Library

feed icon rss

Your email was sent successfully. Check your inbox.

An error occurred while sending the email. Please try again.

Proceed reservation?

Export
  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Der Chirurg 67 (1996), S. 1012-1015 
    ISSN: 1433-0385
    Keywords: Key words: Papillary cystic tumor ; Pancreas ; Pancreatic neoplasms.
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung. Wir berichten über unsere Erfahrungen an 3 Patientinnen mit einem solid-pseudopapillären Tumor des Pankreas. Charakteristisch für diesen semimalignen Tumor sind das Vorkommen bei jungen Frauen, die auffallende Größe (bis 10 cm) und das seltene Auftreten von Metastasen. Trotz erheblicher Größe der Tumoren war in allen Fällen eine kurative Resektion möglich. Präoperatives Hauptunterscheidungsmerkmal zum duktalen Adenocarcinom war in allen Fällen die normale Weite des Pankreasgangs ohne Gangabbruch. Im Gegensatz zu den meisten anderen Tumoren des Pankreas hat dieser Tumor eine gute Prognose. Alle unsere Patientinnen sind z. Z. (bis zu 8 Jahren nach der Operation) rezidivfrei.
    Abstract: Schlüsselwörter: Solid-pseudopapillärer Tumor – Pankreas – papillär-cystischer Tumor
    Notes: Summary. We report on three female patients with solid pseudopapillary tumors of the pancreas. The histogenetic origin of this entity is still unclear. The tumor, usually occurring in young women, forms large masses (up to 10 cm in diameter) before becoming symptomatic. Metastases have very rarely been reported. In contrast to other pancreatic tumors, the main pancreatic duct was displaced, but of normal caliber without stenosis, in all our patients. Despite the large size of the tumors, they were curatively resected in all three cases. Two of the tumors infiltrated the parenchyma or adipose tissue of the pancreas but did not spread into the lymph nodes or other organs. All of the patients are alive and without signs of tumor recurrence up to 8 years after surgical resection.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
  • 2
    ISSN: 1433-0563
    Keywords: Schlüsselwörter Flächendosisprodukt ; Dosimetrie ; Durchleuchtung ; Radiographie ; Miktionszysturethrographie ; Key words Dose-area product ; Dosimetry ; Fluoroscopy ; Radiography ; Voiding cystourethrography
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary Objective: Determination of the proportion of the dose-area product caused by fluoroscopy at voiding cystourethrography in children, using digital image intensifier technology. Patients and methods: Using computer-assisted dosimetry, we determined the dose-area product and the respective proportions of the dose-area product caused by fluoroscopy and radiography as well as the number of radiographs taken at a given examination of 40 children (8 children less than 2 years old, 15 children between 2 and 6 years old and 17 children between 6 and 15 years old). Results: The computer software program correctly differentiated between fluoroscopy and radiography in 80 % of cases. Incorrect results were primarily observed in newborns and young children. The total radiation dose ranged in relation to patient age from 22 to 651 cGy × cm2. Fluoroscopy was responsible for an average 78 % of the applied radiation dose. Conclusion: Computer-assisted dosimetry is useful in determining the proportion of the dose-area product caused by fluoroscopy in older children undergoing voiding cystourethrography. When image intensifier technology is used, this accounts for more than 75 % of the total radiation dose. The method is not suitable for use in small children.
    Notes: Zusammenfassung Ziel: Bestimmung des Anteils der Durchleuchtung am Gesamtflächendosisprodukt beim Kindermiktionszysturethrogramm in digitaler Bildverstärkertechnik. Material und Methode: Bei 40 Kindern (8 Kinder 〈 2 Jahre, 15 Kinder zwischen 2 und 6 Jahren und 17 Kinder zwischen 6 und 15 Jahren) wurden PC-gestützt die Anzahl der Zielaufnahmen, deren Anteil am Gesamtflächendosisprodukt sowie der durchleuchtungsbedingte Anteil am Gesamtflächendosisprodukt ermittelt. Ergebnisse: In 80 % der Fälle ermöglichte der Einsatz des Computerprogramms eine korrekte Differenzierung zwischen Fluoroskopie und Radiographie. Falsche Ergebnisse fanden sich hauptsächlich bei Neugeborenen und Kleinkindern. Die Gesamtstrahlenbelastung variierte abhängig vom Patientenalter zwischen 22 und 651 cGy × cm2, durchschnittlich betrug der Anteil der Durchleuchtung 78 %. Schlußfolgerung: PC-gestützt ist es möglich den Anteil der Durchleuchtung am Gesamtflächendosisprodukt bei älteren Kindern, die sich einem Miktionszysturethrogramm unterziehen, zu ermitteln. Dieser beträgt bei Verwendung der digitalen Bildverstärkertechnik mehr als 75 %. Bei Neugeborenen und Kleinkindern versagt die Methode.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
  • 3
    ISSN: 1432-2161
    Keywords: Key words Echinococcosis ; Bone ; Soft tissue ; Liver
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract  Objective. The present study demonstrates the osseous and soft tissue manifestations of alveolar echinococcosis (AE). Patients. We report on eight patients with AE with bone or soft tissue involvement confirmed at biopsy or needle cytology. Results. All eight patients showed hepatic involvement. Four exhibited infiltration of the spine as a result of direct spread of the hepatic primary lesion; distant metastases were observed in only three of these patients. Calcifications, which are typical for hepatic manifestations of the disease, were observed in soft tissue in only two of eight cases (25%); we observed no instances of endovesicular daughter cysts. Conclusion. AE manifests itself in the vertebral column as a form of spondylitis and in soft tissue presents similar to an abscess. Since in most of these cases spread of the disease per continuitatem from the liver is present, the diagnosis is easily made from the characteristic hepatic findings.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
  • 4
    Electronic Resource
    Electronic Resource
    Springer
    Abdominal imaging 23 (1998), S. 147-149 
    ISSN: 1432-0509
    Keywords: Key words: Abdomen—Perotonitis—Imaging—Computed tomography.
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract. In order to clarify abnormal findings at abdominal ultrasound (suspicion of late abscess subsequent to appendectomy) in a young male patient with known familial Mediterranean fever (FMF), a helical CT examination of the abdomen was performed. At CT, extensive serositis of the lower abdomen was detected. Findings at CT were verified 2 weeks later at laparoscopy.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
  • 5
    ISSN: 1432-1084
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Extraction of stones from the bile ducts via standard endoscopic techniques, a percutaneous transhepatic approach, or a T-tube track can be unsuccessful. We report our preliminary experience with a combination of percutaneous cholangioscopy and dye laser lithotripsy. Flash lamp-excited dye laser (504 nm) lithotripsy delivered by percutaneous cholangioscopy (12 F) was evaluated in 13 patients with stones in the bile ducts. Conventional endoscopic treatment had not been attempted in 4 patients after hepaticojejunostomy and had failed in 3 patients after gastric bypass surgery or gastrectomy, and in 6 patients because of technical difficulties, i. e. due mainly to largeness of stones. In 12 patients a percutaneous transhepatic route was used. In 1 patient the T-tube track was used as access to the bile ducts. Laser lithotripsy resulted in successful fragmentation of stones in 12 patients (92%). The bile ducts cleared spontaneously in 2 patients only. Using additional techniques, i. e. sphincterotomy and stent insertion, the overall combined success rate for duct clearance after laser fragmentation was 100%. Four patients had a retrograde endoscopic sphincterotomy after failed attempts for stone removal at endoscopic retrograde cholangioscopy. Two patients had an antegrade fluoroscopically monitored sphincterotomy. Bleeding complications occured in 2 patients. This accounted for a high rate (15%) of severe complications. The intrahepatic bleeding in 1 patient was due to an intrahepatic vessel injury by the 13-F sheath. The periampullary bleeding in the other patient occurred after an antegrade papillotomy. Pulsed dye laser lithotripsy proved to be an effective technique in patients with difficult bile duct stones. The main problem of a percutaneous approach is the complete removal of the fragmented stones, which requires additional procedures in most cases. The percutaneous access is time-consuming and bears a relatively high risk of major bleeding complications. It should therefore be restricted to cases in which conventional endoscopic procedures are impossible or unsuccessful.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
  • 6
    ISSN: 1432-1084
    Keywords: Key words: Hepatic artery embolization
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract. A retrospective evaluation of embolotherapy in patients with arterial liver hemorrhages was carried out. Twenty-six patients, ranging in age from 10 days to 77 years with active arterial liver hemorrhages, underwent non-surgical embolotherapy. Bleeding was attributed to trauma (n = 21), tumor (n = 3), pancreatitis (n = 1), or unknown cause (n = 1). Twenty-nine embolizations were performed via a transfemoral (n = 26) or biliary (n = 2) approach. One bare Wallstent was placed into the common hepatic artery via to an axillary route to cover a false aneurysm due to pancreatitis. Treatment was controlled in 4 patients by cholangioscopy (n = 2) or by intravascular ultrasound (n = 2). Prior surgery had failed in 3 patients. Intervention controlled the hemorrhage in 24 of 26 (92 %) patients within 24 h. Embolotherapy failed in 1 patient with pancreatic carcinoma and occlusion of the portal vein. In 1 patient with an aneurysm of the hepatic artery treated by Wallstent insertion, total occlusion was not achieved in the following days, as demonstrated by CT and angiography. However, colour Doppler flow examination showed no flow in the aneurysm 6 months later. Complications were one liver abscess, treated successfully by percutaneous drainage for 10 days, and one gallbladder necrosis after superselective embolization of the cystic artery. Embolization is a effective tool with a low complication rate in the treatment of liver artery hemorrhage, even in patients in whom surgery has failed.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
  • 7
    ISSN: 1432-2102
    Keywords: Schlüsselwörter Spiral-CT ; Virtuelle Endoskopie ; Larynx ; Key words Helical CT ; Virtual endoscopy ; Larynx
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary This pilot study investigated the feasibility and clinical value of high-resolution virtual real-time laryngoscopy based on helical CT data sets. Nine patients with laryngeal pathology (three with tumors of the vocal cords, two laryngeal carcinomas, one with invasion of the larynx by thyroid carcinoma and six subglottic stenoses) underwent examination by helical CT at a collimation of 1 mm. Following acquisition, the images were processed at a workstation with standard visualization software, such that virtual endoscopy (VE) in real time was possible. The images were then compared with the findings of conventional endoscopy. Because of swallowing artifacts, reconstruction failed in 2 of 12 patients. None of the carcinomas of the vocal cords was recognized at VE or in the cross-sectional CT images. VE provided the correct diagnosis in 8 of 12 cases (laryngeal tumors, subglottic stenoses). Virtual laryngoscopy is capable of simulating the visual findings of endoscopy in cases of laryngeal tumors and subglottic stenoses. Small tumors of the vocal cords are not adequately visualized. The major problem affecting results is motion artifacts resulting from involuntary swallowing.
    Notes: Zusammenfassung Im vorliegenden Beitrag wird eine Pilotstudie zur Überprüfung der Machbarkeit und des klinischen Nutzens einer hochauflösenden virtuellen Echtzeitlaryngoskopie aus Spiral-CT-Datensätzen vorgestellt. 12 Patienten mit Erkrankungen im Kehlkopfbereich (3 Stimmlippentumore, 2 Larynxkarzinome, ein in den Larynx eingebrochenes Schilddrüsenkarzinom und 6 subglottische Stenosen) wurden mittels hochauflösender Spiral-CT (Kollimation 1 mm) untersucht. Anschließend wurden die Bilder auf einer Workstation mit einer standardmäßigen Visualisierungssoftware so rekonstruiert, daß eine virtuelle Endoskopie (VE) in Echtzeit möglich wurde, welche der herkömmlichen Fiberendoskopie gegenübergestellt wurde. 2 der 12 Patienten waren bedingt durch Schluckartefakte nicht zu rekonstruieren. Keines der Stimmlippenkarzinome war in der VE oder den Querschnittsbildern zu erkennen. In 8 von 12 Fällen war die VE diagnostisch (Larynxtumore, subglottische Stenosen). Die virtuelle Laryngoskopie in der hier beschriebenen Technik vermag Larynxtumoren und subglottische Stenosen, nicht aber kleine Stimmbandtumoren in einer dem Kliniker vertrauten endoskopischen Sichtweise darzustellen. Hauptproblem sind Bewegungsartefakte durch unwillkürliche Schluckbewegungen.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
  • 8
    Electronic Resource
    Electronic Resource
    Springer
    Der Radiologe 36 (1996), S. 381-388 
    ISSN: 1432-2102
    Keywords: Schlüsselwörter Pankreas anulare ; Pankreas divisum ; Pankreasheterotopie ; Genetische Erkrankungen des Pankreas ; Moderne Bildgebung ; Key words Anular pancreas ; Pancreas divisum ; Heterotopic pancreas ; genetic disorders ot the pancreas ; Modern imaging
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary Developmental anomalies of the pancreas result from fusion failure between the dorsal and ventral pancreatic ducts (pancreas divisum) or from rotational failure of the ventral bud (pancreas anulare). These variations and anomalies of the ductal anatomy can be asymptomatic throughout life or can cause varying symptoms in different age periods. Pancreas divisum and pancreas anulare can be confirmed exclusively by means of pancreatography. Congenital disorders of the pancreas derive from genetic defects involving different organ systems, which usually dominanate the clinical symptoms. Developmental anomalies and congenital disorders of the pancreas lead to varying morphological alterations of the organ which can be assessed by means of modern imaging.
    Notes: Zusammenfassung Entwicklungsanomalien des Pankreas sind auf die embryonale Entstehung des Organs zurückzuführen und sind durch eine Malfusion (Pankreas divisum) oder eine Malrotation (Pankreas anulare) der beiden Anlagen verursacht. Diese Anomalien können lebenslang symptomlos bleiben oder in unterschiedlichen Altersstufen zu Beschwerden führen. Pankreas divisum und Pankreas anulare können letztlich nur durch eine Gangdarstellung des Pankreasganges gesichert werden. Bei den kongenitalen Erkrankungen liegen genetische Defekte vor, bei denen meist andere Organsysteme mitbetroffen sind und bei denen die extrapankreatischen Schäden meist im Vordergrund der Krankheitsbilder stehen. Sowohl die Entwicklungsanomalien des Pankreas als auch die kongenitalen Erkrankungen führen zu unterschiedlichsten morphologischen Veränderungen des Organs, die mit modernen bildgebenden Verfahren zu erfassen sind.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
  • 9
    Electronic Resource
    Electronic Resource
    Springer
    Der Radiologe 36 (1996), S. 591-592 
    ISSN: 1432-2102
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
  • 10
    Electronic Resource
    Electronic Resource
    Springer
    Der Radiologe 36 (1996), S. 843-844 
    ISSN: 1432-2102
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
Close ⊗
This website uses cookies and the analysis tool Matomo. More information can be found here...