The danger with diverticulitis is that the disease may progress to life threatening complications. The development of diverticulitis leads from local infiltration and fibrosclerosis to final perforation. Nonresected diverticulitis favors the development of diverticulosis proximal to the affected bowel. Conservative therapy seems to be of little use in avoiding the progression of recurring diverticulitis. Signs of irreversible diverticulitis are repeated attacks, signs of local peritonitis, fixed deformation of the wall and stenosis, revelaed by barium enema. One-stage resection was performed in 101 patients for uncomplicated diverticulitis. There was one death (myocardial infarction).

Diverticulitis, Colonic↗

PubMed1975

[Diverticulitis--the problem of early resection].

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Adult↗

PubMed1975

[Rectal neoplasms: the current state of surgical treatment].

The number of patients with rectal cancer ist increasing steadily in the BRD. Even if diagnosis of early stages of rectal cancer is not too difficult, the fatal diagnostic delay is 7-8 months on the average. After operative methods have been subtilized and radicalized only preventive medical examinations and early public instruction may improve the prognosis of the patients concerned. Additional treatment with cytostatical agents seems to be promising. If preventive medical care makes it possible to detect rectal cancer in its early stages, the same operative results can be obtained by the meanwhile developed continence-preserving methods as by the hitherto carried out widespread and continence-sacrificing rectal resection as our own experiences prove.

Humans↗

PubMed1975

[Problems in the surgical treatment of sliding hiatal hernia (author's transl)].

The aim of surgical treatment of hiatus hernia is well defined: restoration of the esophago-gastric closing mechanism to prevent further reflux of gastric contents and gastric juice into the esophagus. The main problem to realize this demand lies in the variety of discussed closing mechanisms. Interaction of different mechanisms influencing the "anti-reflux barrier" as well as hormonal and neural regulation of the lower esophagus are not yet examined sufficiently enough. Benefits and hazards of several types of operations for repair of hiatal hernia are discussed before the background of the small but slowly growing understanding of the esophago-gastric closing mechanism.

Esophagogastric Junction↗

PubMed1975

[Local cryosurgical management of colonic and rectal cancer].

Complex experimental investigations created the basis for cryosurgical treatment of colon and rectum cancer. 27 patients were chosen for cryotherapy according to strict indication. Especially developed instruments and technique are presented. A three year-follow up-study shows 19 patients alive, most of them without recurrence or troubles. Immediately after starting with cryosurgical treatment patients recover remarkably. In collaboration with the Dept. of Microbiology (Rhein.-Westfäl. Techn. Hochschule Aachen) the possibility of a special cryoimmunological response is investigated.

Adult↗

PubMed1975

[Surgery of Crohn disease].

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Crohn Disease↗