Leber, Magen, Darm最新文献_第4页

[Differential surgical procedure in curative therapy of stomach carcinoma]. [胃癌的鉴别手术治疗]。

Leber, Magen, Darm Pub Date : 1996-03-01

P Hermanek

引用次数: 0

[Gastroesophageal reflux--surgical indications, laparoscopic surgical technique, results]. [胃食管反流——手术指征，腹腔镜手术技术，结果]。

Leber, Magen, Darm Pub Date : 1996-03-01

B Dreuw, A Tittel, E Schippers, V Schumpelick

{"title":"[Gastroesophageal reflux--surgical indications, laparoscopic surgical technique, results].","authors":"B Dreuw, A Tittel, E Schippers, V Schumpelick","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To investigate criteria for indication to surgery and results of laparoscopic fundoplication.Background: Gastroesophageal reflux is a common problem in well developed countries. Beside clinical symptoms of heartburn and regurgitation complications may occur like esophagitis, bleeding, ulceration, mucosal metaplasia and loss of motility. A connection of reflux disease, Barrett's esophagus and adenocarcinoma of motility. A connection of reflux disease, Barrett's esophagus and adenocarcinoma of the esophagogastric junction is discussed. In some patients medical treatment is complicated by relapse, persistent or progressive disease. For these patients laparoscopic antireflux surgery may be an effective alternative.Patients: 22 patients with chronic gastroesophageal reflux disease.Methods: Since 9-2-1922 patients with gastroesophageal reflux disease were prospectively evaluated and treated by laparoscopic Nissen fundoplication.Results: 11 patients had frequent recurrent disease, 9 persistent reflux and 2 a stricture while on medical treatment. All had pathologic reflux on 24 hour pH monitoring and defective sphincter on standard manometry. Beside an intraoperative pneumothorax there was no intraoperative complication. Postoperative 2 patients had a temporary and 1 mild persisted dysphagia. None had recurrent reflux. 10 patients were reevaluated one year after surgery. None had an esophagitis, abnormal reflux or an insufficient or hypercontinent sphincter.Conclusions: Patients with recurrent or persistent reflux while on medical treatment with abnormal reflux on pH monitoring and defective sphincter on manometry can be treated by laparoscopic Nissen fundoplication with good results.","PeriodicalId":17969,"journal":{"name":"Leber, Magen, Darm","volume":"26 2","pages":"88-94, 97"},"PeriodicalIF":0.0,"publicationDate":"1996-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19658398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Does chronic alcohol drinking modify digestive gastrobiliary motility?]. 慢性饮酒是否会改变消化胃肠运动?

Leber, Magen, Darm Pub Date : 1996-03-01

B Wedmann, B Pfaffenbach, M Wegener

{"title":"[Does chronic alcohol drinking modify digestive gastrobiliary motility?].","authors":"B Wedmann, B Pfaffenbach, M Wegener","doi":"","DOIUrl":"","url":null,"abstract":"In 23 chronic alcoholics and 23 controls gastric emptying, antral motility, fasting gallbladder volume and gallbladder emptying after a standardized, liquid fatty meal were investigated ultrasonically in order to assess the effect of chronic alcoholism on postprandial gastrobiliary motility. Only a subgroup of the alcoholics with signs of autonomic cardiovascular neuropathy (21.7%) exhibited a significant antral hypomotility and a tendency towards higher fasting gallbladder volumes. No significant differences between the study groups could be obtained for the other parameters. The duration and daily amounts of alcohol consumption were not significant different between patients with autonomic neuropathy and patients without autonomic neuropathy. Within the whole group of alcohol consumers the only significant correlation that was observed occurred between the fat induced gallbladder residual volumes and the amounts of daily alcohol consumption (r = 0.62, p < 0.05). However 19 of these 23 relative gallbladder residual volumes were within the normal range (95. percentile of the control group), indicating no major clinical relevance of this phenomenon. None of the motility parameters exhibited a significant correlation to the duration of alcohol consumption. From these results chronic alcohol consumption has no irreversible effects of clinical relevance on the postprandial gastrobiliary motility in the majority of patients in contrast to well documented reversible effects of acute alcohol consumption on gastric motility.","PeriodicalId":17969,"journal":{"name":"Leber, Magen, Darm","volume":"26 2","pages":"98-102"},"PeriodicalIF":0.0,"publicationDate":"1996-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19658399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

["Deficient" grade for quality of gastrointestinal diagnosis in Germany?]. 【德国胃肠诊断质量分级为“缺陷”?】

Leber, Magen, Darm Pub Date : 1996-03-01

E Schütz, M Stolte

引用次数: 0

[Leiomyosarcoma of the stomach]. [胃平滑肌肉瘤]。

Leber, Magen, Darm Pub Date : 1996-03-01

H Walther, M Rath, L Leidl, R D Filler

引用次数: 0

[Adenocarcinoma of the esophagogastric junction: association with Barrett esophagus and gastroesophageal reflux--surgical results in 122 patients]. [食管胃交界腺癌:与Barrett食管和胃食管反流的关系——122例患者的手术结果]。

Leber, Magen, Darm Pub Date : 1996-03-01

V Schumpelick, B Dreuw, K Ophoff, J Fass

{"title":"[Adenocarcinoma of the esophagogastric junction: association with Barrett esophagus and gastroesophageal reflux--surgical results in 122 patients].","authors":"V Schumpelick, B Dreuw, K Ophoff, J Fass","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To investigate the surgical results of adenocarcinoma of the esophagus and esophagogastric junction and its relationship with gastroesophageal reflux disease (GERD) and Barrett's esophagus.Background: The incidence of adenocarcinoma of the cardia is continuously rising. Specialized intestinal metaplasia in Barrett's esophagus seems to be the source of these tumors. Barrett's esophagus is end stage GERD. In experimental studies alkaline reflux give rise of Barrett's esophagus and adenocarcinoma.Patients: 122 patients with adenocarcinoma of the cardia and 121 patients with squamous cell tumor of the esophagus.Methods: All esophageal resections between 11/85 and 2/95 were retrospectively analyzed. The relationship of gastroesophageal reflux disease, Barrett's esophagus and malignancy was compared between both groups using parameters of case history and histological sections. Survival was analyzed for tumorstage, T-and N-stage and R-classification.Results: 5.9% of the adenocarcinomas were stage I, 44.1% stage II, 41. 5% stage III and 8.5% stage IV. Heartburn, regurgitation, consumption of H2 blockers or Barrett's mucosa were significantly more frequent for adenocarcinomas. A 5 year survival of 100% was seen for stage I tumors. Invasion of t he muscular layer reduced survival to 50%, lymph node invasion to 20%. R0-resection had a survival of 40%.Conclusions: A relationship of GERD and adenocarcinoma of the cardia seems to be likely in our cases. Most patients had advanced malignancy. Survival is good only for early cases. Prevention of tumor genesis with effective antireflux surgery in case of alkaline reflux seem to be the best therapeutic decision.","PeriodicalId":17969,"journal":{"name":"Leber, Magen, Darm","volume":"26 2","pages":"75-6, 79-80, 83-6"},"PeriodicalIF":0.0,"publicationDate":"1996-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19658397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Expert consultation. Prolonged elevation of transaminase concentration]. (专家咨询。转氨酶浓度延长升高]。

Leber, Magen, Darm Pub Date : 1996-03-01

G Ramadori

引用次数: 0

[Abdominal interventions in advanced age: risk factors and fatal outcome]. [高龄腹部干预:危险因素和致命结局]。

Leber, Magen, Darm Pub Date : 1996-01-01

G Steinau, C Haese, V Schumpelick

{"title":"[Abdominal interventions in advanced age: risk factors and fatal outcome].","authors":"G Steinau, C Haese, V Schumpelick","doi":"","DOIUrl":"","url":null,"abstract":"1026 patients of more than 65 of age who underwent abdominal surgical treatment were retrospectively investigated with respect to pre-operative riskfactors, post-operative complications and mortality. Mortality after emergency intervention was with 16.54% about 3 times as high as after elective surgery (5.54%). 25.4% of all patients had no coexisting diseases. Preexisting diseases were cardiovascular (45.9%), hypertension (28.7%), pulmonary diseases (19.4%) and diabetes mellitus (16.6%). 37.32% of all patients showed one accompanying disease, 23.98% two, 10.4% three and 4 or more were described with 3.31%. The average number of riskfactors was 1.1 for patients aged 65-69 years, 1.34 for patients aged 70-74 years, 1.52 for those aged 75-79 years and 1.41 for patients over 80 years. There was a significant increase of mortality with rising numbers of riskfactors (p < 0.01). In 50.58% of all patients no post-operative complications developed. Cardiovascular, pulmonary and myocardial complications were the leading complications, occuring in 18.52%, 16.8% and 13.74% of patients, being followed by cerebral-vascular (5.63%) and renal (4.09%) complications. The incidence of medical complications was significantly higher after emergency than after elective surgery (p < 0.01). At least 4 and more complications occurred after 2.56% of elective interventions but after 20.24% of emergency surgery. A significant increase of postoperative complications has been observed with increasing extent of anaesthesia (p < 0.01). Moreover, the incidence of complications increased significantly with the amount of preoperative coexisting diseases (p < 0.01).","PeriodicalId":17969,"journal":{"name":"Leber, Magen, Darm","volume":"26 1","pages":"27-31"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19818866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Chronic diarrhea--rational diagnosis and therapy]. 【慢性腹泻——合理诊断与治疗】。

Leber, Magen, Darm Pub Date : 1996-01-01

C Pohl, W Kruis

引用次数: 0

[Sebaceous glands in the esophagus]. [食道皮脂腺]。

Leber, Magen, Darm Pub Date : 1996-01-01

M Beer, M Held, H J Seib

引用次数: 0