.73 +/- 0.04 mm/sec three days after temporary ischemia. The corresponding blood flow rates are 9.3 +/- 1.0, 8.3 +/- 1.2, and 10.5 +/- 1.5 nl/min; these values are not significantly different from each other. Flow rate in the ascending vasa recta was 6.4 +/- 0.6 nl/min under control conditions and 9.3 +/- 1.2 nl/min one day postischemia. The significance increase in ascending vasa recta blood flow after ischemia was probably due to an increase in the permeability of the papillary epithelium. An exact quantitative comparison between blood inflow and outflow from the papilla is not possible at present, because it is not yet clear to what extent the number of ascending vasa recta outnumber the descending vasa recta.

Animals↗