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  • 1
    Electronic Resource
    Electronic Resource
    Intragastral provocation under endoscopic control (IPEC) in food allergy: mast cell and histamine changes in gastric mucosa (1985)
    Oxford, UK : Blackwell Publishing Ltd
    Clinical & experimental allergy 15 (1985), S. 0 
    Details
    ISSN: 1365-2222
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: In fourteen patients with food allergy, intragastral provocation under endoscopical control (IPEC) was performed. In all patients positive immediate-type reactions of the gastric mucosa were observed consisting of oedema, erythema and petechial bleeding. Microscopically, mast cell degranulation was observed and measured by mast cell counts using the o-phthaldialdehyde technique. Concomitantly, tissue histamine content in gastric mucosa decreased significantly after allergen provocation, while there was no change in normal volunteers. Plasma histamine concentration increased in most patients; the increases were most evident in four patients showing mild systemic reactions (urticaria and bronchospasm). The technique described might prove to be useful in establishing the diagnosis in doubtful cases of food allergy.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1365-2222.1985.tb02273.x
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  • 2
    Electronic Resource
    Electronic Resource
    247. Ingestive Verätzung —Richtlinien für die chirurgische Erstversorgung (1981)
    Springer
    Langenbeck's archives of surgery 355 (1981), S. 620-620 
    Details
    ISSN: 1435-2451
    Keywords: Ingestive cauterization ; Guide line for emergency treatment ; Ingestive Verätzung ; Behandlungsrichtlinien bei Erstversorgung
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Die Behandlungsrichtlinien für ingestive Verätzungen basieren auf klinischen und endoskopischen Parametern: Gruppe 1 (bei endoskopisch negativem Befund): konservatives Vorgehen, Infusion, Antacida, Antibiotica; Gruppe 2 (Magenschleimhautverdtzung): Laparotomie mit „geschlossener Magenspülung”; Gruppe 3 (Verätzung von Magen alleine): Gastrektomie mit Oesophago-Jejunostomie; Gruppe 4 (Verätzung von Magen und distalem Oesophagus): Gastrektomie mit Verschluß des Oesophagus und Duodenalstumpfes (Jejunumerndhrungsfistel); Gruppe 5 (Schädigung des gesamten Oesophagus und Magens) Gastrektomie, Oesophagektomie (Jejunumerndhrungsfistel). Letalität: konservativ (Gruppe 1: 0 %), operativ (Gruppe 2–5: 50%).
    Notes: Summary The guide line for treatment of ingestive cauterization is based on clinical and endoscopic parameters group I (endoscopical negative findings): classical treatment; group 2 (burning of the gastro mucosa): laparotomy and closed stomach lavage; group 3 (severe cauterization of stomach alone): gastrectomy with esophago-jejunostomy; group 4 (cauterization of stomach and distal esophagus): gastrectomy with closing of esophagal and jejunum stump (jejunal feeding fistula); group 5 (damage of the whole esophagus and stomach): gastrectomy, esophagectomy (jejunal feeding fistula). Mortality: classical treatment (group 1: 0%), surgical therapy (groups 2–5: 50%).
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01287080
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  • 3
    Electronic Resource
    Electronic Resource
    308. Freies Jejunuminterponat in mikrochirurgischer Technik als Ersatz der Halsspeiseröhre (1979)
    Springer
    Langenbeck's archives of surgery 349 (1979), S. 630-631 
    Details
    ISSN: 1435-2451
    Keywords: Jejunum transplantate ; Esophagus replacement ; Jejunumtransplantat ; Oesophagusersatz
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung An 18 Beagles wurde der Halsoesophagus durch ein freies, autologes Jejunumtransplantat ersetzt. Interponatsnekrosen durch Thrombosen an den Gefäßanastomosen kamen wegen der mikrochirurgischen Technik nicht vor. Die Passage und Peristaltik blieb in allen Fällen erhalten. Viermal schrumpfte das Interponat durch periluminäre Narben. Zu einer Fibrosicrung des Interponates selbst kam es nicht, die Ganglienzellen des Plexus myentericus sind auch nach 1 Jahr noch erhalten. Es handelt sich somit um ein risikoarmes Verfahren zum Ersatz der Halsspeiseröhre.
    Notes: Summary Within a collective of 18 Beagles the proximal part of the esophagus was replaced by a free autologous jejunum interponate. Because of microvascular anastomosis a necrosis of the interposed jejunum was prevented. Passage and peristalsis were maintained in all cases. In four cases shrinking at the interponate caused by periluminar scar formation are observed. No fibrosis developed, the gangliocytes of the plexus myentericus remained viable. With this technique, we are on the way to an esophagus replacement of lower risk.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01729769
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  • 4
    Electronic Resource
    Electronic Resource
    Release of gastric histamine in patients with urticaria and food allergy (1982)
    Springer
    Inflammation research 12 (1982), S. 111-113 
    Details
    ISSN: 1420-908X
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract In a clinical study the participation of histamine in the allergenic response of patients with food allergy was investigated. The resting levels of gastric tissue and plasma histamines of 10 patients were slightly higher than the respective values of normal volunteers. 5 minutes after local intragastral allergenic provocation a decline of the mucosal histamine content of the allergen-treated area was noticed. Parallel investigations on the mast cell content of the stomach mucosa revealed a parallel decrease of theo-phthaldialdehyde stained cells, whereas the number of toluidine blue stained cells remained unchanged. These data are in accordance with an antigen-induced IgE-dependent liberation of the mast cell histamine stores.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01965119
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  • 5
    Electronic Resource
    Electronic Resource
    136. Stellenwert der Computertomographie in der Diagnostik von Unfallfolgen am Skeletsystem (1982)
    Springer
    Langenbeck's archives of surgery 358 (1982), S. 477-477 
    Details
    ISSN: 1435-2451
    Keywords: Computed tomography ; Post-traumatic lesion of the skeletal system ; Cruciate ligaments ; Computer-Tomographie ; Kreuzbandverletzung ; Unfallfolgen am Skeletsystem
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Seit Einführen der CT-Tomographie in die chirurgische Diagnostik ist dieses Spezialverfahren auch Bestandteil in der Beurteilung posttraumatischer Folgezustände am Skeletsystem geworden. Die CTTomographie soll und darf aus Kapazitäts- und Kostengründen Röntgenstandardverfahren in der Traumatologie nicht verdrängen. Bei der gezielten Fragestellung „intraartikuläre Fragmente, Kongruenz artikulierender Flächen, Ausmaß einer Impression, Kreuzbandverletzung und osteochondrale Fraktur” ist das CT jedoch dann indiziert, wenn die konventionelle Röntgen-Diagnostik zur Beurteilung nicht ausreichend erscheint.
    Notes: Summary Computed tomography has established itself as a diagnostic method in post-traumatic lesions of the skeletal system. However, for financial reasons and reasons of capacity, CT cannot replace regular radiography. For the identification of intra-articular fragments, the shape of damaged joints, the degree of impression, injured cruciate ligaments and torn cartilage tissue, CT is only indicated if conventional diagnostic radiology proves inadequate.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01271882
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  • 6
    Electronic Resource
    Electronic Resource
    268. Akute gastrointestinale Blutung — Lasertherapie Acute gastro-intestinal haemorrhage — laser therapy (1983)
    Springer
    Langenbeck's archives of surgery 361 (1983), S. 774-774 
    Details
    ISSN: 1435-2451
    Keywords: Emergency endoscopy ; Laser therapy ; Gastro-intestinal haemorrhage ; Notfallendoskopie ; Lasertherapie ; Gastrointestinale Blutung
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung 56 Patienten mit einer transfusionspflichtigen Blutung (? 1000 ml/24 h) wurden einer primären endoskopischen Lasertherapie zugeführt. 91% zeigten eine Blutungsintensität Typ Forrest (F) 1,9% Typ F 2. Eine primäre Blutstillung konnte in 89% erreicht werden. Bei guter Einstellbarkeit spielte die Lokalisation der Blutungsquelle keine Rolle. Die Blutungsintensität ging auf den Lasererfolg direkt ein. F 1a (spritzende Blutungen) in 82%, F 1 b (sickernde Blutungen) in 93%. Die Blutungsrezidivrate nach Lasertherapie war 28%, bei F 1a 50%. Ergebnis: F 1a ist für die Lasertherapie ungeeignet. F 1 b ist die beste Indikation.
    Notes: Summary A total of 56 patients requiring transfusion for gastric haemorrhage (? 1000 ml/24 h) underwent laser therapy. Of these patients 91% showed a bleeding intensity of the Forrest type (F) and 1.9% a bleeding intensity of type F 2. Primary hemostasis was achieved in 89%. When the bleeding source was visible, localization was, of course, no problem. The bleeding intensity correlated directly with the success of laser treatment. F 1a (spurting haemorrhage) in 82%, F 1b (oozing haemorrhage) in 93%. The haemorrhage recurrence rate after laser therapy was 28% for F 1b and 50% for F 1a. Results: Laser therapy is not suitable for F 1a. F 1b is the best indication.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01276093
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  • 7
    Electronic Resource
    Electronic Resource
    207. Perianale Komplikationen beim Morbus Crohn (1983)
    Springer
    Langenbeck's archives of surgery 361 (1983), S. 744-744 
    Details
    ISSN: 1435-2451
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01276032
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  • 8
    Electronic Resource
    Electronic Resource
    9. Oesophagusfunktion nach Oesophagusvaricensklerosierungstherapie (1986)
    Springer
    Langenbeck's archives of surgery 369 (1986), S. 79-81 
    Details
    ISSN: 1435-2451
    Keywords: Functional disorders of the esophagus ; Sclerotherapy ; Manometry ; Long-term-pH-monitoring ; Funktionsstörung des Oesophagus ; Sklerotherapie ; Manometrie ; Langzeit-pH-Metrie
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Funktionsstörungen des Oesophagus nach Sklerotherapie wurden bei 24 Patienten 4 ± 2 Monate nach Sklerotherapie untersucht. 9 Patienten gaben Dysphagie und/oder Refluxsymptome an; es fanden sich 2 Fälle von Oesophagusstrikturen und 4 Fälle von Oesophagitis. 14 Patienten wiesen manometrisch eine dekompensierte Kardiainsuffizienz auf, nur 7 Patienten hatten nach Behandlung noch eine kompetente Kardia. Es bestand ein signifikanter Unterschied bezüglich der Menge des Sklerosierungsmittels zwischen beiden Patientengruppen. In der tubulären Speiseröhre traten 18 % nicht propulsive und in 7 % repetitive Kontraktionsstörungen auf. Langzeit-pHmetrisch wiesen alle Patienten einen gesteigerten gastroesophagealen Reflux auf.
    Notes: Summary Functional disorders of the esophagus were evaluated in 24 patients 4 ± 2 months after sclerotherapy following the first hemorrhage. The mean volume of polidocanol required per patient was 181 ± 111 ml. 9 patients complained of dysphagia and/or reflux symptoms; strictures were found in two cases; 4 patients had esophagitis. Manometrically the lower esophageal sphincter was completely insufficient in 14 patients; only 7 patients still had a competent cardia. The first group had received significantly more polidocanol than the latter. Tubular motility was disturbed by nonpropulsive (18 %) and repetitive (7 %) contractions. By longterm-pH-metry the percentage of oesophageal reflux was elevated in all patients.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01274326
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  • 9
    Electronic Resource
    Electronic Resource
    Ultraschall in der Chirurgie (1984)
    Springer
    Langenbeck's archives of surgery 363 (1984), S. 75-78 
    Details
    ISSN: 1435-2451
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01261055
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  • 10
    Electronic Resource
    Electronic Resource
    26. Intraluminale Bestrahlung mit Iridium 192 —ein neuer Weg zur Behandlung inoperabler Oesophaguscarcinome? (1985)
    Springer
    Langenbeck's archives of surgery 366 (1985), S. 169-171 
    Details
    ISSN: 1435-2451
    Keywords: Esophageal carcinoma ; Palliative therapy ; Iridium 192-afterloading ; Oesophaguscarcinom ; Palliativtherapie ; Iridium 192 ; Afterloading
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Beim inoperablen Oesophaguscarcinom wurde als neues Alternativverfahren gegenüber der Palliativresektion die intraluminale hochdosierte Afterloadingtherapie mit Iridium 192 angewandt. Voraussetzung für dieses Verfahren, das im letzten Jahr bei 19 Patienten eingesetzt wurde, ist die vorhergehende laserendoskopische Passagewiederherstellung der Tumorstenose. In 2wöchigen Abständen wird bis zu 3mal endocavitär mit einer Dosis von 7 Gy bestrahlt. Bei kontinuierlicher endoskopischer Patientenüberwachung ist die Tubusimplantation bei besserer Lebensqualität und vergleichbaren Überlebenszeiten vermeidbar.
    Notes: Summary In inoperable esophageal carcinoma the intraluminal high dose afterloading therapy with Iridium 192 was employed as an alternative to the palliative resection. Prerequisite for this treatment, which was used in 19 patients during the last year, is the preceding passage restoration of the tumor stenosis by endoscopic laser therapy Every two weeks the patients are endocavitarily irradiated up to 3 times with a dose of 7 Gy. Observing the patients by endoscopic means the implantation of a tubus is avoidable achieving better quality of life and comparable survival times.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01836626
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