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  • 1
    Electronic Resource
    Electronic Resource
    Intrahepatic stone in the caudate lobe treated by postoperative cholangioscopy: Report of a case (1995)
    Springer
    Journal of hepato-biliary-pancreatic surgery 2 (1995), S. 173-176 
    Details
    ISSN: 1436-0691
    Keywords: intrahepatic stone ; caudate lobe ; cholangioscopic lithotomy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract We report a 68-year-old female patient with intrahepatic stones in the right posterior inferior segment, the right anterior superior segment, and the caudate lobe. She had previously undergone distal gastrectomy, cholecystectomy, and choledochoduodenostomy. Advanced liver cirrhosis had been diagnosed at the previous laparotomy, and cholangioscopic lithotomy through a T-tube sinus tract was therefore performed. The stones in the right posterior inferior segment and the right anterior superior segment were easily extracted. However, removal of the stone in the caudate lobe was difficult and necessitated 11 sessions of cholangioscopy. Although reports of intrahepatic stones in the caudate lobe are unusual, modern diagnostic imaging modalities may identify more such cases.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02348745
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Aneurysmal rupture of the pancreaticoduodenal artery successfully treated by transcatheter arterial embolization (1998)
    Springer
    Journal of hepato-biliary-pancreatic surgery 5 (1998), S. 104-107 
    Details
    ISSN: 1436-0691
    Keywords: Key words: visceral aneurysm ; pancreaticoduodenal artery ; transcatheter arterial embolization (TAE)
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract: We report a case of aneurysmal rupture of the pancreaticoduodenal artery successfully treated by transcatheter arterial embolization. A 61-year-old man with a history of hypertension underwent surgery at our hospital in November 1995 for local peritonitis caused by perforation of the sigmoid colon secondary to cancer. On the 9th postoperative day, he developed shock, with complaints of epigastric and back pain. Abdominal computed tomography showed an enhanced mass, thought to be a peripancreatic aneurysm. Emergency angiography demonstrated an aneurysm arising from the arcade of the anterior pancreaticoduodenal artery. After diagnostic angiography, transcatheter arterial embolization was performed. With steel coils, the anterior superior pancreaticoduodenal artery and anterior inferior pancreaticoduodenal artery were embolized near the origin of the aneurysm. Angiography 7 weeks later revealed no recanalization of the aneurysm and the absence of anomalous collateral vessels. The patient has been well for 19 months without re-bleeding or recurrence of sigmoid colon cancer. Transcatheter arterial embolization is an effective therapeutic approach for aneurysm of the pancreaticoduodenal artery and is the preferred initial treatment.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/PL00009943
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    Paper (German National Licenses)
    Fulltext
  • 3
    Electronic Resource
    Electronic Resource
    Manometric Findings of the Upper Esophageal Sphincter in Esophageal Achalasia (1998)
    Springer
    Molecular medicine 22 (1998), S. 1043-1047 
    Details
    ISSN: 1076-1551
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract. Pharyngeal and upper esophageal sphincter (UES) manometry was performed in 15 patients with esophageal achalasia and compared with that in 10 healthy controls. Neither the pharyngeal contraction pressure nor the UES resting pressure were significantly different between the two groups, although the UES residual pressure in patients with achalasia was significantly increased compared with that in controls. Pneumatic dilatation of the lower esophageal sphincter (LES) was performed in these patients. After successful LES dilatation, the increased UES residual pressure in patients with esophageal achalasia decreased significantly. Our results suggest that UES relaxation in patients with esophageal achalasia is incomplete compared with that in healthy adults. This UES abnormality is not a primary defect but a secondary phenomenon.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s002689900514
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    Paper (German National Licenses)
    Fulltext
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