[Gastro-entero-cecal intestinal splinting. Preliminary report with a new modification of the procedure].
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Biomedical subjects
Publications and source records attributed to K Meissner.
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Based on personal experience with 70 cases of temporary tube gastrostomy - used as an alternative procedure to nasogastric suction in 50 cases and as a double-purpose tube in 20 cases of radical esophagectomy - pertinent problems concerning indication, technique, advantages, and possible complications are presented. The results indicate that temporary gastrostomy is a safe procedure, reduces cardiopulmonary disorders, and increases the patient's comfort. The procedure is therefore strongly recommended for patients with poor cardiopulmonary reserve and for the age group above 60 years. Temporary gastrostomy is also indicated in younger patients, if prolonged gastric distension with the necessity of decompression is anticipated.
Causal connection between shock and SACH has been suggested on the basis of clinical analysis. In a case of cardiogenic shock demonstrating criteria of initial SACH, successful identification of intravascular fibrinoid thrombi is presented as valid evidence for this pathogenetic presumption.
A gaschromatographic method for the quantitative determination of CO and CO2 is described. The method is suitable in a wide sensitivity range from ppm to % content of these gases. CO, CH4 and CO2 are separated under isothermic working conditions by the use of a column filled with carbon molecular sieve CMS. The column should be regenerated only after more than 1000 analyses. The quantitative determination of CO and CO2 in cigarette smoke is reported. With a total retention time of less than one min. this system enables the analysis of the carbon oxides to be performed puff by puff. The CO and CO2 contents of the vapour phase of various test cigarettes are discussed.
A case of nonocclusive mesenteric vascular disease consequential to a low cardiac output syndrome in a patient with a temporary pacemaker is reported. Preexisting occlusion of the inferior mesenteric artery resulted in a total gangrene of small and large bowel. Experimental findings suggest that this occlusion could have resulted in a compensatory increase of blood flow in the superior mesenteric artery. The possibility is discussed that the preexisting necessary increase of superior mesenteric blood flow could be followed by equally increased sensitivity of regional organic systems in non-occlusive mesenteric vascular disease.
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