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  • Chemotherapy  (3)
  • Gastrektomie  (3)
  • Carcinom  (2)
  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Journal of cancer research and clinical oncology 95 (1979), S. 273-280 
    ISSN: 1432-1335
    Keywords: Magencarcinom ; Nukleinsäure ; Synthese ; Chemotherapie ; Gastric cancer ; Nucleic acid synthesis ; Chemotherapy ; Predictive test
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary Measurements of the rate of incorporation of radioactively labeled nucleic acid precursors into the DNA and RNA of gastric carcinoma cell suspensions indicated variable rates of proliferation for the tumors. The rate of incorporation generally correlates to the cytological level of differentiation of the carcinoma. Reduced differentiation of the tumors showed a corresponding increase in the rate of proliferation. Knowing the proliferation-dependent effect of most cytostatica, this results in a resistance to cytostatica of highly differentiated gastric cancers. The nucleic acid synthesis of proliferatively active tumors could only be partially inhibited by the cytostatica tested (5-fluorouracil, adriamycin). Carcinomas with metabolic possibility for compensation of the active mechanism of the cytostatica were biochemically resistant. Due to the resulting methodical problems and unaccountable patient-dependent causes of resistance, a conclusive statement about cytostatica-sensitive tumors is difficult to make in incorporation studies.
    Notes: Zusammenfassung Durch Messung der Einbaurate radioaktiv markierter Nucleinsäurepräkursoren in die DNA bzw. RNA bei Magenkarzinom-Zellsuspension ergaben sich Hinweise auf eine unterschiedliche Proliferationsaktivität der Tumoren. Der Markierungsindex korrelierte im allgemeinen mit demzytologischen Differenzierungsgrad des Karzionoms. Mit Entdifferenzierung der Tumoren stieg die Proliferationsrate an. Hieraus ergibt sich bei bekannter proliferationsabhängiger Wirkung der meisten Zytostatika eine weitgehende Zytostatika-Resistenz der hochdifferenzierten Magenkarzinome. Die Nucleinsäuresynthese proliferationsaktive Tumoren konnte nur teilweise durch die getesteten Zytostatika (5-Fluoro-Uracil, Adriamycin) gehemmt werden. Karzinome mit Stoffwechselkompensationsmöglichkeiten gegenüber dem Wirkungsmechanismus der Zytostatika erwiesen sich biochemisch resistent. Eine Aussage über zytostatikasensible Tumoren ist neben den sich hierbei ergebenden methodischen Problemen auch aufgrund nicht erfaßter Patient-bedingter Resistenzursachen anhand von Incorporationsstudien problematisch.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-1335
    Keywords: Locoregional ; Chemotherapy ; Fluoropyrimidine ; 19F-NMR ; Novikoff hepatoma
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The influence of infusion time and dose on the anticancer efficacy of 5-fluoro-2′-deoxyuridine (FdUrd) was investigated using a locoregional therapy model: Novikoff hepatoma transplanted i.m. into the thigh of Wistar rats and FdUrd infusion via a catheter implanted in the femoral artery. In experiment A the FdUrd dose (five daily doses of 12, 19 and 30 mg/kg) and the duration of administration (bolus, 1 h, 5 h, and 24 h) were varied. The change in tumor volume following treatment and the number of rats showing regression vs progression served as indicators of therapy response. The results showed a clear dose dependence, and for each infusion time the 30 mg/kg dose was the most effective, without any signs of general toxicity. At this dose the longest infusion time (24 h) was less effective (regression in three of six rats) compared with 1-h or 5-h treatments (four of five in regression). In experiment B either one or five daily FdUrd doses (15, 30, 60 mg/kg) were administered i.a. for the same infusion times used in experiment A. After treatment, tumors were explanted ex vivo and approximately 1-g tissues samples were immediately frozen in liquid nitrogen for storage.19F-NMR spectroscopy at 11.7 T was used to quantify FdUrd metabolites [5-fluorouracil (FUra),α-fluoro-β-alanine (FβAla.), 5-fluorouracil nucleosides and nucleotides (F-Nuc)] in the solid tumor tissue samples (maintained at 4° C) with a detection threshold of about 5 nmol/g. The metabolite signal pattern indicated that FdUrd is first converted to FUra, followed by anabolism primarily to nucleotides in the oxy form (e.g. FUTP). The total amount of fluorine detected in tumor tissue increased with dose and decreased with infusion time. For all treatments FNuc could be detected, even after 24 h infusion, and their levels showed a good linear correlation with the total F. The major catabolite FβAla was present in tumor at low levels that correlated poorly with total F, indicating recirculation from other organs (e.g. liver) as the main source. Thus, the NMR method can provide detailed information regarding the efficiency of locoregional treatment (catheter function, drug uptake and metabolism). Initial results of non-invasive in vivo NMR experiments are also presented.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Langenbeck's archives of surgery 347 (1978), S. 711-711 
    ISSN: 1435-2451
    Keywords: Gastrectomy ; Stomach cancer ; Cancer, reconstruction ; Chemotherapy ; Magen ; Carcinom ; Gastrektomie ; Magenersatz ; Chemotherapie
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Anhand des Krankengutes der chirurgischen Universitätsklinik Ulm von 1960–1976 werden die Behandlungsergebnisse und 5-Jahres-Überlebenszeiten von 947 Patienten, die wegen eines Magencarcinoms behandelt wurden, dargestellt. Besonders herausgestellt wird die Zunahme der Frühcarcinome infolge der intensivierten präoperativen Diagnostik. Die makroskopischen und histologischen Wachstumsformen werden aufgeführt und die sich daraus ergebenden Konsequenzen für die chirurgische Therapie abgeleitet. Es ergibt sich, daß bei Patienten unter 70 Jahren die Gastrektomie im Prinzip Anwendung finden sollte. Es wird auf die Vorteile geeigneter Rekonstruktionsverfahren hingewiesen. Ferner werden die gebräuchlichen Chemotherapie-Schemata aufgefuhrt und die an der Universität Ulm laufende adjuvante Studie erwähnt.
    Notes: Summary Based on 947 patients operated on for gastric carcinoma between 1960 and 1976, results and 5-years survival times are demonstrated. Due to intensified preoperative diagnostic methods, there is an increase in early gastric cancer. Adequate surgical measures are related to the specific morphologic and histologic behavior of the gastric cancer. It is concluded that total gastrectomy should be performed in patients under 70 years of age. Suitable reconstructive procedures seem to be of value. Furthermore, chemotherapeutic treatment is dicussed, and our controlled randomized adjuvant therapy study presented.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    Langenbeck's archives of surgery 372 (1987), S. 871-871 
    ISSN: 1435-2451
    Keywords: Total gastrectomy ; Pouch reconstruction ; Follow-up ; Gastrektomie ; Jejunumersatzmagen ; Nachuntersuchung
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Um die möglichen Vorteile eines Jejunumersatzmagens (JEM) gegenüber der einfachen Oesophagojejunostomie (ÖJ) nachzuweisen, wurden 34 rezidivfreie Patienten (23 JEM, 11 ÖJ) mindestens 1 Jahr nach Gastrektomie nachuntersucht. Das Körpergewicht war nach JEM signifikant höher (p〈0.05). die höhere Fettausscheidung im Stuhl wies auf eine verbesserte Nahrungsaufnahme hin. Dumping Symptome waren nach JEM seltener (JEM 13 %, ÖJ 46%), der Anstieg der Glucosewerte im GTT war auch deutlich steiler. Psychologische Tests zur Beurteilung der Lebensqualität zeigten keinen Unterschied zwischen den beiden Gruppen.
    Notes: Summary To evaluate the possible advantages of jejunal pouch reconstruction (JPR) versus esophagojejunostomy (EJ), 34 patients with out recurrences were followed-up at least 1 year after total gastrectomy (23 JPR, 11 EJ). Body weight was significantly higher following JPR (P〈0.05), and higher fecal fat excretion indicated improved food up-take. The rate of dumping symptoms was lower following JPR (13% vs 45%); in patients with EJ the increase of blood glucose levels was markedly higher after glucose stress. Evaluation of quality of life by means of a psychological questionnaire did not reveal any differences between these groups.
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    Springer
    Langenbeck's archives of surgery 349 (1979), S. 579-579 
    ISSN: 1435-2451
    Keywords: Stomach ; Cancer ; 5-years survival ; Operative procedure ; Magen ; Carcinom ; 5-Jahres-Überlebenszeit ; Operationsverfahren
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Wir analysierten beim Magencarcinom in einer retrospektiven Studie den Einfluß der operativen Verfahrenswahl auf die Überlebenszeit. Es ergaben sich folgende Feststellungen: Waren Lymphknoten befallen, war die 5-Jahres-Überlebenszeit höher nach Gastrektomie, verglichen mit der Magenresektion. Esbestand kein Unterschied, wenn die Lymphknoten nicht befallen waren. Beim Magenfrühcarcinom ist die 5-Jahres-Überlebenszeit unabhÄngig von der operativen Verfahrenswahl.
    Notes: Summary In a retrospective study we analysed the survival rate of gastric cancer patients correlated to surgical procedure. The conclusions are as follows: 5-year survival rate was higher after total gastrectomy vs. partial gastrectomy in tumors with involvement of lymph nodes. There was no difference in tumors without involved lymph nodes. 5-year survival rate in early gastric cancer does not depend on surgical procedure.
    Type of Medium: Electronic Resource
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  • 6
    ISSN: 1435-2451
    Keywords: Total gastrectomy ; Gastric replacement ; Reflux ; Esophagitis ; Gastrektomie ; Magenersatz ; Refluxoesophagitis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Drei Wiederherstellungsverfahren der Kontinuität nach Gastrektomie bei Magencarcinom wurden durchschnittlich 2 Jahre postoperativ inrezidivfreiem Zustand klinisch, endoskopisch und bioptisch nach gleichen Kriterien in Ulm und Mannheim nachuntersucht: (n = 137 von 297 Patienten, 1974–1980): Wegen der hohen Refluxoesophagitis-Rate bei der Oesophagojejunostomie mit Entero-enteroanastomose (Schloffer) empfehlen sich heute z. B. der Jejunumersatzmagen (HLR) oder die Jejunuminterposition (Longmire) mit ähnlich gutem subjektiven Ergebnis und niedriger Refluxrate.
    Notes: Summary Three gastric replacement methods were reexamined 2 years postoperatively in patients without recurrence of symptoms. Common criteria for clinical, endoscopical and histological evaluation were used in Ulm and Mannheim (n = 137 of 297 original patients, 1974–1980): Due to the high incidence of reflux esophagitis in patients with esophagojejunostomy with enteroenteroanastomosis (Schloffer), the jejunum pouch (Hunt-Lawrence-Rodino) or jejunal interposition (Longmire) are recommended. These two methods have similarly positive subjective results and a low reflux frequency.
    Type of Medium: Electronic Resource
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