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Article
Therapy of complicated Crohn’s disease during pregnancy—an interdisciplinary challenge
Severe courses of Crohn’s disease (CD) during pregnancy are rare. However, if occurring, the risk of miscarriage and low birth weight is increased. At present, only limited data is available on the treatment o...
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Article
Therapierefraktäre chronisch entzündliche Darmerkrankungen
Operieren unter Immunsuppression ist ein hochaktuelles Thema in der Chirurgie chronisch entzündlicher Darmerkrankungen. Durch den Wandel der Therapieregime kommt kaum noch ein Patient ohne Immunsuppression zur...
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Article
Akute Sigmadivertikulitis
Die Sigmaresektion gilt heute als Standardverfahren bei der komplizierten und rezidivierenden Sigmadivertikulitis (SD). Im letzten Jahrzehnt hat sich ein deutlicher Wandel in der präoperativen Diagnostik (CT) ...
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Article
Abdominal Resection Rectopexy with an Absorbable Polyglactin Mesh: Prospective Evaluation of Morphological and Functional Changes with Consecutive Improvement of Patient’s Symptoms
The pathophysiology of rectal prolapse and intussusception has not yet been clarified. This is reflected in the multiplicity of surgical procedures. The aim of this prospective study was to measure morphologic...
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Article
Staging Anal Cancer: Prospective Comparison of Transanal Endoscopic Ultrasound and Magnetic Resonance Imaging
The staging of anal cancer is extremely important for therapy and prognosis. Transanal endoscopic ultrasound and magnetic resonance imaging are routinely applied. The aim of this prospective comparative study ...
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Article
Occurrence of adenomas in the pouch and small intestine of FAP patients after proctocolectomy with ileoanal pouch construction
Proctocolectomy with ileoanal pouch construction is the standard therapy for patients with familial adenomatous polyposis coli (FAP) to prevent the genesis of colorectal carcinomas. In our patient population, ...
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Article
Kontinente Stuhlreservoire – eine chirurgische Herausforderung
Durch Optimierung der operativen Techniken werden heutzutage Patienten mit einem tief sitzenden Rektumkarzinom durch eine tiefe anteriore Rektumresektion mit koloanaler Anastomose unter Vermeidung eines perman...
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Article
Manometric study in ulcerative colitis patients with modified ileal pouch-anal anastomosis by G. Kobakov et al.
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Article
Simplified placement and management of cutting setons in the treatment of transsphincteric anal fistula
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Article
Biofeedback bei Analinkontinenz
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Article
Rolle der Bildgebung bei Analinkontinenz
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Article
Does glutamine reduce bacterial translocation? A study in two animal models with impaired gut barrier
Failure of intestinal barrier function and subsequent translocation of bacteria from the gut are believed to play a decisive role in the development of systemic septic complications, for example, following ma...
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Article
Manometric analysis of anal sphincter damage after ileal pouch–anal anastomosis
A constant reduction in anal sphincter pressure follows an ileoanal pouch procedure for ulcerative colitis and familiar adenomatous polyposis. We analyzed whether this reduction is more likely due to neurogen...
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Article
Diagnostics and surgical treatment strategy for rectal cavernous hemangiomas based on three case examples
A 20-year-old man with a congenital vascular malformation extending from the anal canal into the distal sigmoid had had recurrent perianal blood loss as a neonate. A hemangioma was diagnosed for the first time...
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Article
Typische Komplikationen und ihre Beherrschung nach restorativer Proktocolektomie
The overall rate of complications after ileal pouch–anal anastomosis is 60 %. This rate, however, includes complications such as bowel-obstruction and hernias. Pouch-related complications occur after ileal po...
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Article
Duodenocavale Fistel: Eine seltene Ursache einer oberen gastrointestinalen Blutung
Non-traumatic duodenocaval fistulae are rare, but may be the source of massive gastrointestional bleeding with associated fever and sepsis. These fistulae result from penetrating duodenal peptic ulcers or rig...
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Article
Colitis ulcerosa: Operationsindikationen und-verfahren
Die Koloproktomukosektomie mit ileoanaler Pouchanlage gilt als der gegenwärtige „Goldstandard” für die chirurgische Therapie der Colitis ulcerosa. Eine limitierte Resektion gilt als obsolet. Als limitierte Res...