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  • 1
    Electronic Resource
    Electronic Resource
    Pneumatosis cystoides intestinalis (PCI) (1990)
    Springer
    International journal of colorectal disease 5 (1990), S. 120-124 
    Details
    ISSN: 1432-1262
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Pneumatosis cystoides intestinalis (PCI) is a rare disease usually occurring in association with a large variety of gastrointestinal (GI) and non GI conditions in the majority of cases, although idiopathic PCI is also known to occur. There are two theories regarding the development of these intramural gas cysts — the mechanical and bacterial theories. PCI usually runs a benign course, although fulminant PCI can be present both in infants and adults. The importance of this condition for the surgeon lies in its early recognition, in order to prevent unnecessary surgical intervention, especially when pneumoperitoneum without clinical evidence of peritonitis is encountered. Oxygen therapy has been shown to lead to regression of PCI, although recurrences have been reported. Elemental diets and antimicrobila agents have provided symptomatic relief in a few reported cases. The association of PCI with a wide variety of conditions leads us to conclude that PCI may not be a disease in itself, but a sequel to these varied conditions.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00298485
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Outcome of liver resection and transplantation for fibrolamellar hepatocellular carcinoma (2000)
    Springer
    Transplant international 13 (2000), S. S406 
    Details
    ISSN: 1432-2277
    Keywords: Key words Fibrolamellar hepatocellular carcinoma ; Liver resection ; Liver transplantation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Fibrolamellar hepatocellular carcinoma (FL HCC) is an uncommon variant of hepatocellular carcinoma occurring usually in non-cirrhotic livers. Hepatic resection or transplantation offers the only chance of cure. We reviewed our experience of surgery for FL HCC from 1985–1998. Twenty patients with FL HCC (13 females and 7 males) median age 27 years (range 12–69) were treated either by hepatic resection [n = 11; extended right hepatectomy (5), extended left hepatectomy (1), right hemihepatectomy (2), left hemihepatectomy (2), left lateral segmentectomy (1)] or, if the disease was non-resectable, by transplantation (n = 9). The median follow up was 25 months (1–63). The prognostic factors analysed included size [less than 5 cm (3 patients), more than 5 cm (17 patients)], number [solitary (16 patients), multiple (4 patients)], capsular invasion (6 patients), vascular invasion (11 patients) and lymph node invasion (6 patients). The overall survival at 1, 3 and 5 years was 89.5, 75 and 50 %, respectively. The liver resection survival was better than liver transplantation survival at 3 years 100 vs 76 %, respectively (P 〈 0.025). Although all prognostic factors analysed did not show a significant difference, there is tendency that tumour stage was the most significant for prognosis. Most of the patients in this study are young and presented without specific symptoms, with normal liver function range and had no tumour marker to help in diagnosis. As a result most of our patients were diagnosed late. However the outcome of surgical intervention was favourable.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s001470050372
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    Paper (German National Licenses)
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  • 3
    Electronic Resource
    Electronic Resource
    Long-term adult renal graft outcome after ureteric drainage into an augmented bladder or ileal conduit (1998)
    Springer
    Transplant international 11 (1998), S. S147 
    Details
    ISSN: 1432-2277
    Keywords: Key words Renal transplant ; Bladder augmentation ; Ileal conduit
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Patients with an augmented or diverted urinary system are considered higher risk recipients in view of increased technical problems and infective complications. We studied the long-term renal graft function and survival in patients with a pretransplant ileal conduit or ileal/caecocystoplasty. Between 1986 and 1997, 14 of 1253 (1.1 %) renal transplant recipients had their transplant ureters anastomosed into an abnormal urinary tract. These consisted of ten ileal conduits and four ileal/caecocystoplasties. Median follow up was 42 months (range 1–156). All ten ileal conduits were discharged with a functioning graft. There was one graft loss chronic rejection and one cardiac death. The median creatinine level was 130 mmol/l and 50 % have a urinary infection. All the patients with an ileal/caecocystoplasty were discharged with a functioning graft and these are still functioning; median creatinine of 132 mmol/l and 75 % have a urinary infection. One- and 3-year graft survival was 93 % and 86 %. We conclude that the long-term outcome of renal transplantation in carefully assessed patients with an abnormal urinary tract is satisfactory despite a high incidence of urinary infection.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s001470050448
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    Paper (German National Licenses)
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  • 4
    Electronic Resource
    Electronic Resource
    Biliary reconstruction with or without an internal biliary stent in orthotopic liver transplantation: a prospective randomised trial (1998)
    Springer
    Transplant international 11 (1998), S. S245 
    Details
    ISSN: 1432-2277
    Keywords: Key words Biliary complications ; Liver transplant ; Biliary stent
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Choledochocholedochostomy (CCD) with a 7 fr/8 fr Cotton Leung internal biliary stent removed at endoscopic retrograde cholangiography (ERC) 3 months following orthotopic liver transplantation (OLT) was the technique used on our unit for biliary reconstruction. From June 1995 to July 1996, we randomised 37 OLT patients with CCDs to receive either an internal stent (group I, nd= 18) or no stent (group II, n = 19). Patients in group I had an ERC at 3 months for stent removal whereas patients in group II had an ERC if indicated. The mean follow up was 19 (13–26) months. Biliary complications occurred in 9 out of 18 patients in group I compared to 1 out of 19 patients in group II (P = 0.007). In group I, ERC was required for complications in 8 patients and early surgery in 2, compared to 1 ERC for abnormal liver function tests in group II. Five of the early complications in group I were stent related. Late biliary stenosis occurred in 1 patient at 9 months. There was one stent-related death. The use of stents contributes to biliary complications and CCD without stenting is safe after OLT.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s001470050470
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    Paper (German National Licenses)
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