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Biomedical subjects

H Bosseckert

Publications and source records attributed to H Bosseckert.

At least 73 records · Page 4Linked to original sources

[Results of coloscopic polypectomy in respect of the dignity (author's transl)].

The commonest type of polyps in the large intestine in our series of 506 polypectomies in 262 patients were adenomas (64%) especially tubular adenomas. Severe epithelial atypia being present in 11% of all adenomas and it was three times more discovered in villous adenomas than in tubular forms and with increasing adenomas size. Because severe epithelial atypia could be observed in polyps with diameters less than 5 mm it should be demanded to remove each polyp for an exact histological examination independent of his size. Single forceps biopsies of polyps do not allow the estimation of their further development in view of malignancy.

Adenocarcinoma↗

[Irritable colon syndrome].

The irritable bowel syndrome is one of the most frequent diseases which could be observed in a gastroenterologic practice. The knowledge of its symptoms allows a preliminary diagnosis (working diagnosis) which must be secured by an extensive exclusion diagnosis if there is no improvement of the complaints within 2-3 weeks or if the symptoms like blood in the faeces, increasing fatigue, elevated sedimentation rate and so on will be developed. The foundation of the treatment are a conversation in detail with the patient, a high residue diet, sufficient bodily conditioning, massage of the large bowel, and gifts of anticholinergics.

Colonic Diseases, Functional↗

[Ulcerative and granulomatous colitis].

For the diagnostics in ulcerous colitis are in general sufficient the symptomatology and the findings in rectosigmoidoscopy, which are completed by the bioptical and histological result. In the fulminant form of the disease the highly dosed application of prednisolone with ease the highly dosed application of prednisolone with parenteral hypercaloric nutrition and the substitution of mineral, protein and blood losses are therapeutically in the first place. In the easy form and in the form of medium severity we perform a therapy with 4 g sulfasalazine/a day, which is continued as a long-term therapy in a dosage of 2 g/a day. The diagnosis of Crohn's colitis is not infrequently possible by the symptomatology (particularly when perianal complications or generally formations of fistulae exist) and by typical radiological findings, though an endoscopico-bioptic ascertainment is desirable. In Crohn's colitis we prefer sulfasalazine, but in ineffectivity we change over to prednisolone and/or metronidazole.

Colitis, Ulcerative↗

[Roentgenologic and endoscopic findings after papillotomy].

During 1977--1980 36 papillotomies were performed; indications for the latter were: papillary stenosis, incarcerated stones or stones which could not be removed which certainty and suspicion of a papillocarcinoma. The indications were evaluated as to whether endoscopic or surgical papillotomy should be performed. The results of the papilloplasties were considered satisfactory. In 40% of the cases a duodenobiliary reflux was observed, which however did not give troubles.

Adult↗

[Infusion therapy and parenteral feeding in acute pancreatitis].

The acute pancreatitis can be a life-threatening disease and can demand the performance of intensive-therapeutic measures. The central position there in occupy the infusion therapy and the parenteral nutrition. On account of the increased catabolism already in the initial phase of the acute pancreatitis the supply of suitable carriers of calories in adequate quantity is necessary. The indication of glucose and the differential indication of fructose and Alvesin "Neu" are discussed. In the treatment of shock human albumin, plasma and plasma substitutes as well as blood take the precedence. Apart from the diagnostic and therapeutic value of the peritoneal lavage in the acute pancreatitis is possesses the additional effect of the dialysis in acute renal failure.

Acute Disease↗