[Revision operations following vagotomy].

Abstract:

:Recurrent duodenal ulceration after highly selective vagotomy is best managed by antral gastric resection and gastroduodenostomy (BI). In cases of gastral localisation of the recurrent ulcer and in cases with high postoperative acidity a 2/3 partial gastrectomy (BI) should be performed. Revagotomy after highly selective vagotomy is not feasable in most cases. Pyloric stenosis after highly selective vagotomy occurs in about a percentage of 2 and can be easily corrected by secondary pyloroplasty or duodenoplasty. In very rare cases of severe postvagotomy dumping and postvagotomy diarrhoea the interposition of an antiperistaltic jejunal segment can be practised. Persisting postvagotomy dysphagia may require pneumatic dilatation of the cardia or operative revision of the oesophago-cardiac region. A case of ulcerocancer in a pyloric ulcer primarily treated by truncal vagotomy and pyloroplasty is reported.

journal_name

Zentralbl Chir

authors

Reisig J,Vinz H,Georgi W

subject

Has Abstract

pub_date

1985-01-01 00:00:00

pages

505-23

issue

9

eissn

0044-409X

issn

1438-9592

journal_volume

110

pub_type

杂志文章
  • [Current status of treatment of appendicitis. Results of 2 prospective multicenter studies in East Germany. East German Working Group "Outcome Assessment and Quality Assurance in Surgery" of the CAQ of the German Society of Surgery].

    abstract::In a period of 10 years we carried out two prospective multicentric trials to evaluate the state of the art in treatment of appendicitis. One study was performed before introduction of laparoscopy. Important criteria like new diagnostic methods (sonography, laparoscopy), frequency of operation, perforation rate, frequ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Gastinger I,Koch A,Lippert H,Lorenz D

    更新日期:1998-01-01 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

  • [Treatment of unstable thoracolumbar spinal injuries--determination of its present status and a preliminary report on transpedicular stabilization].

    abstract::Follow-up checks were made on 19 patients with instabile injuries of the thoracolumbar spine. Poor late results were recorded from eleven of them who had undergone conservative or inadequate surgical treatment. Axial malposition of severe clinical disorders were among the findings. Transpedicular osteosynthesis of ins...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Wendsche P,Michek J,Unger C

    更新日期:1988-01-01 00:00:00

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

    abstract::35 patients (17 females, 18 males), ranging from 75 to 92 years of age, underwent nephrectomy because they suffered from renal tumours, which in 12 cases had preoperatively a total blockage of the renal artery after angiography. A total of 27 retroperitoneal and 8 transperitoneal operations were performed. Indications...

    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

  • [Surgical therapy of complicated diverticular disease].

    abstract::From 1975-1989 55 patients were operated on for complicated diverticular disease at our unit. Intraoperative we found the following complications: 21 walled of perforations, 22 stenosis of the sigmoid colon combined with obstruction of the small and/or large bowel, 8 free perforations with generalized, faecal peritoni...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Huber MA,Woisetschläger R,Sulzbacher H,Wayand W

    更新日期:1991-01-01 00:00:00

  • [Ligament injuries of the metacarpophalangeal joint of the thumb].

    abstract::When it comes to injuries of the collateral ligament in the metacarpal-phalangeal joint of the thumb, the best results have proved to be obtainable from primary surgery. Secondary ligament surgery according to Strandel, in its modification by Bäuerle and Reill, has its clear-cut indication and ensures restoration of t...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Mitzscherling CP,Päzolt HJ,Stock A

    更新日期:1988-01-01 00:00:00

  • [Improved survival rate of postoperative renal failure caused by high volume hemofiltration].

    abstract::Continuous arteriovenous hemofiltration is the treatment of choice for postoperative acute renal failure (ARF). The clinical value of two different treatment modalities (spontaneous vs. pump-driven hemofiltration PDHF) were compared in two groups of patients with postoperative ARF. There were no differences in both gr...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Inthorn D,Storck M,Hartl WH,Zimmerer E

    更新日期:1991-01-01 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

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

    abstract::From 1970 to 1977 we observed 35 patients with polypi of the colon and rectum, in 18 cases on the basis of heredity. We recommend total proctocolectomy and ileostomy making use of the reservoir technique after Kock. The operation should be performed not until the beginning of the third decade of life. ...

    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

  • [Risk of malignant degeneration of preoperatively-classified benign large sessile rectal polyps. A comparison with adenoma size].

    abstract::From January 1986 to December 1995 307 patients with preoperatively as benign classified rectal polyps underwent transanal endoscopic microsurgery or transanal excision at the Hospital of General and Abdominal Surgery, Johannes Gutenberg-University Mainz. Mean polyp size was 3.9 cm in diameter. Postoperatively in 233 ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Mörschel M,Heintz A,Junginger T

    更新日期:1999-01-01 00:00:00

  • [Significance of combined anterior cruciate ligament and meniscus injury].

    abstract::The combined lesion of the anterior cruciate ligament (ACL) with simultaneous or secondary meniscal tears has severe consequences for the knee joint. By a synopsis of the literature and own experimental investigations in sheep it can be shown that in ACL deficient knees secondary meniscal lesions occur, what finally e...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:

    authors: Metak G,Scherer MA

    更新日期:1999-01-01 00:00:00

  • [Current treatment strategies in acute distal aortic occlusion].

    abstract::Forty-eight acute distal aortic occlusions were treated on an inpatient basis from January 1973 to December 1993. The mean age was 66 years. Twenty-seven patients had an acute thrombotic occlusion of the distal aorta, and a cardiogenic embolism was the cause of occlusion in 21 cases. The 43 operated patients evidenced...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Lorenz EP,Trabhardt S,Diermann J,Weber B,Boese-Landgraf J

    更新日期:1995-01-01 00:00:00

  • [Shunt infection in hydrocephalus].

    abstract::Infection is a generally feared complication of liquor drainage. Shunt sepsis is reported in this paper with reference to 284 patients with liquor drainage. The rate of infection amounted to 9.1 percent. Therapeutic action included application of antibiotics, surgical valve removal, and delayed restitution. The mortal...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Vara-Thorbeck R

    更新日期:1990-01-01 00:00:00

  • [Surgical therapy of chronic arterial obstructions of the lower extremities in elderly patients].

    abstract::The aim of this study was to determine whether arterial reconstructions in old age carry an acceptable risk and are reasonable as far as long term results are concerned. The operative mortality was 3,4% for reconstructions distal to the inguinal ligament and 20.5% for reconstructions in the aorto-iliac region. Limb am...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Stosiek C,Gall FP,Husfeldt KJ,Franke F,Schmidt J

    更新日期:1980-01-01 00:00:00

  • [Results of the surgical management of frontobasal injuries].

    abstract::The author reports about 183 patients with frontobasal injuries. 50 per cent of them were operated immediately because open injuries or intracranial complications. The other half was operated in an interval of 5 to 10 days after injury. The localisation of the frontobasal lesion, clinical results according to the Glas...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Klötzer R,Meier U,Knopf W

    更新日期:1991-01-01 00:00:00

  • [Use of the dynamic condylar screw in fractures of the coxal end of the femur--are there advantages in gerontologic traumatology?].

    abstract::Till now instable fractures of the upper end of the femur were treated by using the 95 degrees fixed angle blade in gerontotraumatology, too. As an alternative treatment within 16 month we used the dynamic condylar screw (DCS) in 87 cases of patients elder than 65 years. The results were compared to 81 patients, who h...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Bäumer F,Jurowich B,Taruttis H

    更新日期:1992-01-01 00:00:00

  • [Postoperative abdominal complications after thoracic surgery (author's transl)].

    abstract::Between 1964 to 1974 2940 patients underwent chest operations. 15 cases with abdominal complications among them are analyzed. 10 patients had bleeding gastric or duodenal ulcers with a high mortality rate. Postoperative gastric distention was one of the most important causes. A gastric tube should be introduced whenev...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Franz WD

    更新日期:1977-01-01 00:00:00

  • [The syndrome of the fifth day (author's transl)].

    abstract::After operation of uncomplicated forms of appendicitis in children postoperative complications characterised by sudden vehement stomach-ache, quickly increasing tension of the abdominal wall, rise of temperature, pulse and white blood cells as well as vomitus, mostly on the fifth post-operative day could be observed. ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Weber B

    更新日期:1978-01-01 00:00:00

  • [Surgical and interventional therapeutic possibilities in aneurysms of the subclavian artery].

    abstract::Aneurysms of the subclavian artery are extremely rare and most commonly caused by arteriosclerosis, trauma or thoracic outlet syndrome. Less frequently seen causes also include syphilis, cystic media necrosis or tuberculosis or congenital anomalies. The presence of a subclavian aneurysm can give rise to various sympto...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:

    authors: Brauer RB,Naundorf M,Maurer PC

    更新日期:2000-01-01 00:00:00

  • [Are there new aspects in thoracic surgery in children?].

    abstract::A comparison was made between the operations of the respiratory tract in childhood and their associated bronchological examinations were analyzed and also there were other kinds of indication for examination and operation. The surgical therapy of abnormalities has the priority. ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Diestelhorst C,Wild L,Bennek J

    更新日期:1990-01-01 00:00:00

  • [Laparoscopic therapy of colorectal cancer--wishful thinking or realism?].

    abstract::The laparoscopic resection of the colon and rectum is established for surgery of benign diseases. The main advantages compared to the open-conventional operation technique are reduced postoperative pain, reduced negative influences on pulmonary and gastrointestinal functions as well as a shorter reconvalescence. Minim...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2003-44844

    authors: Keller R,Roblick UJ,Schwandner O,Bruch HP

    更新日期:2003-12-01 00:00:00

  • [Perforated aneurysm of the left hepatic artery].

    abstract::Aneurysms of the hepatic artery are second (20%) to the splenic artery the most common site of splanchnic artery aneurysms. The frequency of location in the branches of the hepatic artery is as follows: common hepatic 63%, right hepatic 28, left hepatic 5%, both left and right hepatic artery 4%. Today atherosclerosis ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Noah EM,Psathakis D,Bruch HP,Kagel C

    更新日期:1992-01-01 00:00:00

  • [Plastic reconstruction of postoncologic defects in the pelvic area].

    abstract::The surgical management of defects in the pelvic region is a great surgical challenge. Primary tumor recurrences have to be addressed and local infections require appropriate therapy such as rigorous debridement and antibiotic therapy. Plastic surgery provides tissue reconstruction by well perfused flaps and also rees...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2006-955456

    authors: Vogt PM,Jokuszies A,Kall S,Steiert A,Busch K

    更新日期:2006-12-01 00:00:00

  • [Abdominal surgery in Togo (West-Africa) and Central Europe (author's transl)].

    abstract::Experience of two African and one German Surgical Units on abdominal operations in a two-years period are reported. Appendicitis, gall-stones, cancer of the colon and intestinal diverticulosis are rare in Africa, but frequent in Europe. Possible relations to dietry habits are discussed. ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Gögler H

    更新日期:1977-01-01 00:00:00

  • [Gallstone ileus].

    abstract::Aetiopathogenesis, diagnosis as well as typical and atypical courses are described and discussed with regard to 50 patients with gallstone ileus. Overall lethality amounted to 36 per cent, including 15 per cent for patients with enterotomy alone and 53 per cent for patients who had undergone enterotomy with faecal asp...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Unger W

    更新日期:1987-01-01 00:00:00

  • [Modular concept for quality in the hospital--"Heidelberg model"].

    abstract::The Heidelberg University Hospital meets the standards required of medical services in terms of efficiency, optimizing procedures, cost-effectiveness, staff-satisfaction, and reducing infection rates etc., by implementing the Modular concept for quality within hospitals that has now proven its worth in practice. This ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Möller J,Bach A,Sonntag HG

    更新日期:1996-01-01 00:00:00

  • [Bifurcated resection in the surgical treatment of central non-small cell T3 carcinoma].

    abstract::Reported in this paper is experience obtained since 1978 from surgical removal of the tracheal bifurcation in combination with pneumonectomy in 38 cases. Squamous cell carcinoma centrally growing from the upper lobe was recorded from 24 patients to whom 36 interventions had been applied for bronchial carcinoma. 50 per...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Weber J,Al-Zand K,Gräbner D,Beyer D

    更新日期:1986-01-01 00:00:00

  • [Analysis of the cost-income ratio for open and laparoscopic sigmoid resection].

    abstract::Based on the example of the sigmoid resection, we did a cost-income analysis evaluating the particular expenses and effects of the new DRG-based medical financing system. We analysed the cost of diagnostic tests, medication and nutrition, surgery, personnel and non medical expenses for 20 open and 27 laparoscopic oper...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2004-820301

    authors: Krüger IM,Nilius J,Krings F,Bullermann C

    更新日期:2004-08-01 00:00:00

  • [Fractures of the patella, conservative treatment (author's transl)].

    abstract::56 conservatively treated fractures of the patella with small dislocation are analysed. In comparison with plaster cast immobilisation early functional treatment yields the best results. ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Senst W,Nowak W

    更新日期:1977-01-01 00:00:00

  • [Laparoscopic splenic surgery--report of 17 personal cases].

    abstract::Since the beginning of the decade we can remark an increasing of publications about laparoscopic approach in splenic surgery. We report about 17 unselected own cases (8 males, 9 females). Main indications were 12 hematologic diseases: 9 idiopathic thrombopenic purpuras, 1 hemolytic anemia, 1 Hodgkin's disease and 1 re...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:

    authors: Schwetling R,Anders S,Bärlehner E

    更新日期:1997-01-01 00:00:00