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H F Kienzle

Publications and source records attributed to H F Kienzle.

At least 37 records · Page 2Linked to original sources
PubMed1989

[The solid-cystic pancreas tumor].

Solid-cystic pancreas neoplasia is a rare condition mostly observed in young adults and women. We report three cases of this rare tumor. In all three instances the patients were young, slender women. The tumors were removed by total resection of the pancreas. In two cases these tumors were very large. In two cases we also observed criteria which could indicate that these tumors were malignant: the tumors had infiltrated the adjacent spleen and adjoining lymphnode or displayed a destroyed capsula. Until now, such infiltrative or malignant qualities have not been reported. That such criteria can be conclusively evaluated as an indication of malignancy, remains, however, unclear.

Adenoma, Islet Cell↗
PubMed1989

[Late results following dilatation of Vater's papilla in benign stenosis].

Between 1.1. 1978-31. 12. 1984 685 patients of Städtisches Klinikum Karlsruhe underwent choledochotomy for common bile duct stones. In 178 cases (27.1%) the papilla of Vater was dilated because of inflammatory stenosis. 2 until 8 years after operation 117 patients could be reexamined. 113 patients showed no complaints. Our results show that a single intraoperative dilatation of the papilla of Vater during common bile duct surgery is a valuable and effective treatment. Furthermore it proves to be of additional diagnostic value in the indication for transduodenal papillotomy.

Ampulla of Vater↗
PubMed1989

[Chemolitholysis of gallstones as ambulatory treatment by the established physician].

General Surgeons and physicians for internal medicine were asked for their results of dissolution-therapy of gallstones. 405 physicians were asked, 283 (69.9%) answered; 33.6% of these had some experience with the dissolution therapy. Data from 100 patients could be gathered completely: from 72 women (mean age 48 years) and from 27 men (mean age 53 years). The age-distribution resembled those of surgical gallstone-patients. In 27 cases the dissolution was successful (mean duration of therapy 49.6 weeks), in 25 cases there was a partial success (mean duration of therapy 54.8 weeks), and in 48 cases the dissolution-therapy failed (mean duration of therapy 55.5 weeks). In 60 cases therapy was stopped, but only 25 of these patients underwent cholecystectomy. In summary there is some evidence, that many collegues are sceptical against dissolution of gallstones, that the preoperative diagnostic procedure is ineffective, that the results of dissolution therapy in a common praxis is not as effective as in controlled studies, that dissolution therapy mainly is forced in patients at a normal risk--and not in high-risk patients, that only few patients are ready to take the pills longer than 1 year, and that in the case of stopping the therapy not all patients undergo consequently cholecystectomy.

Adult↗
PubMed1988

[Portable infusion pump for ambulatory cytostatic therapy in inoperable liver metastases].

Liver metastases were demonstrated in a 48-year-old man 12 years after resection of a carcinoma of the sigmoid colon (pT2, G2, N0, Mx). A computer-driven external infusion pump was implanted and regional liver perfusion instituted with 5-fluoro-uracil. After seven chemotherapy cycles, 4-7 weeks apart, the liver metastases were no longer demonstrable by ultrasound and computed tomography. During the entire course of chemotherapy the patient was able to continue his profession as a teacher without any restriction.

Adenocarcinoma↗
PubMed1987

[Clinical aspects and therapy of benign pleural mesothelioma. A case report].

It is reported on a large benign monophasic fibrous mesothelioma. Despite its enormous size it was clinically silent and caused considerable problems in diagnosis and localisation. Computed tomography and arteriography suggested that the tumour, which was attached to the diaphragm and vascularized by strong vessels of the left gastric artery arose from the retroperitoneum. Therefore, falsely, the patient underwent initial laparotomy. At thoracotomy, the pedunculated tumour war easily removed. Histiogenesis and prognosis are evaluated in detail.

Diagnosis, Differential↗
PubMed1986

[Simultaneous interventions of the bile ducts and intra-abdominal organs: what is indicated and when?].

405 surgical interventions had been carried out simultaneously on the biliary tract and other intraperitoneal organs from 1960 to 1984. The patients were divided into three groups. Concerning group A and B (58 patients) the indication for that double-operation was absolute. The range of postoperative wound infections was 10.3%, complications were noted in 24.1%. Lethality rate was 6.8%, hospitalisation took place for 17.7 days. Concerning group C (347 patients) without absolute indication for surgical treatment on the biliary tract and another intraperitoneal organ wound infections subsequent to operating occurred in 5.7%, lethality rate was 2.3%. Complications could be seen in 12.1% and hospital treatment continued for 15.5 days. Principally occasional operations and surgical treatment carried out simultaneously should be avoided.

Abdomen↗
PubMed1982

[The endoesophageal intubation--a favourable palliative operation of malignant stenoses in the esophagus-cardia-region? (author's transl)].

131 patients with malignant stenoses in the esophagus-cardia-region were palliatively treated with an endoprosthesis. The procedure in these patients of an average age of 65.5 years is described. The average in patient time is 22 days. The postoperative mortality is 22.9%. The complications specific for the operation method are dislocation of the prosthesis, perforation of the esophagus, bleeding and occlusion. 74.4% of the patients subjectively considered the operation successful.

Adult↗
PubMed1981

[Surgical therapy of benign obstructive jaundice (author's transl)].

The Mirizzi syndrome is the cause of one-third of all cases of benign obstructive jaundice; the therapy is cholecystectomy. Cholangiography is indispensible, manometry and choledochoscopy optional. Choledocholithiasis occurs in 50%. First, the stones are washed out and a Fogarty catheter is used, followed by spoon and forceps. Stenoses of the papilla are mostly dilated; therefore, transduodenal sphincterotomy in fibrotic stenoses should be used for impacted stones and suspected carcinoma of the papilla. The goal is definitive therapy during the first procedure, preserving anatomy and physiology; endoscopic sphincterotomy should be used for the second operation if possible.

Adolescent↗
PubMed1981

[Congenital lobar emphysema].

Congenital lobar emphysema is mainly seen in new-born and young babies. In the first hours or days, symptoms appear such as dyspnea, cyanosis, tachypnea, wheezing, thoracic and epigastric retractions. Later symptoms are faintness, psychomotoric retardation and malformation of the thorax. Etiology and pathogenesis of this emphysema of individual parts of the lung are unclear. The course is paroxysmatic, persistent or chronic. Preferred therapy of choice is the resection of the parts concerned. After operation the prognosis is good.

Child↗