[Countries of origin of contributions to RöFo (Fortschritte auf dem Gebiete der Röntgenstrahlen und der Nuklearmedizin)].
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Biomedical subjects
Publications and source records attributed to W Frommhold.
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The prognosis of local recurrences after surgery for colorectal cancer is better than in recurrences of many other tumor sites. Since in most cases secondary tumor growth takes place as local recurrence and distant metastases are infrequent, there is a good chance of detecting the recurrence early in a curable state. This offers good conditions for a radical second operation. Following excision of tumors, double-contrast enema permits a very detailed assessment of the anastomosis, allowing detection of small local recurrences and recognition of postoperative changes or sequelae of delayed healing at the site of the anastomosis. Following amputation of the rectum, computed tomography permits better control of the presacral space than other conventional radiodiagnostic procedures. In both situations, however, integration of both methods is necessary in a consequent time schedule of clinical follow-up with suitable intervals.
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Hypotonic duodenography has opened up new dimensions in the diagnosis of space-occupying lesions of the head of the pancreas. The procedure with out intubation has become routine over the last few years. Differentiation between severe alterations caused by chronic relapsing pancreatitis and those caused by a carcinoma of the pancreas is only seldom possible, whereas inflammatory swellings and tumors of Vater's Papilla are easily recognized. Endoscopy is necessary for confirmation of the diagnosis. When jaundice is already present, transhepatic cholangiography can yield more information; in the pre-icteric phase intravenous cholangiography can also be useful. More complicated diagnostic procedures should not be applied until all conventional roentgenologic methods have been exhausted.
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