[Acute management of a high risk patient with megacolon in a primary and general care hospital--a plea for endoscopy in surgery].

Abstract:

:This case demonstrates the importance for surgeons to use the endoscope. A multimorbid patient in nearly dying condition, with a megacolon due to a functional sigmastenosis could be successfully treated by endoscopic intervention. After the patients recompensation, an early elective sigmaresection could be performed. The opportunity of endoscopy, instead of operation helped the patient and improved quality of treatment also economically. Therefore, a plea ist made for more endoscopic education in general surgical training.

journal_name

Zentralbl Chir

authors

Wolfsdorf U

subject

Has Abstract

pub_date

1998-01-01 00:00:00

pages

752-4

issue

6

eissn

0044-409X

issn

1438-9592

journal_volume

123

pub_type

杂志文章
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    abstract:BACKGROUND:Survival time is an important parameter to investigate therapeutic measures. It plays a crucial role in study concepts, data analyses as well as publications. AIM:The aim of this study was to emphasise essential points, which need to be taken into account to (i) gain resilient results of survival time analy...

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  • [Ileus in the aged].

    abstract::From 1973 to June 1982, 218 patients older than 70 years (148 women, 70 men) suffering from acute bowel obstruction were seen at our Dept. The mortality rate came up to 33%. Main causes of the ileus were incarcerated hernias and colonic obstruction (25% each). In case of an incarcerated hernia the authors emphasize ea...

    journal_title:Zentralblatt fur Chirurgie

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    doi:

    authors: Düben W,Mlasowsky B,Hahn M,Heymann H

    更新日期:1984-01-01 00:00:00

  • [External fixation of the pelvis--indications, assembly and results].

    abstract::Stabilisation of pelvic ring fractures by means of external fixation has been found to provide certain advantages over internal fixation. Good results can be achieved, provided that optimum forms and techniques of assembly are used. The authors' indications are reported together with their assembly techniques and form...

    journal_title:Zentralblatt fur Chirurgie

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    doi:

    authors: Fröhlich P,Barnbeck F

    更新日期:1987-01-01 00:00:00

  • [Function and morphology of intraperitoneal segmental pancreas allotransplants with cyclosporin monotherapy in the dog--a comparison of 4 drainage procedures of exocrine secretions].

    abstract::Dogs which had received cyclosporine A for immunosuppression were investigated to elucidate functionality and morphological alterations in pancreas allografts, with enteral, vesical, peritoneal or occluded exocrine drainage. None of the animals with enteral drainage survived the first four postoperative weeks, with le...

    journal_title:Zentralblatt fur Chirurgie

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    doi:

    authors: Rosenberger J,Hesse UJ,Holland M,Arnold G,Hübinger A

    更新日期:1988-01-01 00:00:00

  • [Achalasia of the oesophagus. Operative treatment by abdominal myotomy and fundoplication (author's transl)].

    abstract::Achalasia is a neuromuscular functional disturbance with dystonia and dyscinesia of the entire tubular oesophagus of unknown aetiology characterised by loss of cardial opening reflex. In the usual functional state dysphagia and moderate stenosis are observed, but occasionally an organic form with marked mega-dolicho-o...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Rossetti M

    更新日期:1978-01-01 00:00:00

  • [Extended resections in bronchial cancer: complications and late results].

    abstract::From 1982 through April 1992, 192 patients underwent extended resection for non-small cell carcinoma of the lung (NSCLC) invading the chest wall (n = 52) or the mediastinum (n = 140). Complete resection of the tumor was possible in 81 (58%) patients with invasion of mediastinum and in 34 (65%) patients with invasion o...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Dienemann H,Hoffmann H,Mewes A,Müller C,Schildberg FW

    更新日期:1993-01-01 00:00:00

  • [The diabetic foot syndrome--a challenge for general practice. Position of the general practitioner].

    abstract::Diabetic foot syndrome represents a challenge for every practicing physician. The multifactorial genesis requires a broad therapeutic approach. ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Potrawa C

    更新日期:1999-01-01 00:00:00

  • [Systemic treatment for hepatocellular carcinoma].

    abstract::Hepatocellular carcinoma (HCC) is one of the most frequent malignancies worldwide. A variety of pharmacological strategies has been evaluated in the treatment of HCC: classical chemotherapy, tamoxifen, octreotide, thymostimulin, pravastatin, (131)I-lipiodol as well as transarterial chemoperfusion (TAC) and chemoemboli...

    journal_title:Zentralblatt fur Chirurgie

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    doi:10.1055/s-2003-44797

    authors: Spangenberg HC,Zuber-Jerger I,Thimme R,Blum HE,Von Weizsäcker F

    更新日期:2003-11-01 00:00:00

  • [Intrapancreatic accessory spleen: a differential diagnosis of pancreatic tumour].

    abstract:BACKGROUND:According to autoptic studies, accessory spleens may be found in 10-15% of the population and most of them are usually located at or near the splenic hilum. Only in 1-2% they are located in the pancreatic tail. We report a rare case of intrapancreatic accessory spleen which radiologically mimicked a tumor in...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2007-960480

    authors: Meyer T,Maier M,Höller S,Fein M

    更新日期:2007-02-01 00:00:00

  • [Liver parameters in intensive care medicine].

    abstract::Elevated liver function tests in ICU-bound patients are associated with a greater risk of mor-tality. Chronic liver diseases as well as acute events and complications of therapy are among the causes. The disorder could further be investigated by assessment of liver cell integrity markers (AST, ALT and GLDH), cholestas...

    journal_title:Zentralblatt fur Chirurgie

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    authors: Penndorf V,Saner F,Gerken G,Canbay A

    更新日期:2013-12-01 00:00:00

  • [Decision making in postoperative incidentally found small C-cell-carcinoma].

    abstract::Surgical therapy of incidentally postoperative diagnosed small sporadic medullary thyroid cancer (MTC) is discussed controversially. In principle completion thyroidectomy with neck dissection and regulary tumor follow-up are under discussion. A total of 277 patients with MTC were treated between 1986 and 2004. In 22 c...

    journal_title:Zentralblatt fur Chirurgie

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    doi:10.1055/s-2005-836891

    authors: Raffel A,Cupisti K,Krausch M,Eisenberger CF,Knoefel WT

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  • [Occlusive aortic disease as coral reef aorta--experience in 80 cases].

    abstract:BACKGROUND:Coral reef aorta (CRA) is described as rock-hard calcifications in the visceral part of the aorta. These heavily calcified plaques grow into the lumen and can cause significant stenoses, leading to malperfusion of the lower limbs, visceral ischaemia or hypertension due to renal ischaemia. PATIENTS/METHODS:F...

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    doi:10.1055/s-0030-1247382

    authors: Sagban AT,Grotemeyer D,Rehbein H,Sandmann W,Duran M,Balzer KM,Grabitz K

    更新日期:2010-10-01 00:00:00

  • [Rahel Hirsch (1870-1953). The first Prussian woman medical professor].

    abstract::Dr. Rahel Hirsch was only the second woman to attain a professional medical position at the Charité Hospital in Berlin. For more than 16 years, she worked in Clinic II Internal Medicine. In 1906, she discovered that solid particles are able to pass from the veins and arteries into urine (Hirsch-Effect). The results of...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 传,历史文章,杂志文章

    doi:

    authors: Müller-Schubert A,Kox W

    更新日期:1999-01-01 00:00:00

  • [Treatment of the complications of the reflux syndrome and secondary brachyesophagus].

    abstract::Two surgical methods are compared: resection of the stricture and replacement by large bowel (out of 64 cases, 63 were elective and one emergency), and the usual anti-reflux procedures (13 cases). In this series the mortality rate and the functional results are reported as more favourable after resection and replaceme...

    journal_title:Zentralblatt fur Chirurgie

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    doi:

    authors: Imre JM

    更新日期:1979-01-01 00:00:00

  • [Usage of marginal organs for liver transplantation: a way around the critical organ shortage?].

    abstract::The transplantation of marginal organs or those meeting the so-called extended donor criteria (EDC) is today a significant option to alleviate the low availability or organs and to increase the number of transplantation which in turn is -accompanied by a lower mortality among wait-ing-list patients. However such an ex...

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    authors: Pratschke S,Loehe F,Graeb C,Jauch KW,Angele MK

    更新日期:2009-04-01 00:00:00

  • [Bassini-Kirschner inguinal hernia surgery--follow-up of 781 primary operations in adult men].

    abstract::We report on the early and late complications after hernia repair in this retrospective study. Over a period of five years, 920 adult men underwent Bassini-Kirschner repair for inguinal hernia as first operation. There occurred six hematomas (0.6%), 11 seromas (1.2%) and 10 wound infections (1.0%). There were no death...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Emmanouilidis T,Westenhoff D

    更新日期:1993-01-01 00:00:00

  • [Investigations on the incidence of Yersinia enterocolitica - infections in the various forms of appendicitis, cholelithiasis, and goitre (author's transl)].

    abstract::Out of a total of 3347 patients operated on for acute appendicitis 125 were found to be infected with Yersinia enterocolitica. Histological examination revealed a catarrhal-purulent inflammation or a phlegmonous-gangrenous inflammation in 58,6%. This detection of Yersinia enterocolitica does not justify the omission t...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Bellmann A,Bellmann KP

    更新日期:1980-01-01 00:00:00

  • [Injuries and being injured. Hidden wounds after accident injuries].

    abstract::Motor vehicle accidents may cause apart from physical also psychological aftermath. Despite of posttraumatic psychologic symptoms may remit after 2-3 months, 10-20% of the injured persons will develop sustainable psychopathological symptoms. This report aims at an overview on possible psychopathological disturbances a...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-2000-10676

    authors: Meyer C,Markgraf E

    更新日期:2000-01-01 00:00:00

  • [The Whipple partial duodenopancreatectomy--its value in the treatment of chronic pancreatitis].

    abstract::The surgical treatment of chronic pancreatitis is indicated only in the complicated disease. The aim is mainly the treatment of pain, of mechanical obstacles and to exclude suspicion of cancer. Between October 1972 and January 1993 713 patients with chronic pancreatitis were treated at the Surgical University Hospital...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Saeger HD,Schwall G,Trede M

    更新日期:1995-01-01 00:00:00

  • [Therapy and follow-up of gastroesophageal chemical burns].

    abstract::We report a retrospective analysis of 61 patients admitted during the years 1974 to 1992 after having recently swallowed a corrosive agent. Within 24 hours, the localisation, severity and extent of the injury had been determined by endoscopy. In 13 patients the injury was restricted to the oropharynx, and in 48 it inv...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Eggstein S,Langkau S,Rückauer K,Salm R,Farthmann EH

    更新日期:1995-01-01 00:00:00

  • [Is penicillin G the drug of choice in gas gangrene? Results of a prospective documentation of clinical, microbiological and animal experiment data].

    abstract::Between 1978 and 1990 98 patients with gas gangrene were treated in the departments of general surgery and traumatology of the University of Kiel. The microbiological results of tissue samples and results of animal infectious experiments were correlated to the clinical outcome. It could be shown, that gas gangrene due...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Erttmann M,Hobrecht R,Havemann D

    更新日期:1992-01-01 00:00:00

  • [How Steady are Hospitals in Complying with Minimum Volume Standards? A Retrospective Longitudinal Data Analysis of the Years 2006, 2008, and 2010].

    abstract:BACKGROUND:The outcome volume relationship has been analysed for more than 30 years and debated ever since. For German hospitals minimum volume standards (MVS) have been introduced for some procedures in 2004. Hospitals have to report procedure volumes in their quality reports. This study analyses for the first time ho...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0034-1383371

    authors: de Cruppé W,Geraedts M

    更新日期:2016-08-01 00:00:00

  • [Laparoscopic operations in the aged].

    abstract::There is no disagreement over the advantages of minimal-invasive surgical procedures even in the older patient. However the criteria for indication and patient selection concerning cardiopulmonary contraindications for CO2-pneumoperitoneum must be strictly considered. Using cholecystectomy and colorectal surgery as an...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Gastinger I,Köckerling F

    更新日期:1994-01-01 00:00:00

  • [Combined laparoscopic/endoscopic treatment of gastric stroma tumors].

    abstract:INTRODUCTION:Surgical therapy of Gastrointestinal stroma tumor (GIST) is the treatment of choice. Local resection will be carried out if technically possible. We describe the technique of laparoscopic wedge resection combined with intraoperative gastroscopy in order to achieve complete tumor resection. METHOD:We repor...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2006-933463

    authors: Schäfer H,Schneider PM,Baldus SE,Wolfgarten E,Hölscher AH

    更新日期:2006-06-01 00:00:00

  • [Douglas' abscess with ureteric obstruction (author's transl)].

    abstract::In a 19 year old man with a single kidney the development of a large Douglas' abscess was followed by anuria; The various causes are discussed. It is resonable to assume, that the obstruction resulted from longitudinal tension of the ureter over the iliace vessels (iliac sign). ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Heidler H,Dinstl K,Schiessl R

    更新日期:1976-01-01 00:00:00

  • [Prospective multicenter trial of gastric cancer surgery--a contribution to clinical research on quality control].

    abstract::By the mean of a prospective multicenter observational study (East German Gastric Cancer Study - EGGCS), 1 139 consecutive patients with gastric cancer were enrolled in 80 East German surgical departments from January 1 to December 31, 2002. Out of them, 1,031 (90.5%) underwent surgical intervention. The resection rat...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,多中心研究

    doi:10.1055/s-2005-836491

    authors: Meyer L,Steinert R,Nowak L,Gellert K,Ludwig K,Saeger D,Gastinger I,Lippert H

    更新日期:2005-04-01 00:00:00

  • [Endoscopic biliary drainage in patients with pancreatic cancer].

    abstract::Obstructive jaundice is a common clinical sign in patients with pancreatic cancer. 52% of all patients with a potentially resectable pancreatic cancer suffer from painless obstructive jaundice. There are no prospective studies showing a beneficial effect of preoperative drainage in patients with resectable pancreatic ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2003-40037

    authors: Kahl S,Zimmermann S,Pross M,Schulz HU,Malfertheiner P

    更新日期:2003-05-01 00:00:00

  • [Endovascular therapy in combination with conventional vascular surgery for the treatment of peripheral arterial obliterative disease].

    abstract:INTRODUCTION:In a prospective trial we analysed the results and the management of complications following a combined endovascular and vascular surgical therapy of peripheral occlusive arterial disease (POAD). PATIENTS AND METHODS:From November 1998 until January 2001 a total number of 61 patients with 64 extremities w...

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    pub_type: 杂志文章

    doi:10.1055/s-2002-22030

    authors: Gassel HJ,Kellersmann R,Franke S,Thiede A

    更新日期:2002-02-01 00:00:00

  • [Surgical treatment of duodenal and stomach ulcers with the VARY operation (bilateral truncal vagotomy + antrectomy + Roux-Y gastrojejunostomy)].

    abstract::VARY operations were performed at the authors' hospital on 25 patients for duodenal ulcer and on two patients for gastric ulcer, between May 1984 and January 1987. A postoperative complication was recorded from one patient only, that is bleeding of the anastomosis on the first postoperative day. All patients underwent...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Ciringiroglu K,Demirkol K

    更新日期:1988-01-01 00:00:00

  • [First Robotic Assisted Resection of a Retrorectal Tailgut Cyst - Video Case Report of a 27-Year-Old Female Patient].

    abstract:PURPOSE:Tailgut cysts are a rare form of retrorectal tumours. They are also referred to as cystic hamartomas and predominantly affect female patients. Malignant transformation is thought to occur in 2 - 10% of cases, but there is scant further evidence. Besides the risk of malignant transformation, the feared complicat...

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    pub_type: 杂志文章

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    authors: Wilhelm P,Jansen K,Rolinger J,Kirschniak A,Axt S,Johannink J

    更新日期:2019-08-01 00:00:00