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Biomedical subjects

H Geisbe

Publications and source records attributed to H Geisbe.

At least 19 recordsLinked to original sources

[Colon and rectal cancer].

The therapeutic risk for patients with colorectal carcinoma has been reduced considerably by operation-accompanying measures (alimentary preparation, antegrade irrigation, perioperative antibiotic prophylaxis). Thus, the number both of resections as well as of curative operations increased and the prospects of continence-preserving operations of rectum cancer improved. The temporary transverse colostomy in leftside resection is extremely controversial, the author recommends its generos employment. The indications for the resection according to Hartmann and for palliative local tumor excisions in case of imponderably high therapeutic risk are suggested.

Colectomy↗

[Surgical treatment results in Crohn disease].

Between 1957 and 1978 122 patients with Crohn's disease were operated in the Surgical Department of the University of Tübingen. Follow-up examination showed a high recurrence of nearly 45%. 13 patients died during this time. A change of primary localisation from small intestine to colon was found. Surgery took place when drug therapy failed or complications like perforation, ileus or fistulae made it necessary. Resection must be radical. Immediate section for microscopic examination under surgery is seen as a possibility to reduce the relapse rate and avoid a more extensive intestinal resection. No malignant degeneration was noticed.

Adult↗

[Malignant tumours of the small intestine (author's transl)].

31 cases of malignant small intestine tumours were treated surgically in a 14 years period. There were no characteristic early signs of disease. The correct preoperative diagnosis was based on radiological examination only. Although radical surgical treatment could be performed in 14 patients only, 29% of the cases reached a survival time of 5 years.

Adolescent↗