Morphological investigations of extrahepatic disorders after porta-caval end-to-side-anastomosis in rats (author's transl)

Disorders of the central nervous system were found in 150 rats five monthds after en-to-side-porta-caval anastomosis consisting of vacuolisated cytoplasma of gangliacells and reactions of the glia comparable with the Alzheimer-glia-type II. Since these disorders are consistent with those in patients with liver cirrhosis but induced in these experiments by a porta-caval anastomosis alone, they are proposedly independent from liver disease itself. It is discussed whether disorders in glucose homeostai may be of pathogenetic relevance. Atrophy of tests, found in the late postoperative phase and erosions or ulcers of gastric mucosa as well as nephrolithiasis with hydronephrosis as consequence, the latter occuring independently from the time after operations, are proposedly due to the porta-caval anastomosis, too.     

Arterial embolic occlusion in tumours of kidney and bladder (author's transl)

Arterial embolic occlusion is a comparatively new therapeutic method in urology. This procedure is performed now before operation of tumours of the kidney and as a palliative measure in the treatment of renal and bladder cancer. The procedure and mode of administration of the different materials for occlusion are described. The difficulties arising during embolic occlusion and the subjective response of the patient to this treatment are discussed. Furthermore, the advantages and disadvantages of this method and, in particular, undesirable side effects are pointed out.     

Dumping-prophylaxis (author's transl)

The dumping syndrome is due to a vigorous reflex distension of the jejunum, caused by the stomach violently evacuating its contents. The aim of treatment is to overcome the drastic evacuation by restoring the rhythmic peristalsis of the stomach (eukinetics). This can be achieved by a special diet. Every meal should begin with well chewed solids (pulp) and avoid all fluids. With a well organised medical staff a complete success can be achieved. Surgical measures in Dumping can be avoided.     

Arterial blood supply to the pancreatic cauda and acute pancreatitis after splenectomy (author's transl)

Thirty cadaver dissections and injections of the pancreatic caudal arteries brought the authors to the conclusion that the ligature of a recurrent artery (going from the splenic hilum to the pancreatic cauda) is an exceptional cause of acute pancreatitis after splenectomy : this complication is more often due to direct trauma to the pancreas.     

Kinetic determination of urea with the LKB system (author's transl)

The kinetic determination of urea based on the urea/glutamate dehydrogenase method was adapted for the LKB Reaction Rate Analyzer System 8600. A ratio of sample to reagent volume of 1:50 ensures linearity up to 33.3 mmol/l with a day to day precision of 5%. Parallel studies with the urease/glutamate dehydrogenase method were performed with the CentrifiChem System and with the manual Berthelot/Salicylate method.     

The reconstruction of inflammatory biliary duct stenoses by using a ring-drainage (author's transl)

In treating the inflammatory closures and stenoses of the biliary ducts surgically, the bilio-biliary and bilio-digestive anastomoses were splinted by inserting an annular drainage. In this way it was possible to ensure the bileflow into the intestine and to prevent recurrent stenoses. The ring-drainage is suggested to be kept for 2 years at least. In our experience this method has been validated in 13 patients. Therefore it is recommended for use in reconstructive operations with inflammatory obstructions of the biliary tract.