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Biomedical subjects

B Stallkamp

Publications and source records attributed to B Stallkamp.

At least 19 recordsLinked to original sources

[Atraumatic rupture of the esophagus (Boerhaave syndrome)].

The complete atraumatic rupture of an intact esophageal wall had been described first by Boerhaave in 1724. We reviewed 424 published cases from that time until 1985 regarding the clinical feature and different types of diagnosis and treatment. An over all mortality rate between 28 and 85% was found which is highly influenced by the time the right diagnosis is made and by the choice of treatment. It is demonstrated that only an early diagnosis followed by immediate surgery (suture of the perforation protected by a pleural flap) can improve the poor prognosis of this illness.

Adolescent

[Problems of idiopathic chylothorax].

Conservative management of a chylothorax in a 57-year-old man was unsuccessful (25 l chylous fluid removed over three weeks). But chylous flow ceased immediately after thoracotomy with ligation and resection of the thoracic duct. The aetiology of the chylothorax remained obscure despite extensive preoperative diagnostic measures and histological examination of the thoracic duct.

Chylothorax

[Surgical treatment of esophageal tuberculosis].

Esophageal tuberculosis, being rare, traditionally has been treated by antituberculous drug therapy, respectively by esophagectomy. A 66-year-old women is reported showing a productive/caseous tuberculosis of the mid-esophagus without pulmonary lesions. In suspicion of a benign tumor thoracotomy was done, and an enlarged oval excision of the esophagus wall with a longitudinal closure was performed. Chemotherapy was applied for one year. 3 1/2 years postoperatively there is a free passage of the esophagus, and the patient seems to be healed.

Aged

[Benign tumors in the upper gastrointestinal tract (author's transl)].

Information is given on 113 cases of solitary or multiple benign tumors of the upper gastrointestinal tract. The clinical symptoms and procedures of diagnosis of these rare tumors of esophagus, stomach, and small intestine are discussed. For therapy, surgical intervention is usually required because of malignant degeneration and complications like bleeding or perforation. Mortality was found to be 4.4%, so that the individual indication for operation should be considered.

Adult

[Factors influencing anastomotic leakage after total gastrectomy with special reference to ABO blood groups (author's transl)].

One of the hazardous problems of total gastrectomy is anastomotic leakage. A retrospective study was carried out to evaluate the factors which may have an impact on anastomotic leakage. 188 patients who underwent total gastrectomy at the Surgical Department in the Klinikum Steglitz of the Free University of West-Berlin and the Marien-Hospital in Osnabrueck from 1963 to 1979 were investigated. Age, sex preoperative haemoglobin and total protein as well as the dignity of the underlying disease have been found to have no influence on the rate of anastomotic leakage. However, patients with blood group A have a significantly (p less than 0.05) lower leakage rate than patients with blood group 0, and patients with scirrhous carcinoma have also a significantly lower leakage rate than those with adenocarcinoma and solid carcinoma. Possible relationship among ABO blood groups and different kinds of disease are discussed.

ABO Blood-Group System

[Resorption of fats and carbohydrates following stomach resection and gastrectomy].

125I- and 14C-labelled triolein were used for the examination of fat absorption in patients after gastric surgery. Fat absorption decreased significantly after total and subtotal proximal gastrectomy, but less after distal gastric resection. Carbohydrate absorption, as measured by D-Xylose test, increased in the same manner after both total and partial gastrectomy.

Carbohydrate Metabolism