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  • 1
    Electronic Resource
    Electronic Resource
    Endoscopic vs surgical gastrostomy for enteral nutrition (1987)
    Springer
    Surgical endoscopy and other interventional techniques 1 (1987), S. 33-35 
    Details
    ISSN: 1432-2218
    Keywords: Enteral nutrition ; Endoscopic gastrostomy ; Surgical gastrostomy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary A retrospective review of 78 patients who had undergone endoscopic gastrostomy and 22 patients who had undergone Stamm gastrostomy was carried out. The mean operative time for the Stamm gastrostomy group was 63 min, while that for the endoscopic gastrostomy group was 26 min. One operative complication — bleeding — requiring reoperation occurred in the Stamm gastrostomy group. The incidences of aspiration, pneumonia, wound infection, and mortality were significantly higher in the Stamm gastrostomy group. We conclude that percutaneous endoscopic gastrostomy is the preferred technique for long-term enteral nutrition.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00703085
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  • 2
    Electronic Resource
    Electronic Resource
    Percutaneous endoscopic duodenostomy (PED) (1987)
    Springer
    Surgical endoscopy and other interventional techniques 1 (1987), S. 123-126 
    Details
    ISSN: 1432-2218
    Keywords: PEG ; PED ; Enteral nutrition ; Quality of life
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Surgeons are increasingly using endoscopy to place transabdominal feeding tubes for enteral nutrition or gastric decompression. A possible extension for the application of this new technique is the direct placement of the feeding tube into the duodenal bulb. Two patients are presented in whom percutaneous endoscopic duodenostomy was successfully performed, although percutaneous endoscopic gastrostomy was not possible. It shows that this new method is technically possible. In both patients the positive influence of this technique on the patient's quality of life could be shown using the Spitzer Quality of Life Index and the Karnofsky Performance Status. Enteral nutrition was maintained for more than 6 weeks.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00312700
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  • 3
    Electronic Resource
    Electronic Resource
    Long-term results of Troidl's technique of endoscopic pneumatic dilatation for achalasia of the esophagus (1987)
    Springer
    Surgical endoscopy and other interventional techniques 1 (1987), S. 155-164 
    Details
    ISSN: 1432-2218
    Keywords: Achalasia ; Dilatation ; Myotomy ; Endoscopy ; Long-term results
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary In a prospective clinical trial, 26 consecutive patients underwent endoscopic pneumatic dilatation over a 10-year period. Dilatation was achieved by means of a ballon attached to a normal gastrointestinal fiberscope. With the endoscope in an inverse position, the device was placed in the cardia and the dilatation process was monitored macroscopically. Before dilatation, patients suffered from dysphagia (92%), reduced speed of swallowing (100%), symptom aggravation under stress (73%), weight loss (50%), aspiration, pain, regurgitation, and vomiting. After dilatation and long-term follow-up (mean of 5 years), symptoms could be markedly reduced, especially the speed of eating and symptom aggravation under stress. Excellent and good results (Visick scale) were achieved in 76%. Fair results were achieved in 20%. To date, perforation and other complications have not occurred. Mortality was zero. Our series was an uncontrolled trial, so the results are hardly comparable to other studies. Furthermore, the small number of patients in our study represents a weak point with regard to complications. We conclude that the main advantages of the procedure are its simplicity and practicability. The simple procedure may be the method of choice in elderly patients. Of course, no final decision can be made until a well-designed controlled trial has been carried out.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00590923
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  • 4
    Electronic Resource
    Electronic Resource
    12. Magenausgangsstenose (benigne): Definition, Häufigkeit, Therapie? (1985)
    Springer
    Langenbeck's archives of surgery 366 (1985), S. 107-111 
    Details
    ISSN: 1435-2451
    Keywords: Peptic gastric-outlet obstruction ; Selective proximal vagotomy ; Dilatation of stenosis ; Peptische Magenausgangsstenose ; Selektiv proximale Vagotomie ; Stenosedilatation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Nach strenger Definition der benignen Magenausgangsstenose durch: verzögertes Erbrechen, Symptomwandel, Gewichtsverlust und intraoperative Prüfung mit Hegarstiften (〈 14) finden sich unter 619 operierten Ulcuspatienten 2,2% echte Stenosen. Operativ werden diese Patienten ausnahmslos durch SPV und digitale Magenausgangsdilatation über eine Gastrotomie behandelt. Bei Follow-up-Untersuchungen bis zu 10 Jahren ergab sich bei keinem Patienten die Indikation zur Reoperation. Alle Patienten zeigten Visick-Klassifikationen von I und II. Zusammen mit der SPV ergibt die digitale Magenausgangsdilatation bei Magenausgangsstenose gute klinische Ergebnisse bei Langzeit-Follow-up.
    Notes: Summary According to a strict definition of a benign gastric outlet obstruction i.e. delayed vomiting, changing of symptoms, weight loss and intraoperative test by Hegardilators (〈 14), 2.2% real stenoses among 619 operative treated duodenal ulcer patients were found. All patients were treated by SPV and digital dilatation of the stenosis through a gastrotomy. During up to a 10 year follow-up no reoperation was necessary. All patients showed Visick-classification of I and II. In conclusion SPV with digital dilatation showed good clinical results for patients with benign gastric outlet obstruction in long-term follow up.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01836612
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  • 5
    Electronic Resource
    Electronic Resource
    281. Chirurgische Therapiekonzepte bei Colon-Carcinomen (1985)
    Springer
    Langenbeck's archives of surgery 366 (1985), S. 696-696 
    Details
    ISSN: 1435-2451
    Keywords: Operation for colon carcinoma ; Systematic lymphadenectomy ; Colon-Carcinom-Operation ; Systematische Lymphadenektomie
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Für die chirurgische Therapie von Colon-Carcinomen werden die eigenen Konzepte vorgestellt. Beispielhaft wird im Film eine tiefe anteriore Rectumresektion dargestellt. Ein suprapubischer Blasenkatheter wird angelegt. Die Resektion des Darmes erfolgt nach Darstellung des Ureters and einer ausgiebigen systematischen Lymphadenektomie. Die A. mesenterica inferior wird ursprungsnah ligiert. Die Anastomose wird mit dem EEA-Nahtgerät vorgenommen and auf Wasserdichtigkeit geprüft. Eine Coecalschlauchfistel ergibt eine vorübergehende Entlastung der Anastomose. Für eine enterale Ernahrung wird eine Feinnadelkatheter-Jejunostomie mit einem 10 cm langen Kathetertunnel am oberen Jejunum eingelegt.
    Notes: Summary Our surgical concepts for the treatment of colon cancer are demonstrated. As an example, low anterior resection of a rectal carcinoma is shown. After insertion of a suprapubic bladder drain, resection of the colon starts after identifying the left ureter with extensive systematic lymphadenectomy. The inferior mesenteric artery is ligated near the aorta. The anastomosis is done by an EEA stapling device and is tested to make sure it is water-tight. A coecal fistula divides the fecal stream. For immediate postoperative enteral nutrition a fine-needle-catheter jejunostomy is inserted; therefore, a 10 cm tunnel is constructed with a special split cannula in the upper jejunum.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01836879
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  • 6
    Electronic Resource
    Electronic Resource
    251. Vergleich der klinischen Effizienz früher postoperativer enteraler mit parenteraler Ernährung (1986)
    Springer
    Langenbeck's archives of surgery 369 (1986), S. 780-780 
    Details
    ISSN: 1435-2451
    Keywords: Postoperative nutrition ; Enteral ; Parenteral ; Postoperative Ernährung ; Enteral ; Parenteral
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Eine Pilotstudie erfaßte Probleme postoperativer enteraler Ernährung. Eine prospektiv randomisierte Studie verglich 18 rein parenteral mit 18 früh postoperativ enteral ernährten Patienten. Es wurde aufbauend enteral und abnehmend parenteral ernährt. Dokumentiert wurden anhand von 60 Einzeldaten der klinische Verlauf, Laborparameter, anthropometrische Meßgrößen und die subjektive Verträglichkeit. Mit explorativer Teststatistik wurden Unterschiede gesucht.Keine Unterschiede ergaben sich im klinischen Verlauf, bei den Laborparametern und der Anthropometrie. Die Verträglichkeit war in der enteralen Patientengruppe schlechter. Die parenterale Ernährung ist um einen Faktor 1,5–2 teurer.
    Notes: Summary In a pilot study, problems related to postoperative enteral nutrition were documented. In a subsequent prospective randomized trial, 18 patients receiving parenteral nutrition were compared with 18 patients receiving early postoperative enteral nutrition, introduced by progressive stepwise substitution. The patients' clinical progress, laboratory test results, anthropometric data and digestive functions were compared with regard to 60 parameters. Exploratory statistics were used to find relevant differences. There wereno significant differences in clinical outcome, laboratory test results, or anthropometric data. Digestive function was worse in the group receiving enteral nutrition. Parenteral nutrition is 1.5–2 times more expensive.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01274570
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