[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 involved esophagus, stomach and duodenum. Fourteen had sustained a second degree injury, and 16 a third degree injury. Out of five patients with third degree injuries who were treated by operation within the first three days, two survived. Two patients operated upon for complications after 10 days of conservative treatment died. The total mortality was 21%, but 56% for those who had received a third degree injury. Thirteen patients developed a stenosis (27% of those with gastroesophageal lesions). Esophageal strictures were dilatated with bougies, but stomach stenoses were treated by resection. Of the 12 patients treated by dilatation, 4 sustained perforations and 4 of them were free of symptoms for a considerable period of time (more than 4 years).

journal_name

Zentralbl Chir

authors

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

subject

Has Abstract

pub_date

1995-01-01 00:00:00

pages

103-9

issue

2

eissn

0044-409X

issn

1438-9592

journal_volume

120

pub_type

杂志文章
  • [The unstable patient with pelvic fracture].

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  • [The treatment of large incisional and abdominal hernias using a modification of E. Rehn's skin-flap].

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    doi:

    authors: Kranich H

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  • [Effectiveness of nephroprotection by the selection of contrast media used during vascular interventions in patients with chronic renal failure?].

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  • [Revision operations following vagotomy].

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    pub_type: 杂志文章

    doi:

    authors: Reisig J,Vinz H,Georgi W

    更新日期:1985-01-01 00:00:00

  • [Indications and results of para-sternal mediastinoscopy in tumors of the anterior mediastinum].

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    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Hillejan L,Cassina P,Stamatis G,Greschuchna D

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  • [Value of intraoperative cholangiography in laparoscopic cholecystectomy].

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    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Ludwig K,Wuschek M,Lorenz D

    更新日期:1997-01-01 00:00:00

  • [Kidney tumors in the elderly patient over 75].

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    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Lehmann HD

    更新日期:1984-01-01 00:00:00

  • [Pathophysiology and clinical significance of the abdominal compartment syndrome].

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    journal_title:Zentralblatt fur Chirurgie

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    更新日期:2001-08-01 00:00:00

  • [Prevention of venous thromboemboli with low doses of heparin in patients with proximal femur fractures].

    abstract::The value of low dosage heparin in preventing venous thromboembolism was studied in 150 patients with proximal femoral fractures. This was a prospective, randomized, clinical trial, consisting of 116 women and 34 men with a mean age of 73 years (38 to 92). 5000 units of subcutaneous heparin was given twice a day for a...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Kiviluoto O,Julkunen H,Honkonen K

    更新日期:1980-01-01 00:00:00

  • [Implications of nutritional status for onset and characteristics of experimental acute pancreatitis in a mouse model].

    abstract:BACKGROUND:Due to uncontrolled activation of digestive enzymes produced within the pancreas, acute pancreatitis is a disease with a great potential for complications and variable course. Since the pathophysiological steps of human pancreatitis can only be inadequately investigated, various animal models were establishe...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

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    authors: Arndt S,Meyer F,Brandt-Nedelev B,Wartmann T,Lippert H,Halangk W

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  • [Polyposis coli et recti familiaris (author's transl)].

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    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Heinrich P,Neumann A

    更新日期:1978-01-01 00:00:00

  • [Indications for liver biopsy in liver tumors].

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    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Stölzel U,Tannapfel A

    更新日期:2000-01-01 00:00:00

  • [Development and critical evaluation of pancreatic duct occlusion].

    abstract::The three original aims of pancreatic duct occlusion (PDO) were first the reduction of early complications after Whipple's operation in chronic pancreatitis and carcinoma as well as segmental pancreas transplantation, second to finish the inflammation in cases of chronic pancreatitis and third to protect the B-cell fu...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Lorenz D,Waclawiczek H

    更新日期:1990-01-01 00:00:00

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

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    journal_title:Zentralblatt fur Chirurgie

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    doi:

    authors: Saeger HD,Schwall G,Trede M

    更新日期:1995-01-01 00:00:00

  • [Hierarchy and authority].

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    journal_title:Zentralblatt fur Chirurgie

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    doi:

    authors: Horntrich J

    更新日期:1999-01-01 00:00:00

  • [Thoracic epidural catheter: reasonable or over-instrumentation?].

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    journal_title:Zentralblatt fur Chirurgie

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  • [Pilonidal Sinus -- Primary Closure also in Case of Abscess?].

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    doi:10.1055/s-2004-822742

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  • [Laparoscopy-assisted harvesting of free small intestine transplants for reconstruction of voice and deglutition after total laryngopharyngectomy--an animal experiment study].

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    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Marusch F,Koch A,Kluge J,Stöbe R,Immer P,Gastinger I

    更新日期:1998-01-01 00:00:00

  • [Varicose vein operation under inpatient conditions].

    abstract::The change of surgical operations from inpatient to outpatient conditions as a method of lowering costs in health care has lead to a significant rise in the number of outpatient operations, especially in varicose vein surgery. Hospitalisation is still required in special cases. The criteria of 146 patients with varico...

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    doi:10.1055/s-2001-16278

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    更新日期:2001-07-01 00:00:00

  • [Lymph nodes and malignant tumors].

    abstract::The planning of locoregional tumor therapy (radical surgical resection, curative radiotherapy) is based on the knowledge of locoregional tumor spread, in particular lymph node metastasis. In general, lymphatic spread follows anatomic rules, skipping of nodes is observed maximally in 3%. According to tumor site, uni- o...

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    authors: Hermanek P

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  • [Dorsal double plating for fractures of the distal radius--a biomechanical concept and clinical experience].

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    journal_title:Zentralblatt fur Chirurgie

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    authors: Rikli DA,Regazzoni P,Babst R

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  • [Multicystic peritoneal mesothelioma].

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    pub_type: 杂志文章

    doi:

    authors: Horling EW,Albert C,Bassermann R,Stiegler H

    更新日期:1996-01-01 00:00:00

  • [Malignant melanomas of fingers and toes (author's transl)].

    abstract::From 1968 to 1978 more than 500 patients suffering from histologically verified malignant melanoma were seen. Only in 12 cases (appr. 2%) the tumour was situated on the tip of the fingers and toes. In such cases nowadays amputation and exarticulation of the whole extremity is no longer practiced. It is sufficient only...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Krauss J,Gstöttner R,Reiss CJ,Hassler N,Erbe H,Müller R

    更新日期:1979-01-01 00:00:00

  • [Myocardial protection in surgery of the arrested open heart (author's transl)].

    abstract::The authors report on their experience concerning myocardial protection during open heart surgery making use of hypothermic cardioplegia. From September 1977 to April 1980 they operated on 637 patients applying this method. 155 cases were evaluated. Hypothermic cardioplegia extends the tolerance of the myocardium to i...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Moll J,Sadowski R

    更新日期:1982-01-01 00:00:00

  • [Para- and Postpneumonic Pleural Empyema: Current Treatment Strategies in Children and Adults].

    abstract:INTRODUCTION:Parapneumonic pleural effusions arise from pneumonia and may develop into pleural empyema (PE). PE is defined as collection of pus in the pleural space with secondary inflammation of the visceral and parietal pleura. This review article describes the current treatment strategies for para- and postpneumonic...

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    doi:10.1055/s-0035-1557771

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  • [Use of resorbable synthetic net as implanted tamponade in hard-to- manage hemorrhagic lesions].

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    pub_type: 杂志文章

    doi:

    authors: Arndt M,Pelster F

    更新日期:1991-01-01 00:00:00

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

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    更新日期:2005-04-01 00:00:00

  • [Diagnosis and therapy of biliary complications after laparoscopic cholecystectomy by ERCP].

    abstract::Biliary tract injury, although uncommon, is the most feared complication of laparoscopic cholecystectomy. Early identification or exclusion of such injury is essential for successful management. Over a two year period (1995-1996) twenty-one from a total of 413 ERCPs in this Surgical Endoscopy Unit were performed becau...

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    pub_type: 杂志文章

    doi:

    authors: Kähler G,Müller C,al-Sibaie A,Scheele J

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  • [Primary- and revision-reconstruction of the anterior cruciate ligament with allografts: a retrospective study including 325 patients].

    abstract:UNLABELLED:At our institution we have used fresh-frozen allografts for the reconstruction of the anterior and posterior cruciate ligament since 1993. METHOD:In this retrospective study we evaluated the clinical outcome of 325 fresh-frozen allografts (bone-patellar-tendon-bone allografts and Achilles-bone-tendon allogr...

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    doi:10.1055/s-2002-35129

    authors: Siebold R,Buelow JU,Boes L,Ellermann A

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  • [Plastic reconstructive options for chronic pilonidal disease].

    abstract:INTRODUCTION:Chronic pilonidal disease represents an infectious disease of the gluteal cleft that often requires surgical resection. AIM:In this article, several plastic-surgical reconstructions are presented. METHODS AND RESULTS:Based on our experience and the current literature, different plastic surgical reconstru...

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