PubMed HealthSearch

Biomedical subjects

W Reichow

Publications and source records attributed to W Reichow.

6 recordsLinked to original sources

[Incidence of recurrence following surgery of perforating and non-perforating complications in Crohn disease].

From 1980-1987 131 patients were operated for Crohn's disease. Among these 73 patients had perforated (PC) free perforation, abscess, fistula, and 47 had nonperforating complications (NC). Ileums, bleeding, stenosis reoperations (58 pts, 44%) were seen more often in the PC-group (57%) compared to 31% in the NC-group. Furthermore there was a high concordance in the indication for the initial and subsequent operations.

Adult

[Results of therapy of acute mesenteric vascular occlusion].

From 1979 to 1984 39 patients were operated on for acute mesenteric ischemia. The purpose of this retrospective study was the documentation of the therapeutic results and discussion of the value of a second-look operation and postoperative angiography. Proximal occlusion of SMA in 33 patients (85%) resulted in extended bowel infarction, whereas segmental infarction due to peripheral occlusion was found in 15%. The hospital mortality was 85%. Operative procedure consisted of revascularisation (18%), bowel resection (18%), revascularisation and resection (10%) and explorative laparotomy (18%). The second-look operation as a routine procedure has been replaced by a postoperative angiogram. Laparotomy was performed in case of reocclusion of SMA or clinical signs.

Aged

[Hemobilia].

Hemobilia is caused by a pathological communication between the biliary tract and the intra- and extrahepatic blood vessels; multifarious pathogenetical mechanisms of this syndrome have to be considered. The trias of colicky upper abdominal pain, jaundice and haemorrhage in the upper gastrointestinal tract determinates the clinical picture. To ensure the diagnosis and to localize the source of bleeding sonography, endoscopic retrograde cholangiography (ERC) and coeliacography are indispensable. Besides the transvasal selective embolization ligature of the hepatic artery resection of the affected part of the liver just as reconstructive vascular operations serve as therapeutical tools in this disease. A patient complaining of intrahepatic hemobilia is described who was successfully treated by highly selective ligature of the respective vessel after intraoperative angiography through the stump of the cystic artery. Using this procedure the resection of the affected part of the liver could be avoided.

Adult