Biomedical subjects

H Gumrich

Publications and source records attributed to H Gumrich.

14 recordsLinked to original sources

PubMed1981

[A special case of familial colonic polyposis].

An unusual case of familial polyposis coli has been reported in which polypoid lesions of the stomach and the ileum were found in association to the adenomatosis coli. The histological examination showed that these lesions were not adenomatous polyps, as supposed by the radiographs, but non-inflammatory cysts located within the intact fundal glands of the stomach, and lymphoid polyps ("lymphcysts") of the ileum. The genetic cause is possibly hamartoma. Both lesions are benign and there is no indication for an operation. The familial adenomatosis coli itself has a well-known special tendency to become malignant. The only way to interrupt the tendency is to remove the colon by colectomy.

Adenocarcinoma↗

PubMed1980

[Transhepatic endless drainage according to Goetze-Dick in stenoses of the intrahepatic and extrahepatic bile ducts (author's transl)].

Results and experiences in 51 transhepatic endless drainage operations according to the method of Goetze-Dick are dealt with, the indication as well as the technique of the operation are discussed in detail. The advantage of this method is based on the fact, that the drain can be easily changed. So patients with inoperable obstructive jaundice can often be given many month of worthwhile life. The extracorporal part of the drain is hardly found to trouble the patients. Also benign intrahepatic obstructions, where no bile duct is left to be anastomized, can be operated on satisfactorily with this method. In spite of the blunt penetration of the liver necessitated by this technique, intra- and postoperative complications are rare. Postoperative care is paramount in avoiding cholangitis.

Adult↗

PubMed1979

[Arteriomesenteric duodenal compression].

Arteriomesenteric obstruction of the duodenum is a rare lesion seen in abdominal surgery. By vascular compression passage is blocked in the lower part of the duodenum. Two forms are described, an inborn and an acquired one, both of which result from a decrease in the aortomesenterial angle. While the acute form of disease causes a complete occlusion, clinically shown as ileus, the chronic intermittent form presents an uncharacteristic upper abdominal complex of symptoms. The diagnostic procedure is an X-ray passage series of the upper gastrointestinal tract. Final diagnostic assurance should be assumed by angiographical determination of the superior mesenteric artery and its angle of branching from the aorta. Retrocolic duodenojejunostomy has proved to be the most satisfactory surgical treatment for this lesion. Our studies demonstrate the value of surgical treatment of arteriomesenteric obstruction of the duodenum in 14 cases.

Adolescent↗

PubMed1975