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  • 1
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Science Ltd
    Anaesthesia 59 (2004), S. 0 
    ISSN: 1365-2044
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Amsterdam : Elsevier
    Library Acquisitions: Practice and Theory 11 (1987), S. 135-138 
    ISSN: 0364-6408
    Source: Elsevier Journal Backfiles on ScienceDirect 1907 - 2002
    Topics: Information Science and Librarianship
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1432-0509
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 4
    ISSN: 1432-0509
    Keywords: Esophagus, reflux ; Esophagus, motility ; Pharynx
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background: A cricopharyngeal bar seen on barium fluoroscopy has been shown to be related to the presence of gastroesophageal reflux (GER). We investigated premature contraction of the cricopharyngeus (PCC) muscle, which may be a precursor of a fixed cricopharyngeal bar, to assess its significance in GER. Methods: The prevalence of PCC on barium swallow was recorded in three groups: (1) 83 patients with noncardiac chest pain who were investigated for possible GER; (2) 21 patients with severe GER undergoing fundoplication; and (3) 25 normal controls. Results: Group 1: PCC was observed in 42 of 77 with documented GER (54.5%), and in two of six patients without GER. Group 2: PCC was present in 11 of 21 fundoplication subjects. Group 3: PCC was seen in five of 25 normal controls. The incidence of PCC in patients with GER was statistically significantly higher than in normal subjects (p = 0.002). The sensitivity of the presence of PCC as a predictor of GER is only 0.54, but the specificity is 0.774, with a positive predictive value of 0.883. Conclusion: We conclude that observing premature cricopharyngeal contraction during the first swallows of an upper gastrointestinal (GI) study should direct attention to the possibility of GER.
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    Springer
    Abdominal imaging 4 (1979), S. 169-175 
    ISSN: 1432-0509
    Keywords: Abdomen, radiography Intestine, infarction ; Necrotizing enterocolitis, diagnosis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract In a 4 year and 4 month period 80 patients with necrotizing enterocolitis were treated. Review of the mode of clinical presentation, radiological features, management, mortality, and complications showed that there have been considerable changes over this period. The disease is now frequently diagnosed clinically prior to the development of paralytic ileus. Scalloping of the bowel wall and separation of the bowel loops are probably the earliest radiological signs. The management has become a more aggressive medical approach with more limited and welldefined surgical indications. These changes have been associated with a marked decrease in mortality and a concomitant increase in the number of late complications.
    Type of Medium: Electronic Resource
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  • 6
    ISSN: 1432-0460
    Keywords: Videofluoroscopy ; Direct therapy ; Indirect therapy ; Dysphagia, evaluation ; Deglutition
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract This pilot study was conducted to compare the results of clinical and videofluoroscopic examinations of ten patients with dysphagia of neurologic origin and to determine whether patient management was influenced by videofluoroscopic data. Results are discussed in relation to the advantages and limitations of both modes of evaluation of dysphagia. Seven of ten decisions concerning the institution of oral versus nonoral feeding were based on videofluoroscopy alone. In six of the seven cases aspiration was detected upon videofluoroscopic examination, although it was not suspected at bedside. In seven of ten cases, indirect therapy techniques were based on bedside examination alone. In six of ten cases, direct therapy techniques were based on both bedside and videofluoroscopic observations. Most decisions regarding food consistency and positioning were based on both procedures.
    Type of Medium: Electronic Resource
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  • 7
    Electronic Resource
    Electronic Resource
    Springer
    Abdominal imaging 20 (1995), S. 245-247 
    ISSN: 1432-0509
    Keywords: Defecography ; Radiography, digital ; Rectum, radiography
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background: Defecography is commonly used in investigation of pelvic floor and anorectal dysfunction, and incorporates measurement of pelvic floor movement during various maneuvers. These measurements are usually referenced to bony landmarks, particularly the ischial tuberosities. These bony landmarks may be difficult to visualize; theoretically, the use of digital subtraction in filming defecography studies should eliminate the need to pinpoint bony position. Methods: We filmed 25 defecogram studies in both nonsubtracted and subtracted formats, and interpreted each study blindly, subsequently comparing diagnoses and measurements. Results: Subtraction was of limited benefit in only one case, was impossible in one case, added no useful information in 18 cases, and hindered visualization of abnormalities in five cases. Conclusions: Because of the multiple overlapping densities and the inability to restrict patient movement, digital subtraction is unhelpful in defecography.
    Type of Medium: Electronic Resource
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  • 8
    ISSN: 1432-1998
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Pneumatic reduction using air has recently become popular for the initial non-surgical managment of intussusception. Since carbon dioxide (CO2) is rapidly absorbed from body surfaces, it should theoretically result in less cramping and distension following reduction. We reviewed our recent experience with the pneumatic reduction of intussusception using CO2 in 26 children. In 22 of these the intussusception was reduced (85%). There was one perforation with CO2; the patient did not suffer any postoperative complications. Five additional children who had been treated unsuccessfully with barium had intussusception subsequently reduced with CO2. Following CO2 reduction, most children were fed within hours, and there were no instances of significant abdominal distension or cramping. We conclude that pneumatic reduction of intussusception using CO2 is safe and effective, and has the theoretical advantage of more rapid absorption from the gastrointestinal tract than air.
    Type of Medium: Electronic Resource
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  • 9
    ISSN: 1432-1998
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract A case of duodenojejunal intussusception secondary to a single multilobulated duodenal lipoma mimicking acute pancreatitis in a 12-year-old boy is presented. Duodenojejunal intussusception is a rare entity because of the somewhat fixed position of the duodenum within the retroperitoneum.
    Type of Medium: Electronic Resource
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