101
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Ammann RW, Muench R, Otto R, Buehler H, Freiburghaus AU, Siegenthaler W. Evolution and regression of pancreatic calcification in chronic pancreatitis. A prospective long-term study of 107 patients. Gastroenterology 1988; 95:1018-28. [PMID: 3410215 DOI: 10.1016/0016-5085(88)90178-3] [Citation(s) in RCA: 92] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
Pancreatic calcifications are virtually pathognomonic of chronic pancreatitis and develop in up to 90% of patients with alcoholic chronic pancreatitis in series with long-term results. We investigated the natural course of pancreatic calcification in a prospective longitudinal study over the past 23 yr. All patients were studied at regular intervals with particular regard to etiology, clinical findings, surgery, pancreatic function, and pancreatic calcification visible by x-ray (e.g., film series in three projections centered on the pancreas). We evaluated the findings of 107 patients with x-ray documentation of pancreatic calcification in at least three film series over a period of 4 yr or longer. Eighty-four patients had alcoholic chronic pancreatitis (group A) and 23 patients had nonalcoholic chronic pancreatitis (group B). Four hundred seventy-two film series of group A and one hundred forty-two film series of group B were reviewed independently by two expert teams. Both series were graded according to a score system in terms of intensity and distribution of pancreatic calcification (correlation of grading r = 0.91). The duration of calcification averaged 10 yr in group A and 12.6 yr in group B. Similar dynamic changes of pancreatic calcification were noted in groups A and B. Chronologically, three phases of evolution could be distinguished. After an initial increase (phase 1), greater than 50% of cases reached a plateau of stationary calcification (phase 2). Approximately one-third of cases showed a marked decrease of calcification in late phases of chronic pancreatitis (phase 3). Dissolution of pancreatic stones was related primarily to duration of chronic pancreatitis (duration of calcification and marked pancreatic dysfunction), and occurred frequently (but not exclusively) in patients after ductal drainage procedures. These results indicate that spontaneous dissolution of pancreatic stones is a rather common biologic phenomenon. The factors responsible for dissolution of stones remain to be elucidated.
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102
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Otto R, Henderson R, Dandekar N. MR and CT findings in infected ventricular aneurysm repair. J Comput Assist Tomogr 1987; 11:1069-70. [PMID: 3680693 DOI: 10.1097/00004728-198711000-00031] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
The magnetic resonance findings in a case of infection at a ventricular aneurysm repair site 7 years following surgery are presented.
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103
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Lüscher TF, Wanner C, Otto R, Hauri D, Vetter W. [An incidental finding of renal cysts: routine occurrence or a finding deserving clarification?]. SCHWEIZERISCHE MEDIZINISCHE WOCHENSCHRIFT 1987; 117:785-94. [PMID: 3296167] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
Since the introduction of new non-invasive diagnostic techniques such as abdominal ultrasound and computerized tomography, simple renal cysts are diagnosed with increasing frequency. Over 30% of patients over 50 years of age are found to have simple renal cysts of different size. A cystic renal mass may represent a simple renal cyst without clinical relevance, a cystic renal carcinoma, early evidence of polycystic kidney disease in a young patient, a rare cause of renal hypertension, a source of infection in a symptomatic patient (infected renal cyst), or a manifestation of an infectious disease (renal abscess, echinococcus cyst). The differential diagnosis and management of a cystic renal mass therefore remain a clinical problem. In the past, surgical exploration of a cystic renal mass was frequently performed. Today, modern diagnostic techniques such as ultrasound-guided percutaneous cyst puncture with cytological analysis of the cyst content, or computerized tomography, are considered the methods of choice. They are particularly useful in case of doubt about the dignity of a cystic renal mass. The determination of renal venous renin levels may be useful in differentiating the causal role of a renal cyst in a patient with hypertension. The management of a cystic renal mass depends on the underlying disease.
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104
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Luchsinger E, Wygana JW, Otto R, Perez HR, Webdale K. 436. Med Sci Sports Exerc 1987. [DOI: 10.1249/00005768-198704001-00436] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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105
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Wygand JW, Luchsinger E, Otto R, Perez HR. 273. Med Sci Sports Exerc 1987. [DOI: 10.1249/00005768-198704001-00273] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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106
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Chapman P, CoEfi K, Wygand JW, Otto R, Perez HR. 515. Med Sci Sports Exerc 1987. [DOI: 10.1249/00005768-198704001-00515] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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107
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Largiadèr F, Otto R. [Value of ultrasound-controlled puncture in diagnosis and therapy]. Chirurg 1987; 58:199-206. [PMID: 3297537] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
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108
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109
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Espinosa GA, Michael AS, Wilbur AC, McKusick MA, Kennard DR, Otto R. Osteonecrosis of the distal pole of the carpal navicular following fracture. Mil Med 1986; 151:663-5. [PMID: 3100997] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023] Open
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110
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Deuel W, Hany S, Heer M, Graber M, Zollinger U, Schweingruber K, Russi E, Otto R, Brühlmann W, Hany A. [Intestinal drug smuggling: the cocaine "body-packer" syndrome]. SCHWEIZERISCHE RUNDSCHAU FUR MEDIZIN PRAXIS = REVUE SUISSE DE MEDECINE PRAXIS 1986; 75:557-60. [PMID: 3520758] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
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111
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112
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Abstract
An atherosclerotic aneurysm of the right subclavian artery causing subclavian steal syndrome is described. Complementary information obtained from digital subtraction angiography and computed tomography helped to establish a correct preoperative diagnosis.
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113
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Vade A, Otto R. Cranial sonography of the occipital horns and gyral patterns in the occipital lobes. AJNR Am J Neuroradiol 1986; 7:873-7. [PMID: 3096107 PMCID: PMC8331973] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
Cranial sonographic examinations of 199 neonates were evaluated to determine the incidence of an echogenic pattern in the occipital lobe that simulated a mass, to relate that finding to the birth weight, and to correlate it with the gyral development of the occipital lobe. This echogenic pattern was seen in infants weighing less than 1750 g at birth and was identified on both sides of the midline on the most medial paramedian sagittal sonogram scans of the head. This pseudomass was found to be due to close approximation of a large occipital horn and calcarine fissure joining other adjacent secondary fissures. The multiple fissures formed an echogenic star, and the proximity of the occipital horn and premature brain tissue texture contributed to the relatively hypoechoic background of the pseudomass. The pseudomass is limited superiorly by the parietooccipital fissure and inferiorly by the tentorium. This sonographic pattern should be recognized as a normal variant.
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114
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Otto R. [Interventional sonography]. SCHWEIZERISCHE RUNDSCHAU FUR MEDIZIN PRAXIS = REVUE SUISSE DE MEDECINE PRAXIS 1985; 74:1104-8. [PMID: 3903915] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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115
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Fanconi S, Seger R, Gmür J, Willi U, Schaer G, Spiess H, Otto R, Hitzig WH. Surgery and granulocyte transfusions for life-threatening infections in chronic granulomatous disease. HELVETICA PAEDIATRICA ACTA 1985; 40:277-84. [PMID: 3878346] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
We report two patients with chronic granulomatous disease (CGD) and life-threatening infections: a 10 10/12-year-old boy had Aspergillus fumigatus spondylitis with destruction of the 11th vertebral body and paravertebral abscess formation, and an 8 5/12-year-old boy had multiple Staphylococcus aureus hepatic abscesses with subphrenic abscess formation. Both patients failed to respond to intense antimicrobial therapy but showed a remarkable recovery following surgical drainage combined with granulocyte transfusions. These results suggest that antimicrobial therapy and surgical drainage followed by granulocyte transfusions may be the ideal mode of treatment for severe infections in patients with CGD.
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116
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Beckh K, Otto R, Ji S, Jungermann K. Control of oxygen uptake, microcirculation and glucose release by circulating noradrenaline in perfused rat liver. BIOLOGICAL CHEMISTRY HOPPE-SEYLER 1985; 366:671-8. [PMID: 2994691 DOI: 10.1515/bchm3.1985.366.2.671] [Citation(s) in RCA: 41] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
The effect of noradrenaline on oxygen uptake, on periportal and perivenous oxygen tension at surface acini, on microcirculation and on glucose output were studied in isolated rat livers perfused at constant flow with Krebs-Henseleit-hydrogen carbonate buffer containing 5mM glucose and 2mM lactate. Noradrenaline at 1 microM concentration caused a decrease in oxygen uptake, while at 0.1 microM it led to an increase. Both high and low doses of noradrenaline decreased the tissue surface oxygen tension in periportal and - after a transient rise - in perivenous areas. Noradrenaline at an overall constant flow caused an increase of portal pressure and an alteration of the intrahepatic distribution of the perfusate: at the surface of the liver and in cross sections infused trypan blue led to only a slightly heterogeneous staining after a low dose of noradrenaline but to a clearly heterogeneous staining after a high dose. Both high and low doses of noradrenaline stimulated glucose release. All effects could be inhibited by the alpha-blocking agent phentolamine. In conclusion, control of hepatic oxygen consumption by circulating noradrenaline is a complex result of opposing hemodynamic and metabolic components: the microcirculatory changes inhibit oxygen uptake; they dominate after high catecholamine doses. The metabolic effects include a stimulation of oxygen utilization; they prevail at low catecholamine levels. The noradrenergic control of glucose release is also very complex, involving direct, metabolic and indirect, hemodynamic components.
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117
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Enzler P, Metzger U, Brühlmann W, Bühler H, Otto R, Largiadèr F, Ammann R. [The Mirizzi syndrome]. SCHWEIZERISCHE MEDIZINISCHE WOCHENSCHRIFT 1984; 114:1534-1537. [PMID: 6505667] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
Abstract
Three cases of Mirizzi's syndrome are reported, with special emphasis on differential diagnosis and preoperative evaluation. The syndrome consists of the triad cystic duct stone, inflammatory reaction and benign hepatic duct stenosis. Endoscopic retrograde cholangiography or percutaneous transhepatic cholangiography is mandatory for preoperative evaluation. Cholecystectomy with clearance of the bile duct is the treatment of choice.
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118
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Wichmann W, Foerster EC, Otto R. [A new artificial cushion (elastomer) as the interface for sonography]. ULTRASCHALL IN DER MEDIZIN (STUTTGART, GERMANY : 1980) 1984; 5:265-267. [PMID: 6393349 DOI: 10.1055/s-2007-1012105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
Abstract
For ultrasonographic examinations of 500 patients a new plastic cushion was applied as interface. This block is well flexible and behaves ultrasonographically like water. Long linear-array transducers can be coupled easily to irregular surfaces. The high resolution at the near focus of modern transducers can fully be used for demonstration of superficial structures. Indications are discussed.
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119
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Fanconi S, Seger RA, Willi U, Otto R, Spiess H, Kayser FH, Hitzig WH. Oral chloramphenicol therapy for multiple liver abscesses in hyperimmunoglobulinemia E syndrome. Eur J Pediatr 1984; 142:292-5. [PMID: 6386479 DOI: 10.1007/bf00540256] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
In a patient with Hyper-IgE-syndrome multiple liver abscesses developed in spite of prophylactic treatment with trimethoprim and sulfamethoxazol. Ultrasound confirmed the clinical diagnosis and percutaneous needle aspiration under ultrasonographic guidance and culture of the aspirated pus allowed specific antibiotic treatment by oral chloramphenicol alone without surgical drainage. The isolated Staph.aureus strain was resistant to trimethoprim and sulfamethoxazol.
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120
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Küpfer A, Metzger U, Hollinger A, Uhlschmid G, Otto R, Wellauer J, Senning A. [Computer tomography of the mediastinum in primary operable bronchogenic carcinoma]. HELVETICA CHIRURGICA ACTA 1984; 51:233-6. [PMID: 6469677] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
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121
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Otto R, Weihe WH, Burger HR. [Risk assessment of ultrasonically guided fine needle puncture. Experimental studies in dogs]. DTW. DEUTSCHE TIERARZTLICHE WOCHENSCHRIFT 1984; 91:178-182. [PMID: 6378573] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
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122
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Hoffmann E, Otto R. ["Learning and communication technics" in occupational rehabilitation of the handicapped: experiences wih retrainees in the metal-processing field]. DIE REHABILITATION 1984; 23:64-5. [PMID: 6234633] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
Based on the special problems encountered by older and disabled workers, the authors investigate the potential of "learning and communications skills" training in enhancing the vocational and social reintegration in trade/technical-sector occupations. The experiences outlined refer to retrainees in the field of metal processing. They demonstrate that extra-functional learning goals such as communication skills and the ability to learn systematically, are more easily accomplished when the skills training occurs in association with the functional learning objectives (i.e. occupation-related skills).
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123
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Honegger HP, Otto R, Maurer R, Metzger U, Streuli R. [What does computer tomography and abdominal ultrasound studies accomplish in the staging of Hodgkin's disease?]. SCHWEIZERISCHE MEDIZINISCHE WOCHENSCHRIFT 1984; 114:475-81. [PMID: 6719087] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Abstract
In a prospective series of 25 patients with early-stage Hodgkin's disease, abdominal assessment by computer tomogram and ultrasound was controlled by staging laparotomy. It was found that the probability of Hodgkin's disease increased with increasing diameter of the abdominal lymph nodes. 42% of the nodes between 16-20 mm in diameter had evidence of disease. Overall accuracy and specificity for the assessment of abdominal lymph nodes by CT and US was around 90%. Sensitivity was much lower than in other series, probably due to the fact that our patient sample was relatively small and consisted of patients in earlier stages with small lymph nodes. Assessment of lymph nodes by US is more, and assessment by CT less, dependent on individual factors. It is concluded that neither CT or US can replace staging laparotomy if precise information about abdominal lymph nodes is needed. Assessment of the spleen by CT and US is usually unreliable and needs histologic confirmation.
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124
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Konings WN, Otto R, Ten Brink B, Robillard GT, Elferink MG, Hellingwerf KJ. Relation between the protonmotive force and solute transport in bacteria. Biochem Soc Trans 1984; 12:152-4. [PMID: 6327424 DOI: 10.1042/bst0120152] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
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125
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Abstract
Nephrotoxic effects can be quantified by measurement of renal excretion of p-amino-hippurate (PAH). Intraperitoneal administration of cadmium in increasing single doses to adult rats is followed by a biphasic effect on renal PAH excretion. Administration of low doses (250 or 500 micrograms/100 g b.wt. CdCl2) results in a significant increase whereas a single dose of 750 micrograms/100 g b.wt. CdCl2 is followed by a distinct diminution of renal PAH excretion. Repeated administrations of 500 micrograms/100 g b.wt. CdCl2 for 2 or 3 consecutive days result in a marked reduction of PAH excretion which is reversible 5 or 6 d following administration. In juvenile rats cadmium does not produce any statistically significant alteration in renal PAH excretion, likely caused by the immaturity of renal tubular transport processes.
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