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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    World journal of surgery 4 (1980), S. 123-128 
    ISSN: 1432-2323
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé Dans les multiendocrinopathies (MEA type I) graves qui présentent à la fois une hyperparathyroïdie aiguë et un ulcère jéjunal perforé, les problèmes cliniques exigent une thérapeutique multidisciplinaire. Dans le cas que nous avons observé, la cimétidine (bloquant des récepteurs H-2) a été administrée après raphie de l’ulcère. Elle a permis de contrôler la crise hypercalcémique pendant un certain temps, jusqu’à ce que l’hypergastrinémie persistante ait pu être corrigée par gastrectomie suivie d’exérèse des apudomes et hyperplasies pancréatico-duodénales. La gastrinémie, basale et après stimulation sécrétinique, donne les indications nécessaires pour le traitement chirurgical des lésions insulaires qui ne peuvent être détectées par d’autres tests diagnostiques. L’hyperprolactinémie hypophysaire associée dans ce cas a exigé une chirurgie combinée à une radiothérapie.
    Notes: Abstract The clinical problems associated with the simultaneous and critical presentation of acute hyperparathyroidism and perforated jejunal ulceration in multiple endocrine adenopathy (MEA type I) require a multidisciplinary approach to management. In the patient described here, the use of cimetidine, a histamine-2 receptor blocker, provided sufficient time after surgical closure of the ulcer to control the hypercalcemic crisis medically and surgically, until the persistent hypergastrinemia could be corrected by sequential excisions of the stomach and pancreaticoduodenal apudomas and hyperplasia. The serum gastrin levels, basal and stimulated (by secretin), provide necessary indications for surgical management of otherwise undetected islet cell pathology. The simultaneously associated pituitary hyperprolactinemia in this patient required both surgical and radiologic therapy.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    World journal of surgery 12 (1988), S. 852-854 
    ISSN: 1432-2323
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé L'anastomose splénocave est une alternative de décompression portale sélective lorsqu'une hépatosplénomégalie ou une situation anatomique basse de la veine splénique rendent l'anastomose splénorénale distale anatomiquement difficile et/ou impossible de par la proximité entre la veine splénique et la veine cave inférieure, ce type d'anastomose présente des avantages anatomiques et hémodynamiques par rapport à l'opération de Warren.
    Abstract: Resumen El “shunt” o derivación esplenocava representa una opción de descompresión selectiva en pacientes que no son buenos candidatos, desde el punto de vista anatómico, para derivaciones esplenorenales distales debido a hepatoesplenomegalia masiva con desplazamiento inferior de la vena esplénica. La proximidad de la vena esplénica a la vena cava inferior hace anatómica y hemodinámicamente ventajosa la construcción de este tipo de derivación, en vez de la derivación estándar de Warren, en tales casos.
    Notes: Abstract Splenocaval shunt is an option for selective portal decompression in patients who are not good anatomic candidates for distal splenorenal shunts because of massive hepatosplenomegaly and downward displacement of the splenic vein. The proximity of the splenic vein to the inferior vena cava makes the construction of this type of shunt anatomically and hemodynamically advantageous over the standard Warren shunt in these cases.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    New York, NY [u.a.] : Wiley-Blackwell
    The @Anatomical Record 148 (1964), S. 171-176 
    ISSN: 0003-276X
    Keywords: Life and Medical Sciences ; Cell & Developmental Biology
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: A control group of guinea pigs ovulated 3.43 ± 0.41 ova or 1.72 ova per ovary. Unilateral ovariectomy (semispaying) on day 1 resulted in the ovulation of 3.71 ± 0.37 ova from the remaining ovary, whereas after semispaying on days 5 and 10, 2.80 ± 0.12 eggs were ovaluated. Unilateral ovariectomy during days 12, 14 and just prior to ovulation resulted in the same number of ova being ovulated from the remaining ovary as from the initial ovary removed. Semispaying at any day during the cycle did not alter cycle length.At day 1, all follicles from the previous cycle were atretic. At day 5 the current population of follicles were well developed with no atresia present. Ovaries removed on days 5, 10, and 12 had approximately the same distribution of large follicles with atresia appearing in all size ranges. At day 14, the number of large follicles was markedly decreased. However, after semispaying at day 5, the remaining ovary at day 14 had twice the number of Graafian follicles and twice the amount of atresia in these size ranges as the normal day 14 ovary.It is therefore likely that the compensatory response after unilateral ovariectomy in the guinea pig is due to an increase in the rate of proliferation of smaller sized follicles into larger ones. Day 12 seems to be the critical period of the guinea pig cycle. At this time, regression of the corpora lutea occurs, and perhaps of significance, the ability of the animal to compensate for unilateral ovariectomy is also lost.
    Additional Material: 1 Ill.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    New York, NY [u.a.] : Wiley-Blackwell
    American Journal of Anatomy 118 (1966), S. 861-872 
    ISSN: 0002-9106
    Keywords: Life and Medical Sciences ; Cell & Developmental Biology
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: Spayed ginea pigs injected daily for 6 to 10 days with 10, 50, 150 μg of estradiol cyclopentylpropionate (ECP) developed a mucified vaginal epithelium, similar to that observed during pregnancy or following treatment of ovariectomized animals with 5 mg progesterone and 1 μg of ECP.The epithelium did not mucify in spayed guinea pigs given 0.01 to 1.0 μg ECP daily for 10 or more days. Vaginal cornification developed only in animals treated with 1 μg ECP but the reaction was transitory and the keratinized cells were soon replaced by a stratified squamous epithelium.Spayed and adrenalectomized guinea pigs injected daily with 150 μg ECP developed a stratified squamous epithelium rather than a mucified type. However, the vaginal epithelium was mucified in ovariectomized-adrenalectomized guinea pigs receiving 150 μg ECP and corticoids or progesterone. This suggests that after treatment with large doses of estrogen the adrenal of the spayed guinea pig produces progestin-like hormones. These progestins interacting with exogenous estrogen are responsible for vaginal mucification.On the other hand, spayed rats maintained on 1 or 150 μg of ECP showed continuous vaginal cornification, which indicates that there are species differences in the ability of large doses of estrogen to influence the adrenal.
    Type of Medium: Electronic Resource
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