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Biomedical subjects

A Neiger

Publications and source records attributed to A Neiger.

At least 19 recordsLinked to original sources
PubMed1990

[The symptomatic therapy of hemorrhoids and anal eczema--a report of experiences from proctology practice].

Besides the various operative procedures, which nowadays have come into use in hemorrhoidal disorders, drug therapy as well continues to keep an important place. Its main conditions of application are inflammatory processes before, between and after hemorrhoidal sclerosis or proctological operations. In a clinical study suppositories with the corticoid fluocortolone-21-pivalate and the local anesthetic lidocaine hydrochloride as well as a cream with the same substances and in addition, chlorquinaldol were tested in 92 patients with hemorrhoidal diseases and their concomitant conditions. In 92% of the cases efficacy of the preparations proved to be good or very good, and in all cases they were well tolerated.

Administration, Topical↗
PubMed1980

[Pathogenesis, clinical aspects and conservative therapy of hemorrhoids].

Hemorrhoids are readily diagnosed by proctoscopy. They should not be treated without thorough examination, as carcinoma of the rectum or sigmoid may cause similar symptoms. The examination should include careful inspection of the anal region, digital palpation, proctoscopy and sigmoidoscopy. Once the diagnosis is established, instruction in anal hygiene should first be given. Local use of ointment and suppositories follows. If this symptomatic treatment fails, sclerosing injections are recommended. For this purpose various irritant solutions are used which may on occasion lead to complications such as local and, in rare cases, extensive necrosis of the rectal mucosa. In the search for a method which avoids any type of irritant substance, coagulation by infrared radiation using a special probe has been developed and found to be at least as successful as injection treatment. For prolapsing piles, however, rubber band ligature appears to be the most effective method.

Cold Temperature↗
PubMed1978

[Hemorrhoids: recognition and current therapeutic possibilities].

Up to 5% of the patients of a general practitioner have terminal bowel disease, most frequently hemorrhoids. Any patient who presents with ano-rectal discomfort or anal blood losses should undergo thorough proctologic examination including rectoscopy. Digital palpation is insufficient as only 10% of rectal carcinomas can be reached. The treatment of hemorrhoids should be started by instructing the patient on anal hygiene, to be followed only then by symptomatic application of creams or suppositories. If these symptomatic measures fail, treatment by injections is indicated. This method may be complicated by localized or extensive necrosis of the rectal mucosa, the cause of which is assumed to be an immunologic event resembling the Arthus phenomenon in which bacterial or possibly pharmacologic substances may act as antigens. Therefore, a method of provoking coagulation without using foreign substances was sought. Thermocoagulation by the infrared coagulator appears to be a suitable method: first experience tends show equal efficacy with coagulation by injection treatment. Prolapsing hemorrhoids are still treated by barron ligation. The precise management of each therapeutic approach is described.

Electrocoagulation↗
PubMed1976

[Carcinoma after gastric operations (author's transl)].

The incidence of carcinoma after gastric operations for benign lesions was analysed in the patient material of five gastroenterologists in private practice in Switzerland. Of 534 such patients 346 had had a gastric resection with gastrojejunostomy (Billroth II), 58 with gastroduodenostomy (Billroth I), and 130 other kinds of gastric operations. Among 326 patients who had a Billroth II procedure there were 21 with proven carcinoma in the residual stomach, but none after Billroth I and other operations. The incidence after Billroth II was 15.1% at or after ten years. Of 69 patients 10-19 years after gastric resection, six had developed carcinoma, compared with 15 of 70 who were 20 years or more after the resection. The incidence is unexpectedly high. On the other hand, among 29361 non-operated patients there were 279 with carcinoma of the stomach. The average interval between operation and the diagnosis of carcinoma in the residual stomach was 23.8 years. It is recommended that gastric resection should if possible be avoided for benign disease. All patients who have had a gastric resection should be endoscopically controlled annually from ten years after the resection onwards.

Adult↗