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Biomedical subjects

H G Erichsen

Publications and source records attributed to H G Erichsen.

At least 19 recordsLinked to original sources
PubMed1986

Palliative intubation in malignant stricture of the oesophagus and cardia.

One-hundred patients treated with oesophageal intubation for stricture-forming inoperable oesophago-gastric malignancies during the years 1972 to 1983 were analyzed. Fifteen tubes were endoscopically positioned, the rest by thoracotomy or laparotomy. Seven patients died from causes related to the intubation, the causes of death being perforation (2), mediastinitis (3) or aortic erosion (2). Mean survival-time was three months (range one day to 14 months). Nineteen of the most deteriorated patients died within two weeks. Eighty-seven percent of the patients experienced relief of dysphagia. Thus the intended palliation was satisfactory and the results therefore support oesophageal intubation as an alternative to be considered in the treatment of malignancies of the oesophagus and cardia. However, deteriorated patients with extremely short life expectancy might not benefit from the procedure.

Adult↗
PubMed1980

Traumatic tracheobronchial stricture treated with the Eder-Puestow dilator.

A case of tracheobronchial stenosis secondary to trauma is presented. Primary reconstruction resulted in stricture in the distal part of the trachea. Resection and anastomosis was followed by restenosis, which had to be treated endoscopically. Endobronchial resections and forceful dilatations with stiff bronchoscopes were done weekly for about 11 months without lasting benefit. After changing to Eder-Puestow dilators, the dilatations could be done at steadily increasing intervals. This method of dilatation was found to be safe, effective and less traumatic.

Adult↗
PubMed1979

Lumbar sympathectomy in obliterative arteriosclerosis. Should it still be performed?

During the years 1967-1976, bilateral lumbar sympathectomy was performed in 241 patients with arteriosclerotic occlusions. A questionnaire was completed by 137 patients. Of the total, 68% seem to have improved in some way postoperatively. The material was analyzed with regard to age, sex, diabetes and regarding the effects on pregangrene, established gangrene, amputation, claudication and skin temperature. The operative mortality was 2.1% and postoperative complications were few. Bilateral operation in one stage does not give a higher postoperative mortality than unilateral procedures. Postoperative side-effects, such as neuritic pains, sexual and urological dysfunctions, are considered. Bilateral lumbar sympathectomy still seems to be an alternative procedure, which may be offered some patients with marginal peripheral circulation, when reconstructive arterial surgery is not feasible.

Amputation, Surgical↗
PubMed1976

Carcinoma of the gastric stump after operation for benign gastroduodenal ulcer.

A series of 36 patients with gastric stump carcinoma is presented. The average time interval between previous operation and diagnosis of carcinoma was 28 1/2 years. The interval was greater with lower age at gastric resection. The stump cancer occurs at the same age, and gives the same symptoms, as gastric carcinoma in general. 17 of the 36 patients were treated by total, or subtotal, gastrectomy. Three patients lived more than 5 years, two of them without recurrence. With surgical treatment of gastroduodenal ulcers in younger patients, more physiological operation methods, such as selective vagotomy, should replace gastric resection, as this would probably reduce the risk of later cancer development. After a time interval of 15 years from gastric resection, all patients should be examined by X-ray and gastroscopy at regular intervals.

Adult↗