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Chapter and Conference Paper
Computer-Aided Esophageal Manometry
Today esophageal manometry is obligatory in the diagnosis of various diseases like diffuse esophageal spasm, achalasia, reflux disease, and noncardiac chest pain and in preparation for almost each surgical int...
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Chapter and Conference Paper
Intraesophageal Twenty-Four-Hour pH-metry: An Indispensable Tool for the Diagnosis of Reflux Disorders
Because of the multifactorial pathogenesis of reflux disease, there are also many approaches to its diagnosis. The primary procedure for diagnosis of reflux disease remains endoscopy and all other diagnostic p...
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Chapter and Conference Paper
Preoperative Manometry for Antireflux Surgery
Gastroesophageal reflux has to be taken seriously as soon as symptoms like heartburn, dysphagia, or regurgitation occur and/or when it leads to morphological damage of the esophageal epithelium, i.e., reflux e...
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Chapter and Conference Paper
Esophageal Cancer: En bloc Esophagectomy with Mediastinal Lymphadenectomy and Esophageal Reconstruction with Delayed Urgency
Our philosophy in the treatment of esophageal carcinomas is based on the fact that no other therapeutic method is able to treat dysphagia as well and is as long lasting as surgery. Surgery is the best way to g...
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Chapter and Conference Paper
Entleerungsverhalten des Jejunumpouches nach totaler Gastrektomie und Ösophagojejunoplikatio
At least 6 months after patients had undergone total gastrectomy and reconstruction of the intestinal passage by esophagojejunoplication (Siewert — Peiper), a special scintigraphic method (overlay-technique) w...
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Chapter and Conference Paper
Summary of the Panel on “Useful Tests in the Assessment of Gastroesophageal Reflux”
The sensitivity and specifity of scintigraphy are quite the same as those of 24-h esophageal pH-monitoring for the diagnosis of gastroesophageal reflux if we compare these two methods in a group of typical reflux...
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Article
94. Oesophagitis — Hiatushernie — Indikation und Verfahrenswahl: Alternative Techniken
At present the clinical and experimental results allow only for Angelchik's silicone-antirefluxprosthesis as an alternative to Nissen-Rossetti fundoplication technique. Until now, there is no reproducible clin...
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Article
331. Veränderungen des intraduodenalen pH unter cisaprid
Cisaprid stimulates the motility of the whole intestine and accelerates gastric emptying. To evaluate the effect of Cisaprid on the intraduodenal pH, in comparison to intragastral pH, long-term pH-metry was pe...
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Article
281. Sind die Ergebnisse nach Refundoplicatio schlechter als nach primärer Fundoplicatio?
From July 1982 to December 1986, 45 fundoplications and 34 refundoplications were performed. After refundoplication, the postoperative complications were more frequent. There was no postoperative deaths after ...
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Chapter and Conference Paper
Dünndarm-Pacing — ein neues Therapiekonzept beim Short-Bowel-Syndrom?
Elektrische Dünndarmstimulation (Pacing) steigert im Tierexperiment, wie von KELLY und Mitarb. 1979 nachgewiesen, die Dünndarmresorption - vermutlich über die Beeinflussung der Motilität (1, 2). Die Klärung der F...
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Article
9. Oesophagusfunktion nach Oesophagusvaricensklerosierungstherapie
Functional disorders of the esophagus were evaluated in 24 patients 4 ± 2 months after sclerotherapy following the first hemorrhage. The mean volume of polidocanol required per patient was 181 ± 111 ml. 9 pati...
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Chapter
Klassifikation, intraoperative Diagnostik und chirurgische Therapie der Zwerchfellruptur
Seit der Erstbeschreibung einer traumatischen Zwerchfellruptur durch Ambrois Pare [36] im Jahr 1840 haben sich zahlreiche Autoren mit diesem Krankheitsbild, seiner Klassifikation, Pathogenese, Diagnostik und c...
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Chapter and Conference Paper
Langzeit-pH-Metrie
Unter Langzeit-pH-Metrie versteht man die kontinuierliche, elektrometrische Erfassung der H+-Ionenkonzentration im Intestinalsekret über 24 h.
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Article
217. Ranitidin versus Cimetidin in der Kontrolle des intragastralen pH-Wertes bei chirurgischen Intensivpflegepatienten mit Peritonitis und Sepsis — Eine Doppelblindstudie
Twelve patients in an intensive care unit on a respirator who had peritonitis or sepsis were treated with 300 mg/day of ranitidine or 2 g cimetidine/day, which was administered via perfusor infusion under the ...
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Chapter
Reflux Characteristics in Health and Disease
Via the development of a solid state pH-metry with little discomfort to patients it has become possible to quantitatively assess the gastroesophageal reflux (GER) in health and disease under almost physiologic...
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Article
325. Fundoplicatio
Fundoplication is the safest and best investigated antireflux operation. However, the preconditions are exact diagnosis and perfect operative technique. Both are demonstrated in detail in the film. If the oper...
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Article
241. Ist die Silikon-Antirefluxprothese ein geeignetes Verfahren, post Fundoplicatio-Syndrome zu vermeiden?
In 1979 Angelchick reported on a silicon anti reflux prosthesis. It could be demonstrated in animal experiments and in clinical investigations on patients with reflux disease that: (1) the clinical results of ...
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Article
Die Silicon-Antireflux-Prothese —eine artifizielle Fundoplicatio?
Of all anti-reflux operations fundoplication has proved the most effective method in experimental and clinical examinations [3, 5, 9, 12. 13]. In 1979 Angelchik reported a silicon prosthesis as an anti-reflux ...
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Article
185. Ist die palliative totale Gastrektomie ein vertretbarer Eingriff?
In a total of 131 patients with total gastrectomy the following three groups were formed: 35 patients with gastrectomy because of benign primary disease or Zollinger-Ellison syndrome, 36 patients with gastric ...
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Chapter and Conference Paper
Gastroenterologie
Die gastroösophageale Refluxkrankheit gewinnt zunehmend an epidemiologischer Bedeu-tung [5]. Mit der Langzeit-pH-Metrie wurden der Diagnostik der Refluxkrankheit neue Dimensionen eröffnet [1, 6]. Die Kenntnis ...
