Deutsche medizinische Wochenschrift
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Dtsch. Med. Wochenschr. · Sep 2012
Review[Immunosuppression in inflammatory bowel disease: When, how and how long?].
Immunosuppressive treatment is an important tool in the therapy of patients with inflammatory bowel disease. Treatment goal is a long lasting remission. ⋯ Conventional immunosuppressives (azathioprine/6-mercaptopurine, methotrexate, the calcineurin inhibitors cyclosporine A and tacrolimus), and anti-TNF antibodies (infliximab, adalimumab) are available. Current guidelines set the frame for the rational use of these drugs.
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Dtsch. Med. Wochenschr. · Sep 2012
Review Comparative Study[Colonoscopy: propofol well suited for sedation].
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Dtsch. Med. Wochenschr. · Sep 2012
Case Reports[Pulsatile tumor on the left side of the thorax after heart surgery].
In a 67-year-old woman a large haematoma developed on the left side of the chest after two sternotomies because of an aortic valve and aorta ascendens replacement for aortic type A dissection. After a few weeks, a pulsating mass remained over the 6th left parasternal intercostal space. A consultant general surgeon punctured the lesion and aspirated bright red blood. The patient was transferred for further diagnostic procedures to the cardiology department. ⋯ After sternotomy a pseudoaneurysm of the left internal mammary artery had developed. As a noninvasive imaging modalitiy the magnetic resonance angiography showed well the exact flow into the aneurysm and allowed the planning of the intervention. The closure was achieved with a microcoil with preservation of the native internal mammary artery.