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K D Rumpf

Publications and source records attributed to K D Rumpf.

At least 19 recordsLinked to original sources
PubMed1999

[Intraabdominal cystic lymphangioma in childhood. Report of 2 cases].

Intraabdominal cystic lymphangiomas are rare tumor-like lesions, predominantly found in the pediatric age group, but also in juveniles or young adults. Lymphangiomas are always benign and do not recur after complete excision. In this paper we report on two 4-year old children with a history of abdominal discomfort due to large cystic lymphangiomas, the diagnostic procedure and the definite surgical therapy by complete excision. While the histogenesis of cystic lymphangiomas is generally discussed controversely, in one of our cases there is some evidence that the lesion developed in fetal lifetime in combination with a scar of the intestinal wall of the ileum.

Abdominal Neoplasms↗
PubMed1996

[Technical possibilities for preventing insufficiency of pancreaticojejunostomy anastomosis].

Today, insufficiency of pancreatic anastomosis is a rare complication following pancreatic head resection. Thirty years ago, insufficiency rates and mortality after Kausch-Whipples operations were from 30% to 52%. What makes pancreatic anastomosis certain today? 1. An end-to-side technique in telescopic manner should be preferred. 2. Pancreogastric anastomosis is also possible. 3. Fibrin occlusion of the pancreatic duct system would be helpful. 4. Simultaneous decrease in pancreatic secretion by octreotide seems to be a well-proven help in avoiding pancreatic anastomosis failure.

Fibrin Tissue Adhesive↗
PubMed1995

[Early and late outcome of gastrectomy de principe].

Presented is a survey of 10 years experience of "Gastrectomie de principe" in the treatment of gastric cancer performed in the Surgical Department of Fulda. 219 gastrectomies were analysed, all of which were combined with lymphadenectomy of compartment I and II. Splenectomy was performed in 91%. 20% of the patients were operated with an early cancer, 37% showed no lymph node involvement. The rate of complications due to surgery was 13%, in 5.5% of patients we saw an insufficiency of the anastomosis, causing lethal outcome in 40% of these cases. The overall hospital mortality was 5.5%. Survival rates depended strongly on lymph-node involvement. The highest 5-year-survival of nearly 90% was seen in patients with an intestinal carcinoma in tumor stage T1 N0 M0, the 5-year-survival of all patients with an early cancer was 82%. The overall 5-year-survival was 25%. Total gastrectomy as the standard operative procedure shows low mortality, good controllability of complications and is to be recommended as a sufficiently safe therapeutical concept in patients with gastric cancer.

Adult↗
PubMed1993

[Life-threatening arterial bleeding in hemorrhagic-necrotizing salmonella ileitis].

A 23-year-old man in otherwise good health had diarrhoea for two days during a holiday on Maldives. Two months later he suddenly collapsed and had to be admitted to hospital. Haemoglobin concentration was found to be 76 g/l, with a haematocrit of 0.22, WBC count of 17,800/microliters and platelets of 22%. Massive passage of bright red blood in the stools (none previously) could not be explained by abdominal sonography, oesophagogastroduodenoscopy, coloscopy, technetium scintigraphy or angiography of the superior mesenteric artery. Exploratory laparotomy revealed severe inflammatory changes in the terminal ileum with enlargement of the regional lymph-nodes and spurting bleeding from a branch of the ileocolic artery. Histological examination showed focal necrotizing, ulcerative and haemorrhagic ileitis. After ileocaecal resection and end-to-end anastomosis to the ascending colon the patient quickly recovered. Salmonella Livingstone was isolated from the stool and the infection was treated with ciprofloxacin, 200 mg twice daily intravenously for 5 days. Subsequent stool samples were negative but follow-up continues.

Adult↗
PubMed1987

[Chronic pancreatitis--surgical therapy by drainage procedures].

The development of drainage techniques in surgery of chronic pancreatitis are reported, those from short to the now used long-distance anastomoses. To remove incarcerated stones of the prepapillary region the author proposes to perform additional transduodenal papilla-sphincterotomy into the duct of wirsung. Good late results of 76 in this manner operated patients up to 8 years later are reported as evaluated together with R. Pichlmayr/H. Bunzendahl, Hannover. This non-resecting procedure seems to have a lower mortality rate than duodenopancreatectomy because of Zero-mortality in the last 45 operated cases.

Chronic Disease↗
PubMed1985

[Hereditary chronic calcifying pancreatitis].

Four family members covering three generations presented with chronic calcifying pancreatitis. A tumor at the pancreas head was detected intraoperatively in a fifth elderly member of the family. Two of the four cases of chronic pancreatitis were diagnosed in childhood and one in adolescence. The fourth patient had typical symptoms during adolescence but the disease was not recognized at that time. Hereditary chronic pancreatitis has an autosomal-dominant inheritance with incomplete penetrance. The pathogenesis is not known. The course of the disease differed between the family members. Duodenal stenosis with gastrointestinal bleeding was observed, but also a more mild development with recurrent pain and long complaint-free intervals. The occurrence of complications and pain appears to decrease with increasing age. The extent of calcification, widening of the duct, exocrine and endocrine pancreatic insufficiency varies. The question of conservative or operative therapy depends on the course of the disease. A Whipple operation was vitally necessary in one child at the age of six. A pancreo-jejunostomy had to be introduced in a further member of the family at the age of 20 years due to an occlusion of the duct. Two patients receive only conservative treatment.

Adolescent↗
PubMed1983

[A method for surgical treatment of chronic pancreatitis: transduodenal pancreaticoplasty].

We report on a surgical procedure that allows a transduodenal exploration of the pancreatic duct and a restoration of drainage of pancreatic juice to the duodenum: the transduodenal pancreas plasty. Most forms of calcifying pancreatitis and duct obstruction in the head of the pancreas are suitable. The procedure always requires a cholecystectomy and a papilloplasty. It is, in most instances, combined with a long pancreatico-jejunostomy. There is low morbidity and mortality in our series. In contrast to resections this procedure avoids impairment of glucose metabolism.

Calculi↗
PubMed1982

[Surgical treatment of chronic calcifying pancreatitis].

A total of 58 patients with chronic pancreatitis had undergone partial duodenopancreatectomy. They were subdivided by histological differentiation according to the presence or absence of calcification and it was found that pancreatic function was far more severely reduced in patients with organ calcification. Exocrine insufficiency was also more marked in these patients, as shown by the weight and fat content of their stool. Enzyme substitution therapy usually has no complications. Endocrine function was also affected, as seen in the preoperative presence of diabetes in 36% of patients with pancreatic stones, three times that of those with sclerosing pancreatitis. Resection of the pancreatic head led to an increase of 12%, i.e. 48%. This indicates that non-resecting operations are preferable in calcifying pancreatitis. Recommendations are made as to the choice of partial duodenopancreatectomy or pancreaticojejunostomy, depending on radiological classification, the course of the disease and the symptoms in each individual case.

Calcinosis↗
PubMed1981

[Digestive function of the residual pancreas after partial duodenopancreatectomy for chronic pancreatitis (author's transl)].

Forty-eight patients with chronic recurrent pancreatitis treated by resection of the head of the pancreas were restudied more than a year post-operatively. In addition to general features such as symptoms, alcohol consumption and work ability, faecal weight, its fat content, fat and fatty acid balance and faecal chymotrypsin were measured. According to the patients' own estimate, late results were good or very good in 70-90%. Faecal fat content and balance indicated high-grade exocrine pancreatic insufficiency in 80 and 90%, respectively. But it was easily controlled by drugs. In a third of the cases there was the need to supplement the diet with medium-chain triglycerides. Its components are satisfactorily absorbed even when the fat utilisation is severely abnormal.

Chronic Disease↗
PubMed1981

[Computer tomography (CT) in the choice of treatment and the planning of percutaneous transhepatic biliary drainage in obstructive jaundice due to tumour (author's transl)].

We have performed percutaneous transhepatic biliary drainage on 27 patients; of these, thirteen were examined by CT before and after the procedure. Our experience suggests that CT or sonography is indicated every case of obstruction due to tumour in order to: 1. Decide on treatment by a non-invasive method thereby saving the patient an unnecessary laparotomy and 2. Plan the biliary drainage accurately, leading to the lowest possible number of complications.

Aged↗