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  • 11
    Electronic Resource
    Electronic Resource
    Kommentar auf Anforderung der Schriftleitung (1998)
    Springer
    Der Chirurg 69 (1998), S. 264-264 
    Details
    ISSN: 1433-0385
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s001040050409
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  • 12
    Electronic Resource
    Electronic Resource
    Anisoperistaltische Roux-Schlinge: Seltene Ursache rezidivierender Cholangitiden nach Hepaticojejunostomie (1999)
    Springer
    Der Chirurg 70 (1999), S. 803-806 
    Details
    ISSN: 1433-0385
    Keywords: Key words: Cholangitis ; Anisoperistaltic Roux reconstruction ; Hepaticojejunostomy. ; Schlüsselwörter: Cholangitis ; anisoperistaltische Roux-Schlinge ; Hepaticojejunostomie.
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung. Beim Auftreten einer Cholangitis nach Hepaticojejunostomie ist die häufigste Ursache eine Stenose der biliodigestiven Anastomose. Die vorliegende Kasuistik beschreibt die Krankengeschichte eines Patienten, bei dem eine Hepaticojejunostomie infolge einer Gallengangsverletzung bei Mirizzi-Syndrom angelegt worden war, und der postoperativ unter rezidivierenden Cholangitiden litt. Die präoperative bildgebende Diagnostik zeigte eine Stenose der biliodigestiven Anastomose und eine massiv erweiterte Roux-Schlinge, so daß zusätzlich der Verdacht auf eine Stenose dieser Schlinge im Mesocolonschlitz bestand. Intraoperativ fand sich jedoch eine anisoperistaltisch angeschlossene Roux-Schlinge. Diese Konstellation sollte als seltene Ursache rezidivierender Cholangitiden nach Hepaticojejunostomie differentialdiagnostisch berücksichtigt werden.
    Notes: Summary. Stenosis of the hepatico-intestinal anastomosis after hepaticojejunostomy is a common cause for recurrent cholangitis. In the following report a patient's history of recurrent cholangitis after hepaticojejunostomy performed because of bile duct injury is presented. Preoperative imaging revealed a stricture of the hepatico-intestinal anastomosis and a massive dilatation of the Roux-en-Y loop, so that a draining disorder was assumed. Laparotomy showed an anisoperistaltic Roux-en-Y loop. When assessing the differential diagnosis of recurrent cholangitis after hepaticojejunostomy, anisoperistaltic reconstruction should be considered.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s001040050727
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  • 13
    Electronic Resource
    Electronic Resource
    Ausmaß von Resektion und Lymphadenektomie beim Magenkarzinom – eine anhaltende Kontroverse (1998)
    Springer
    Der Onkologe 4 (1998), S. 301-309 
    Details
    ISSN: 1433-0415
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Die aktuelle Diskussion zur Behandlung des Magenkarzinoms betrifft vorwiegend das adäquate Ausmaß der Lymphadenektomie, also die extra- luminale Resektion. Die bestehende Kontroverse ist auf verschiedene Multicenterstudien zu Morbidität und Mortalität bei D1- bzw. D2- Lymphadenektomie zurückzuführen. Ziel dieser Übersicht war es, die bisher vorliegenden Daten zum luminalen und extraluminalen Resektionsausmaß beim Magenkarzinom zu bilanzieren und die möglichen Schlußfolgerungen für den Stand im Jahre 1998 zu ziehen.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s007610050205
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  • 14
    Electronic Resource
    Electronic Resource
    Perioperative treatment with Filgrastim stimulates granulocyte function and reduces infectious complications after esophagectomy (2000)
    Springer
    Annals of hematology 79 (2000), S. 143-151 
    Details
    ISSN: 1432-0584
    Keywords: Neutrophil function ; Esophageal cancer ; Filgrastim ; Infection ; Surgery
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: n =27) were measured on days −2, 2, and 10. Neutrophil function was enhanced in the Filgrastim-treated group by factor 1.2 for phagocytosis (p=0.016) and 1.4 for oxidative burst (p=0.154). Leukocyte counts increased from 7.6×109/l (day −2) to a maximum of 45×109/l on day 6. No infection was reported in the study group (mean age 59.7 years; 13 men, seven women) up to 10 days after surgery. In contrast, 23 patients (29.9%) in a historical control group (mean age 56 years; 67 men, ten women) treated at the same center developed infections within the first 10 days (p=0.008). In addition, no postoperative deaths occurred in the study group, compared with 9.1% in the group of historical controls. Thus, in this study, administration of Filgrastim stimulated neutrophil function in patients undergoing esophagectomy, and it might be effective in reducing infectious complications related to the surgical procedure.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s002770050570
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  • 15
    Electronic Resource
    Electronic Resource
    Surgical therapy of Zenker's diverticulum: Low risk and high efficiency (1990)
    Springer
    Dysphagia 5 (1990), S. 13-19 
    Details
    ISSN: 1432-0460
    Keywords: Zenker's diverticulum ; Cervical myotomy ; Diverticulectomy ; Deglutition ; Deglutition disorders
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Surgery for the treatment of Zenker's diverticulum was performed at our institution in a total of 43 patients over 6½ years. Cervical myotomy with diverticulectomy was performed in 32 of the patients and myotomy alone in 11. Mortality totaled 0%, with a reversible lesion of the recurrent nerve occurring in 7%. In 60% of the cases investigated preoperatively (N=40), motility disorders of the upper esophageal sphincter (UES) could be demonstrated using manometry as well as with cineradiography in 92% of the patients. Follow-up studies in 39 of the cases 25 months (mean) postprocedure indicated 82% of the patients to be symptom-free, with the remaining 18% demonstrating a marked improvement. Postoperative manometry as well as cineradiography carried out in 12 patients revealed the presence of UES motility dyscoordination in 8% and 25%, respectively. There were, however, no signs of recurrence of the diverticulum. The high number of patients in our study group demonstrating motility disorders of the UES emphasizes the need for cervical myotomy as part of the surgical therapy for Zenker's diverticulum.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02407389
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  • 16
    Electronic Resource
    Electronic Resource
    The role of esophageal motility in gastroesophageal reflux disease: Technique and clinical results of ambulatory 24-hour Mano/-pH-Metry (1993)
    Springer
    Dysphagia 8 (1993), S. 112-117 
    Details
    ISSN: 1432-0460
    Keywords: Gastroesophageal reflux ; Esophageal motility ; Ambulatory esophageal manometry ; Deglutition ; Deglutition disorders
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The interplay between esophageal motility and gastroesophageal reflux (GER) was investigated with a new ambulatory system of 24-h monitoring of intraesophageal pressures and pH (MP24). The technique allows for simultaneous digital recordings and off-line data analysis. Both computer-aided and visual analyses were used, and algorithms for intercorrelation of mano- and pH-metry were developed. In a group of normal volunteers the physiological response of esophageal motility on GER was defined. In unselected patients suffering from GER disease, the esophageal motility prior to and during GER events was analyzed. In healthy people, most GER episodes occurred spontaneously and were cleared from the distal esophagus by peristaltic contractions. In GER patients, reflux episodes were often preceded by irregular contractions; during GER, esophageal motility was less often peristaltic compared with controls. Therefore, we conclude that MP24 gives relevant information in GER disease which might help in selecting patients for medical or surgical therapy.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02266990
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  • 17
    Electronic Resource
    Electronic Resource
    pH monitoring: The gold standard in detection of gastrointestinal reflux disease? (1993)
    Springer
    Dysphagia 8 (1993), S. 118-121 
    Details
    ISSN: 1432-0460
    Keywords: Gastroesophageal reflux disease ; Diagnosis ; pH monitoring ; Diagnostic studies ; Deglutition ; Deglutition disorders
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Gastroesophageal reflux disease (GERD) is one of the most frequent benign diseases of the gastrointestinal tract and in some cases the diagnosis may be very difficult. There are many diagnostic procedures but none of them could prove or definitely exclude the disease. The 24-h pH-monitoring is the “gold standard” for detection of gastroesophageal reflux and in many patients the reflux correlates with the GERD. The evaluation of a diagnostic method has to be done in a similar manner to the evaluation of therapeutic study (phase 1 to phase 4). For the definition of the “gold standard” for detection of a special diagnosis (e.g., the gastroesophageal reflux disease), the results of phase 3 studies for different methods had to be compared. The method with the best values for sensitivity and specificity is yet to be discovered. Until now, pH monitoring has been the gold standard for the diagnosis of GERD. However, there are many problems connected with using this method in clinical practice.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02266991
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  • 18
    Electronic Resource
    Electronic Resource
    Treatment of dysphagia in esophageal carcinoma: Transthoracic En-Bloc esophagectomy and reconstruction 48 hours later (1988)
    Springer
    Dysphagia 2 (1988), S. 222-227 
    Details
    ISSN: 1432-0460
    Keywords: Esophageal cancer ; Transthoracic esophagectomy ; Mediastinal lymphadenectomy ; Delayed reconstruction ; Blunt esophageal dissection
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract In 82 consecutive patients with esophageal cancer (90% squamous cell carcinoma, 10% adenocarcinoma) transthoracic “en bloc” esophagotomy with regional lymphadenectomy was performed. The reconstruction with gastric interposition was carried out with delayed urgency in a second operation 48–72 h after the initial procedure. The results of this group were compared to a group of 65 patients who had transmediastinal esophagectomy without thoractotomy and mediastinal as well as suprapancreatic lymphadenectomy and immediate reconstruction by gastric interposition. The number of postoperative risk situations concerning cardiopulmonary features were comparable in both groups. The 30-day mortality rate and postoperative morbidity was not significantly different between both patient groups (mortality rate: transthoracic: 6.6%, transmediastinal: 7.7%). The advantages of a 2-stage procedure are that esophagectomy and especially mediastinal lymphadenectomy can be performed precisely without time pressure. After 2 days the stomach is hypotonic and dilated as a result of truncal vagotomy and can easily be elevated to the neck. The interval of 48–72 hours was chosen because the postoperative right-to-left shunt has nearly normalized after this time period. En bloc esophagectomy and reconstruction with delayed urgency can be performed without disadvantages compared to a 1-stage procedure. It can especially be recommended for operations in which esophagectomy and mediastinal lymphadenectomy are difficult and wearisome.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02414431
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  • 19
    Electronic Resource
    Electronic Resource
    The “Steakhouse syndrome” (1989)
    Springer
    Surgical endoscopy and other interventional techniques 3 (1989), S. 195-198 
    Details
    ISSN: 1432-2218
    Keywords: Food impaction of the esophagus ; Endoscopy ; Esophageal dysfunction ; Malignant tumors
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Over a period of 5 years, 28 instances of acute food impaction of the esophagus were documented in 26 patients at our institution. In all patients the impacted bolus was successfully removed without complication using a flexible endoscope. Underlying diseases were identified during primary endoscopy in 31% of the cases. Further diagnostic workup was performed in all but 5 of the patients. After adequate evaluation pathologic findings were demonstrated in 90% of the cases (38% malignant and 52% benign diseases). Long-term therapy was deemed necessary in 17 of these 21 patients. Operative intervention was indicated in 4 cases, 2 of which were for malignant tumors. Acute food impaction should always be regarded as a symptom of esophageal disorders. In patients with esophageal cancer or other mediastinal tumors bolus impaction generally indicates an advanced tumor stage.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02171545
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  • 20
    Electronic Resource
    Electronic Resource
    Liver transplantation for the treatment of fulminant hepatic failure induced by the ingestion of ecstasy (1997)
    Springer
    Transplant international 10 (1997), S. 229-233 
    Details
    ISSN: 1432-2277
    Keywords: Key words Ecstasy ; fulminant hepatic failure ; liver tranplantation ; Fulminant hepatic failure ; ecstasy ; liver transplantation ; Liver transplantation ; fulminant hepatic failure ; ecstasy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Methylenedimethoxymethamphetamine (MDMA), more commonly known as ecstasy, is a synthetic amphetamine derivative used by teenagers and young adults in the United States as well as in Western Europe as a “dance drug“. Though a number of complica
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s001470050047
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