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Biomedical subjects

D Rassek

Publications and source records attributed to D Rassek.

5 recordsLinked to original sources
PubMed1995

[Diverticulitis of the jejunum as a rare cause of acute gastrointestinal hemorrhage--diagnosis and therapy].

Small bowel diverticulosis is in contrast to large intestine diverticulosis an uncommon, acquired entity. In most cases it was found in duodenum and as a Meckel's diverticulum. Jejunal or ileal diverticulosis is a relatively rare disease. Although the majority of the patients do not require surgical treatment because of the absence of clinical signs, in 10% complications may necessitate small bowel resection. The clinical significance, diagnostic evaluation, and treatment of jejunal diverticular disease are reviewed.

Aged↗
PubMed1988

[Routine gastroscopy before cholecystectomy].

We are of the opinion that the investigation of the upper gastrointestinal tract must precede an elective cholecystectomy. In a prospective study the value of preoperative oesophagogastroduodenoscopy preceding elective cholecystectomy is considered. 589 gastroscopies were performed in our endoscopy unit on 960 patients coming to elective gallbladder surgery. Only in 56% of patients we detected no abnormalities. Our plan of therapy was changed in 113 patients (11.7%). 11 patients were discharged after conservative medical therapy (1.1%), in 31 cases simultaneous procedures were performed (3.2%). After additional medical treatment 71 patients came to elective cholecystectomy (7.4%).

Cholecystectomy↗
PubMed1985

[Results of the surgical treatment of gallbladder carcinomas].

A retrospective study of 44 patients with carcinoma of the gallbladder is presented. It is noticeable that although the prognosis for advanced carcinoma of the gallbladder is poor, that of the early stages (stage I-III) is relatively better. In no case diagnosis was made preoperatively. In 86% gallstones were found. There has been no valid staging for tumors of the gallbladder or any generally accepted standardized therapy. Attention is drawn to the possibility of improving the results of therapy at the early stages by extended radical operation and to the necessity for early operative treatment of gallstone disease.

Adenocarcinoma↗