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  • Akute Abdominalbeschwerden  (1)
  • Anorectal manometry  (1)
  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Diseases of the colon & rectum 40 (1997), S. 1328-1335 
    ISSN: 1530-0358
    Keywords: Systemic sclerosis ; Anorectal manometry ; Fecal incontinence ; Rectoanal inhibitory reflex ; Esophageal manometry
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract PURPOSE: This study was designed to compare esophageal and anorectal function parameters in patients with systemic sclerosis and to define the role of anorectal manometry in the diagnosis of gastrointestinal involvement of systemic sclerosis. PATIENTS AND METHODS: Twenty-six consecutive patients (22 females) with systemic sclerosis originally referred for assessment of esophageal function were evaluated by esophageal and anorectal manometry. Anorectal function parameters were compared between patients with normal and those with disturbed esophageal function. RESULTS: A total of 17 of 26 patients (65 percent) had severe esophageal dysfunction with aperistalsis of the lower two-thirds of the esophagus, whereas 9 patients (35 percent) had normal esophageal manometry. Only three patients (11.5 percent) suffered from occasional fecal incontinence. Anorectal function parameters (resting pressure, maximum squeeze pressure, perception threshold) were not significantly different between patients with normal and those with disturbed esophageal motility. Rectoanal inhibitory reflex was excitable in nearly 90 percent of patients. CONCLUSION: In an unselected group of patients with systemic sclerosis, fecal incontinence and abnormal anorectal function are rather rare findings. Anorectal manometry cannot differentiate between patients with and without gastrointestinal involvement of systemic sclerosis.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Der Internist 39 (1998), S. 161-170 
    ISSN: 1432-1289
    Keywords: Schlüsselwörter Akutes Abdomen ; Akute Abdominalbeschwerden ; Präklinische Versorgung ; Notfallmedizin ; Notfall ; Abdomen
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Zum Thema Auch in der heutigen Diagnostik, die so häufig durch technisch gestützte Untersuchungen beherrscht wird, nimmt das akute Abdomen mit seiner besonderen Anforderung an klinisch-ärztliche Qualitäten eine Sonderstellung ein. Diagnostik und Befunderhebung stehen dabei ganz im Vordergrund. Sehr bemerkenswert ist, daß bei Patienten unter 50 Jahren in fast 40% keine eindeutige Diagnose gestellt werden kann, bei Patienten über 50 Jahren nur in ca. 15%. Unter den Diagnosen ist die akute Appendizitis bei den unter 50-Jährigen ca. doppelt so häufig wie bei den über 50-Jährigen, bei denen mit ca. 20% die Cholezystitis die häufigste Ursache ist. Die Mortalität steigt mit dem Lebensalter langsam an, erreicht um das 50. Lebensjahr ca. 1% und um das 80. Lebensjahr ca. 7%. Die vorliegende Arbeit gibt einen Überblick sowohl über die abdominellen als auch nicht abdominellen Ursachen des akuten Abdomens. Diagramme zur Ursache, Anamnese, klinischen Diagnostik und zu Befunden ergänzen den Textteil.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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