Biomedical subjects
Publications and source records attributed to K Lüders.
After presentation of the causes, pathophysiology, diagnostic procedures and therapy, the results of treatment of 455 patients with mechanical ileus operated in the period 1964--1978 are presented.
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The standard of today in surgical treatment of the duodenal and gastric ulcer in Germany is shown. Positive and negative aspects of the different methods are discussed. Special technics are recommended for the different types of gastroduodenal ulcera.
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In 3183 gastric operations during the past 13 1/4 years, 40 gastric stump carcinomas were observed after B II resection for benign ulcer. Eight of these underwent radical subtotal resection; 14 had total gastrectomy. Early and late follow-up prognosis of total gastrectomy for gastric stump carcinoma is significantly (p less than 0,05) worse than that for total gastrectomy for primary carcinoma of the stomach (n = 112). To improve the prognosis of gastric stump carcinoma, periodic follow-up of all patients with resected stomach to confirm an early diagnosis is necessary. Radical subtotal resection must be given priority because of its significantly lower lethality compared with a total gastrectomy.