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  • 1985-1989  (3)
  • 5-methoxy-N  (1)
  • Chemotherapy  (1)
  • Endoskopie  (1)
  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Journal of molecular medicine 65 (1987), S. 338-340 
    ISSN: 1432-1440
    Keywords: Porphyria ; Chemotherapy ; Acute myelogenous leukemia
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The safety of drugs in hepatic porphyrias has largely been established by clinical experience, which is very limited in the case of antineoplastic agents. We administered three cycles of polychemotherapy consisting of daunorubicin, cytarabine and 6-thioguanine, and modified supportive care to a 33-year-old Turkish woman suffering from acute myelogenous leukemia. The urinary excretion of total porphyrins, porphobilinogen, and aminolevulinic acid was continuously monitored. Excreation of these metabolites was permanently elevated, but the values were comparatively low during cytotoxic therapy while peak values were recorded at the onset of fever during bone marrow aplasia; yet there were no clinical signs of porphyritic attacks at that time. A few potentially unsafe drugs were tolerated without an increase in porphyrin excretion. Although the susceptibility to drugs is highly variable in patients with hepatic porphyrias, the treatment of malignancy in these patients seems justified as long as porphyrin excretion under therapy is not grossly elevated over baseline values and appropriately modified supportive care is administered.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-1106
    Keywords: Spinal cord ; Transmitters ; Neuropeptides ; Spantide ; 5-methoxy-N ; N-dimethyltryptamine ; Neurotoxicity ; Necrosis ; Intrathecal ; Immunofluorescence
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Using behavioural, morphological and immunohistochemical analysis, the effect of intrathecal administration of a substance P antagonist, Spantide ((D-Arg1, D-Trp7,9, Leu11)-SP), was studied. Antisera raised against markers for motoneurons, local spinal neurons, descending bulbospinal systems and primary afferents were used. The effect of some drugs, including thyrotropin releasing hormone (TRH), on Spantide-induced effects were also analyzed. After injection of 2 μg of Spantide at the lumbar level, a marked necrosis of the spinal cord was observed extending for about 5–6 segments, affecting mostly the ventral horns. Thus, calcitonin gene related peptide (CGRP)-like immunoreactivity (LI) in motoneurons completely disappeared and no motoneurons could be seen in cresyl violet-stained sections. The first changes were observed 6 h after Spantide injection and at 24 h a complete necrosis was seen. Marked reductions in the number of 5-hydroxytryptamine (5-HT)- and substance P-positive fibers were also observed. The effects were less dramatic in the dorsal horns, but at the site of maximal effects there was a disturbance also of CGRP-, substance P-, and neuropeptide tyrosine (NPY)-positive fibers in the superficial layers of the dorsal horn. These effects could be completely counteracted by multiple intravenous injections of TRH as well as with 5-methoxy-N, N-dimethyltryptamine (5-MeDMT), a 5-HT agonist. The behavioural analysis showed parallel changes, with permanent motor impairment after Spantide-treatment and complete absence of these symptoms when TRH or 5-MeDMT was given in addition. Finally, the effect of Spantide on 5-HT, noradrenaline, substance P and CGRP levels was measured biochemically. The present results are discussed in the light of recent findings that Spantide can cause a dramatic reduction in spinal blood flow.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Langenbeck's archives of surgery 366 (1985), S. 131-133 
    ISSN: 1435-2451
    Keywords: Endoscopy ; Oesophagus perforation ; Mediastinitis ; Oesophagostoma ; Endoskopie ; Oesophagusperforation ; Mediastinitis ; Oesophagostoma
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Die instrumentelle iatrogene Oesophagusperforation steht in der Ursachenhäufigkeit an vorderster Stelle der endoskopischen Eingriffe, die in neuerer Zeit immer mehr an Bedeutung gewonnen haben. Vom 1. 1. 73 bis 31. 12. 84 sahen wir in Mannheim 46 Oesophagusperforationen. Der jüngste Patient war ein 2jähriges Mädchen mit einer benignen Stenose, der älteste ein 89jähriger Mann mit einem Kardia-Ca. Der Altersdurchschnitt betrug 62 Jahre. 26 Patienten wurden konservativ behandelt und 20 Patienten mußten operiert werden. In 2 Fällen war eine Diskontinuitäts-Operation erforderlich. In 1 Fall erfolgte die Rekonstruktion 6 Monate später erfolgreich. 9 Patienten verstarben. In jedem Fall war die Todesursache kardio-pulmonales Versagen bei septischem Geschehen.
    Notes: Summary The number of oesophagus perforations has increased considerably with the increase in endoscopic, diagnostic and therapeutic procedures. 46 instrumental oesophagus perforations have been observed between 1973 and 1984. The youngest patient was a 2-year-old girl with a benign oesophagus stenosis and the eldest was an 89-year-old man with a neoplasm of the cardia. The average age was 62 years. 26 patients were treated conservatively; 20 patients were treated surgically. In 2 cases the oesophagus was diverted at the cervical level and the cardia detached. 8 months later this was successfully reconstructed. 9 out of 43 patients died. In every case, the cause of death were cardio-pulmonal complications accompanying general sepsis.
    Type of Medium: Electronic Resource
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