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Biomedical subjects

P Voigtsberger

Publications and source records attributed to P Voigtsberger.

At least 19 recordsLinked to original sources
PubMed1987

[The stomach after surgery--on the incidence of pathologic changes from the endoscopic viewpoint].

The incidence of pathological changes in the wake of stomach surgery amounted to 483 of 550 patients who were endoscopically examined at the Outpatient Department of Surgery attached to the Medical Academy of Erfurt, between January 1st, 1975 and December 31st, 1985. These were 87.8 per cent. Similar findings were recorded from 67 vagotomised patients (12.2 per cent). These 550 cases represented 6.7 per cent of 8,155 patients whose upper digestive tract had been endoscopically examined throughout the above period of time. The first endoscopic check was applied to 49.9 per cent only five or more years, following surgery and to 44.8 per cent within two years from surgery. Pain was recorded as the major symptom and indication for the follow-up checks from 75 per cent of these patients. Pathological changes were endoscopico-macroscopically detectable from 75 per cent of the probands. Ulcers were observed in 20 per cent. Inflammatory changes accounted for 40 per cent in both groups. Tumours were established in ten per cent. Macroscopic findings were histologically verified in 208 cases (37.8 per cent), among them 41.2 per cent after stomach resection and 13.2 per cent following vagotomy. Suspicious diagnoses of inflammation was thus positively verified in 93.4 per cent of all cases and those of malignant tumours in 39 of 47 cases. Inflammatory processes were histologically detected in 31 cases in which it had been neither assumed nor formulated. In eight histologically established tumour cases that diagnosis had not been macroscopically made (inflammations in seven cases and no contributory findings in one). Macroscopic findings recorded from the above selected group of patients proved to be reliable for tumours in 85 per cent of all cases and for gastritis in 93 per cent. Endoscopic follow-up diagnosis should begin within the first year from stomach surgery and should be persistently continued on the basis of a systematic extended medical care programme. All the above findings were gained on the basis of high-continuity computer-adjusted data collection and evaluation.

Adult↗
PubMed1986

[Results of colonoscopy in surgically relevant diseases of the large intestine].

Colonoscopy has greatly enlarged possible diagnostic, prophylactic, and therapeutic approaches to colonic diseases. The role played by this method for surgically relevant colonic diseases and as an element in precisely defined tumour aftercare programmes as well as for targeted screening of high-risk groups is outlined in this paper with reference to findings obtained from 491 colonoscopic examinations. Endoscopic polypectomy is also described as an important therapeutic approach to precancerous processes and early cancer forms.

Carcinoid Tumor↗
PubMed1983

[Gastroenterological endoscopy of the upper digestive tract from the surgical viewpoint].

On the basis of an EDP-supported analysis of data which were got in 1,808 endoscopized patients general problems are treated, basing on experiences of a surgicoendoscopic working team. Besides statements concerning the structure of age and sex, indicating signs as well as complication rate the authors adopt a definite attitude to problems of endoscopic care, documentation and training.

Adult↗
PubMed1982

[Comparison between the diagnostic findings of esophago-gastro-bulboscopy and standard radiographic diagnosis].

On the basis of a computer-supported evaluation of the data of 1,808 patients who underwent endoscopy (endoscopy of the superior alimentary tract) the comparison of X-ray-findings and findings of the endoscopy could be made in 887 patients. For 124 patients with an oesophageal and gastric tumour, respectively, and for 146 patients with a gastroduodenal ulcer a control of the findings by superordinate parameters (findings of operations and post-mortem examinations) are present. The result was an accordance between 90 and 98%. The accordance of the evidence of the two methods varies depending on the group of diagnosis. For the oesophageal carcinoma it is 90%, for the gastric carcinoma ca. 77%, for the ventricular ulcer and the duodenal ulcer in every case 70%, while the X-ray diagnosis "no abnormality discovered" could be endoscopically confirmed only in 56%. From this result necessary conclusions concerning the further concept of the diagnosis of diseases of the superior alimentary tract.

Diagnostic Errors↗
PubMed1982

[The degree of reliability in endoscopic diagnosis].

The histological ascertainment of pathological lesions is one of the most essential advantages and tasks of endoscopy. Of 1,808 patients who underwent endoscopy (oesophago-gastro-bulboscopy) in 620 present results of cellular investigations we could compare with the macroscopic estimation of the findings. 222 times out of 288 patients (77.1%) the diagnosis made--inflammation--could be histologically confirmed. Of 190 malignant tumours the result of this investigation is present for 172 patients. In 29.1% a histological confirmation (exclusive biopsy) could at first not be achieved. Macroscopic estimations of the findings alone are not sufficient, the histologic verification is not in every case at once achievable.

Biopsy↗
PubMed1982

[The value of endoscopy in acute hemorrhage of the upper gastro intestinal tract].

1808 esophage-gastro-bulboscopies were performed, in 156 cases (8.0%) because of acute haemorrhage, from 1975 to 1979. In 14 cases (9.0%) no lesion could be detected. In 3 patients (1.9%) an exact localization of the bleeding lesion could not be attained. Gastric and duodenal ulcerations were (57.1%) the most frequent causes of haemorrhage, followed by erosive lesions (12.8%). Multiple bleeding sources were realized in 24 patients (15.4%). At present endoscopy is the initial method for diagnosing the causes of acute bleeding in the upper digestive tract.

Acute Disease↗
PubMed1978

[Blunt abdominal trauma.--analysis of 201 cases (author's transl)].

201 blunt abdominal traumata treated clinically at the surgical department of the Medical Academy in Erfurt from 1967 to 1976 are reported: No increase of blunt abdominal traumata within the period of the report in spite of considerable growth of trafficdensity and industrialization could be observed.--The percentage of severe secundary injuries remained approximately constant, too.--Intestinal lesions, combined hepatolienal ruptures caused the highest mortality especially in combination with severe craniocerebral lesions.

Abdominal Injuries↗
PubMed1978

[Splenectomy; its results (author's transl)].

270 patients underwent splenectomy for different indications. The rate of complications amounts to 18,8%. Prognosis after splenectomy depends on the basic disease, accompanying illness and the quality of pre- and postoperative care.

Female↗
PubMed1977

[Clinico-endoscopic problems in malignant changes of the gastric stump].

The authors give a report on occasional difficulties concerning the radiological and endoscopic clarification of the malignant changes at the gastric stump after treatment of resection. Four relevant cases are stated and explained. The endoscopy (glass fibre gastroscopy) together with the biopsy is at present the most reliable method for the diagnosis of the pathological processes in the remaining part of the stomach. A regular endoscopic and radiological control of patients with gastric resection is desirable.

Female↗