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Biomedical subjects

T Junginger

Publications and source records attributed to T Junginger.

At least 343 records · Page 19Linked to original sources
PubMed1981

[Electrostimulation test for intraoperative vagotomy control. Results of a prospective randomized study].

In a prospective random trial the intraoperative electro-stimulation test of Burge and Vane was conducted with 100 patients, in whom selective proximal vagotomy was performed for a duodenal ulcer. In 6 out of 50 patients histologically proved nerve fibres were found by the applying of the test. The postoperative acid values did not differ significantly between those patients who underwent the electrostimulation test and those who did not. The rate of recurrence was 8% in both groups 2-4 years after the operation. Obviously, the application of the test did not have any effect on the results.

Adolescent↗
PubMed1979

[Results of selective proximal vagotomy for gastroduodenal ulcer (author's transl)].

Between 1971 and 1976 selective proximal vagotomy (SPV) was performed in 526 patients with uncomplicated duodenal ulcer and in 37 with gastric ulcer. The operative mortality was 0.18%. The post-operative course was without complication in 90%. One to five years post-operatively 75% of patients with duodenal ulcer were largely without symptoms (Visick I and II), a dumping syndrome was present in 6.5%, diarrhoea in 4.2%, gastric outlet stenosis in 1% and recurrent ulcer in 10.9% of patients who could be re-examined. Recurrent ulcer occurred in eight of 36 patients re-examined after SPV for gastric ulcer. Results of SPV so far have shown it to be a useful alternative to gastric resection in the treatment of duodenal ulcer. But its place in the treatment of gastric ulcer remains undecided.

Diarrhea↗
PubMed1978

[Comparison of the value of various methods for diagnosis of gastroesophageal reflux].

At the University Surgical Clinic Köln-Lindenthal 5 different methods were employed for assessment of gastro-esophageal reflux between 1975 - 1976 in 283 patients with and without reflux disturbances. Clinically, a gastro-esophageal reflux was found in 72% of the cases. The measurement of intra-esophageal pH with reflux-provocation was the most sensitive, and at the same time the most specific (83, 3%). Significant differentiation betwen patients with and without reflux who had an axial hiatus-hernia could not be made, using x-ray examination and counting of the number of times swallowed in the acid-clearing test. The most suitable procedure in proving the presence of gastro-esophageal reflux was esophagoscopy, intra-esophageal pH-measurement and acid-clearing-and-pH determination, in all of which the results correlated with each other to a high degree.

Diagnosis, Differential↗
PubMed1976

[Results of operative treatment of bronchial carcinoma (author's transl)].

Between 1960 and 1974 a total of 14 937 patients were treated in 16 German surgical departments for bronchial carcinoma. 70% proved to be inoperable. In 30% the tumour was resected, the five-year survival rate of those patients operated on before 1969 being 23%. In suitable cases, lobectomy proved to be a satisfactory radical method of resection in parallel with pneumonectomy, while the operative risk of the latter was twice as high. The operative risk decreased by half during the period of observation. Best results of tumour resection were achieved when in the early stage. The prognosis of anaplastic carcinoma was not significantly worse than that of other histological types. Further improvement in the results of surgical treatment of bronchial carcinoma are to be expected if the operative risk can be decreased further and more patients can be operated on at an earlier stage.

Adult↗
PubMed1976

[Surgical management of gastric carcinoma (author's transl)].

The treatment of choice of gastric carcinoma is still radical surgery which has to be tried in all cases which are not proven to be untreatable by this method. During surgery the tumor as well as regional lymph nodes and neighboring structures have to be removed; in special cases subtotal gastrectomy carrying a lower risk at surgery does allow complete removal of the tumor. Replacing the stomach by interposition of a long loop of the small intestine has proven to yield good results. The overall bad results of management of gastric carcinoma cannot be improved to any considerable extent by surgical means, e.g. by lowering the risk of surgery or by increasing the number of patients operated upon. Early diagnosis is of outmost importance since patients with tumors of an early stage have a rather good chance of being completely cured.

Gastrectomy↗
PubMed1976

[Surgery of gastric and duodenal ulcer].

The variety of surgical techniques to deal with gastric and duodenal ulcers has been increased by non-resecting methods (truncular, selective, selective proximal vagotomy with or without pyloroplasty). Selective proximal vagotomy has proved its worth in uncomplicated chronic duodenal ulcer. Additional drainage is needed when there is pyloric stenosis. In 309 patients of the surgical department of Cologne-Lindenthal in the years 1970 to June 1975 selective proximal vagotomy for chronic duodenal ulcer had an operative mortality of 0.7%. 1-5 years later 88% of patients had no recurrence. The main cause of recurrence is incomplete vagotomy which could be avoided by the routine intra-operative use of the electrostimulator of Burge. In chronic gastric ulcer removal of the ulcer is needed because of the danger of malignant degreneration. Two third resection is the standard technique. In patients at risk vagotomy, pyloroplasty and excision of the ulcer are indicated.

Duodenal Ulcer↗