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  • Key words: Adenoma — Rectal cancer — Pelvic peritoneal reflection — Endorectal ultrasound  (1)
  • Laparoscopic cholecystectomy  (1)
  • 1
    Electronic Resource
    Electronic Resource
    Localization of the peritoneal reflection in the pelvis by endorectal ultrasound (1998)
    Springer
    Surgical endoscopy and other interventional techniques 12 (1998), S. 1401-1404 
    Details
    ISSN: 1432-2218
    Keywords: Key words: Adenoma — Rectal cancer — Pelvic peritoneal reflection — Endorectal ultrasound
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background: Large adenomas and low-risk rectal carcinomas (T1) that are localized distal of the pelvic peritoneal reflection (PPR) are treated by transanal excision. However, the location of the PPR varies widely and cannot be detected reliably by preoperative methods. Therefore, we evaluated the value of endorectal ultrasound (EUS) for the prediction of an intraperitoneal location of rectal tumors. Methods: Fourteen patients with rectal tumors measuring ≤15 cm from the anal verge were examined by EUS. If peristalsis beyond the rectal wall or any intraperitoneal fluid was seen at the proximal tumor edge, the lesion was classified as localized above or in the level of the PPR. During the operation, the surgeon determined whether the upper end of the tumor reached the PPR. Results: In each of our 14 patients, the prediction by EUS was correct. In two patients, a small rectal tumor was excised with an electric sling during rectoscopy, but the polyp bases were not free of dysplastic epithelial tissue. The point where these two polyps were removed could be visualized by endoscopy but not by EUS. Once the relevant area was marked with a titanic endoclip, EUS was able to predict the resection place in relation to the PPR in these two patients as well. Conclusions: Although this knowledge would be very important for the therapeutic strategy of small rectal tumors, it is impossible to determine the location of a rectal tumor with regard to the PPR either clinically or by endoscopy. EUS provides this information with high reliability. Thus, we recommend EUS as the method of choice for predicting the location of the PPR.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s004649900868
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  • 2
    Electronic Resource
    Electronic Resource
    Konsequenzen der routinemäßigen gastroskopie vor cholezystektomie (1992)
    Springer
    Langenbeck's archives of surgery 377 (1992), S. 314-316 
    Details
    ISSN: 1435-2451
    Keywords: Routine gastroscopy ; Elective cholecystectomy ; Laparoscopic cholecystectomy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Anhand einer retrospektiven Studie mit 610 Patienten wurde die Bedeutung der routinemäßigen Gastroskopie vor der Cholezystektomie untersucht. Dabei konnte gezeigt werden, daß nur zu einem geringen Prozentsatz (11% der endoskopierten Patienten) mit therapierelevanten Befunden zu rechnen ist. Da diese Patienten in der überwiegenden Mehrzahl eine für den Endoskopiebefund typische Anamnese aufwiesen, scheint eine präoperative Endoskopie vor der Cholezystektomie, auch in Anbetracht der Risiken, nur bei Patienten mit Schmerzen oder zumindest unklaren Beschwerden im Oberbauch sinnvoll zu sein.
    Notes: Summary In a retrospective study of 610 patients the role of routine gastroscopy prior to cholecystectomy was investigated. The results demonstrated that only in a low incidence (11% of patients gastroscopied) relevant findings are present. However, most of these patients had a typical history. Therefore, despite risks, routine preoperative endoscopy prior to cholecystectomy should be performed only in patients with a history of upper abdominal pain or discomfort.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00189478
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
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