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1. Newsletter – Summer 1998

Author

Jonas Ranstam, N. Hennes, Cihan Uras, Koichiro Hata, José Klinger-Roitman, Yueh-Er Liu, Kemal Alemdaroglu, J. Mendez, D. Koufogiannis, Z.B. Jankovic, Carlos K. Bergh, C. Schröders, Yukihiko Tokunaga, Ifat A. Shah, Sheila X. Wong, Susanne Bach Lausten, Tayfun Karahasanoglu, Hans U. Baer, Metin Ertem, P.M. Pesko, K. Kotzampassi, Takayuki Tanaka, M-Yousri Rashed, A. Fukuda, F. Hanyu, Steen Lindkær Jensen, Junichi Kaganoi, Jong-Shyong Cheng, B. Ulrich, H. Farmakis, T. Imaizumi, Gregorio F. Cenitagoya, H.-D. Röher, Ryota Nishitai, Kouji Shimizu, Marie-Odile Schlageter, M. Aleksic, E. Eleftheriadis, J.E. Bilbao, Kennichi Yamagata, Sabri Erguney, Noboru Nakayama, C. Emparan, M. Schilling, M. Imhof, Ibrahim Boghdadi, C. Ohmann, N. Harada, Olfat El-Sibai, Lars-Erik Hammarström, Kouki Masuo, Kiyosi Ohsumi, King-Teh Lee, Talaat El-Sefi, Chen-Guo Ker, S. Landen, Simon Brönnimann, T. Hatori, Kazuhide Kumagai, I. Iturburu, Markus W. Büchler, Osama S. Gani, Sen-Ren Wong, Pai-Ching Sheen, J. Sontheimer, J. Ortiz, Raffaele Malinverni, Maher O. Osman, Ahmed Shafik, and A. Herodotou

Subjects
medicine.medical_specialty, business.industry, Family medicine, Gastroenterology, medicine, Physiology, Surgery, business
Published
1998
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2. Program of the EDS Meeting in Barcelona

Author

T. Imaizumi, Maher O. Osman, T. Hatori, Tayfun Karahasanoglu, Ahmed Shafik, Sen-Ren Wong, I. Iturburu, Susanne Bach Lausten, N. Harada, A. Herodotou, Takayuki Tanaka, Metin Ertem, C. Ohmann, M. Imhof, M-Yousri Rashed, B. Ulrich, S. Landen, Olfat El-Sibai, Kazuhide Kumagai, A. Fukuda, Koichiro Hata, Hans U. Baer, Simon Brönnimann, Raffaele Malinverni, Carlos K. Bergh, Junichi Kaganoi, D. Koufogiannis, H.-D. Röher, Yueh-Er Liu, J. Sontheimer, E. Eleftheriadis, Kennichi Yamagata, F. Hanyu, Cihan Uras, Kouki Masuo, C. Emparan, Talaat El-Sefi, J. Ortiz, Chen-Guo Ker, K. Kotzampassi, José Klinger-Roitman, Markus W. Büchler, Jonas Ranstam, Z.B. Jankovic, Osama S. Gani, Kemal Alemdaroglu, P.M. Pesko, Marie-Odile Schlageter, Noboru Nakayama, Lars-Erik Hammarström, Jong-Shyong Cheng, Pai-Ching Sheen, N. Hennes, M. Aleksic, Kiyosi Ohsumi, J. Mendez, Sabri Erguney, M. Schilling, Ifat A. Shah, King-Teh Lee, Ibrahim Boghdadi, J.E. Bilbao, C. Schröders, Yukihiko Tokunaga, Sheila X. Wong, Steen Lindkær Jensen, H. Farmakis, Kouji Shimizu, Gregorio F. Cenitagoya, and Ryota Nishitai

Subjects
Gerontology, Medical education, business.industry, Gastroenterology, Medicine, Surgery, business
Published
1998
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3. Drainage of Cervical Esophagogastrostomy: Essential or Dangerous?

Author

Rainer Nustede, O. Horstmann, H. D. Röher, P.R. Verreet, and H. Becker

Subjects
medicine.medical_specialty, business.industry, General surgery, Esophagogastric anastomosis, Gastroenterology, medicine, Surgery, Anastomosis, Drainage, business, Resection
Abstract

Leakage from a cervical esophagogastric anastomosis still accounts for major morbidity and mortality after subtotal esophageal resection. Its prevalence might adversely be affected by drainage of the

Published
1997
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4. One-Year Survival after Surgical Treatment in UlCC-Classified Pancreatic Cancer Patients

Author

J. W. Heise, M. Krüger, H.-D. Röher, H. Becker, and F. Borchard

Subjects
medicine.medical_specialty, business.industry, General surgery, Gastroenterology, respiratory system, medicine.disease, Surgery, medicine.anatomical_structure, Pancreatic cancer, Cohort, medicine, Surgical treatment, Pancreas, business, Grading (tumors)
Abstract

In a recent patient cohort surgically treated for pancreatic cancer, the 1987 UICC classification was applied. One-year survival served as the sole parameter for evaluating its prognostic relevance as

Published
1991
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5. Impact of early operation on the mortality from bleeding peptic ulcer --ten years' experience

Author

C. Ohmann, Schröders Cp, M. Imhof, and H.-D. Röher

Subjects
Adult, Male, medicine.medical_specialty, Peptic Ulcer, Time Factors, Peptic Ulcer Hemorrhage, Age Distribution, medicine, Humans, Prospective Studies, Prospective cohort study, Survival rate, Digestive System Surgical Procedures, Aged, Retrospective Studies, medicine.diagnostic_test, business.industry, Hemostatic Techniques, Mortality rate, General surgery, Gastroenterology, Case-control study, Retrospective cohort study, Endoscopy, Middle Aged, Prognosis, Surgery, Survival Rate, Case-Control Studies, Duodenal Ulcer, Female, Complication, business, Follow-Up Studies
Abstract

In 1984, a risk-dependent combined endoscopic and operative approach for the treatment of bleeding peptic ulcer was developed. This treatment policy has as its major feature an early elective operation in patients with arterial bleeding and a visible vessel, providing that endoscopic control of the bleeding could be achieved. Using this concept in a prospective series resulted in a mortality of 5% compared to a mortality of 14% in a historical control group, where an operation was performed only on demand in case of recurrent bleeding. In 1986, the treatment policy was introduced into clinical routine circumstances at the University Hospital of Düsseldorf. In this paper the results of routine clinical application are presented. The treatment policy was followed in 47% of patients treated respectively primarily transferred to the surgical department. Mortality in arterial bleeding and visible vessel in the conservatively treated group was double the mortality in the early elective operated group (14 vs. 7%). The mortality in patients treated primarily in the department of internal medicine was double the mortality of patients treated at the surgical department (18 vs. 9%). The differences in mortality are mainly due to the procedure in the elderly patients. In patients aged 70 years or more, the mortality rate of patients treated in internal medicine was 31% compared to 16% in the surgery department. Younger patients do not seem to benefit from early elective operation. Our study clearly demonstrates the importance of avoiding late recurrent bleeding. Patients at high risk of this complication should therefore be identified as early as possible and early surgical intervention should be considered by agreed interdisciplinary and evaluated treatment concepts.

Published
1998

7. Impact of Early Operation on the Mortality from Bleeding Peptic Ulcer

Author

H.-D. Röher and K. Thon

Subjects
medicine.medical_specialty, Surgical approach, business.industry, Mortality rate, General surgery, Gastroenterology, medicine.disease, Surgery, Duodenal ulcer, Conservative treatment, Early results, Forrest classification, Peptic ulcer, medicine, In patient, business
Abstract

A prospective trial, including 88 patients with bleeding peptic ulcer consecutively admitted to our hospital between Januray 1982 and September 1983, was conducted in order to determine how far the initial decision of operative versus medical therapy can benefit from emergency endoscopic findings. The dominating criteria for choice of treatment were bleeding type and bleeding activity according to the modified Forrest classification. The overall mortality was 4.5 % (4 % for duodenal ulcer, 5 % for gastric ulcer). 35 patients underwent surgery with only two hospital deaths (6%). Among the group with conservative treatment there were two additional deaths (4%), all patients being above 60 years of age with serious risk factors. Early results of our newly designed strategy seem to suggest that mortality rates in patients with bleeding gastroduodenal ulcers can be reduced considerably by a more aggressive surgical approach.

Published
1984
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8. Contents, Vol. 2, 1985

Author

Haruaki Yajima, Donato Flati, Evert-Jan C. Lubbers, Masaki Fujimura, Arnaldo Bianchini, M. Guivarc’h, Takatoshi Shimoyama, Toshiyo Ishii, Toshio Miura, O. Søreide, Abraham Czerniak, Takayoshi Tobe, Masao Tomita, Flati G, W.H. Edwards, Gunnar Wickbom, Tatsuo Hirano, Soon-Ok Cha, Paul K. Schlesinger, Patrick O’Leary, Tadatoshi Hirata, H.-D. Röher, N.S. Hadjis, D. Maroske, Tuscano D, Manlio Carboni, Sohrab Mobarhan, Carl J. Pfeiffer, Thomas J. Layden, Loes M. van Dongen, C.J. Kelley, Paolo Negro, Philip E. Donahue, Barbara Porowska, Toshihiw Nagai, and Leslie H. Blumgart

Subjects
Traditional medicine, business.industry, Gastroenterology, Medicine, Surgery, business
Published
1985
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9. Subject Index, Vol. 2, 1985

Author

Masao Tomita, M. Guivarc’h, Toshihiw Nagai, Tatsuo Hirano, Paul K. Schlesinger, Gunnar Wickbom, Leslie H. Blumgart, Patrick O’Leary, H.-D. Röher, Loes M. van Dongen, Haruaki Yajima, Takatoshi Shimoyama, Abraham Czerniak, Thomas J. Layden, Toshiyo Ishii, Flati G, O. Søreide, Tuscano D, Soon-Ok Cha, Carl J. Pfeiffer, Masaki Fujimura, Toshio Miura, Arnaldo Bianchini, W.H. Edwards, Paolo Negro, Sohrab Mobarhan, D. Maroske, Donato Flati, Evert-Jan C. Lubbers, Manlio Carboni, Tadatoshi Hirata, N.S. Hadjis, Barbara Porowska, C.J. Kelley, Philip E. Donahue, and Takayoshi Tobe

Subjects
medicine.medical_specialty, Index (economics), business.industry, Internal medicine, Gastroenterology, medicine, Surgery, Subject (documents), Medical physics, business
Published
1985
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