Allgemeine Prinzipien der Kolon- und Rektumchirurgie

  • William H. ReMine
  • W. Spencer Payne
  • Jon A. van Heerden
  • Claude E. Welch
  • Leslie W. Ottinger
  • John P. Welch
Part of the Die Praxis der Chirurgie book series (PRAXCHIR)

Zusammenfassung

Zum Beschwerdebild der Erkrankungen am Kolon gehören rektaler Blutabgang, Stuhlunregelmäßigkeiten, Unterbauchschmerzen, Blähungen, Übelkeit und Erbrechen, Tenesmen, Anämie, Fieber, Bauchschmerzen, Völlegefühl und auch Beschwerden außerhalb des Bauchraumes, die manchmal eine Colitis ulcerosa begleiten. Erkrankungen des Rektums können zusätzlich von lokalen Schmerzen, Reizzuständen, Hervortreten der Schleimhaut und Juckreiz begleitet werden. Es ist jedoch wichtig zu wissen, daß selbst schwerwiegende Erkrankungen ohne jegliche Beschwerden einhergehen können. Dies trifft besonders für adenomatöse Polypen und das Frühkarzinom zu.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. 1.
    Abramson DJ (1976) Charles Bingham Penrose and the Penrose drain. Surg Gynecol Obstet 143:285PubMedGoogle Scholar
  2. 2.
    Agrama HM, Blackwood JM, Brown CS, et al (1976) Functional longevity of intraperitoneal drains. An experimental evaluation. Am J Surg 132:418PubMedCrossRefGoogle Scholar
  3. 3.
    Altemeier WA, Thieme T, in discussion, Beahrs OH, Hoehn JG, Dearing WH (1969) Surgery of the colon: Management and complications. Arch Surg 98:485Google Scholar
  4. 4.
    Beahrs OH, Hoehn JG, Dearing WH (1969) Surgery of the colon: Management and complications. Arch Surg 98:480PubMedGoogle Scholar
  5. 5.
    Brass C, Richards GK, Ruedy J, et al (1978) The effect of metronidazole on the incidence of postoperative would infection in elective colon surgery. Am J Surg 135:91PubMedCrossRefGoogle Scholar
  6. 6.
    Burdon JGW, Morris PJ, Hunt P, et al (1977) Trial of cephalothin sodium in colon surgery to prevent wound infection. Arch Surg 112:1169PubMedGoogle Scholar
  7. 7.
    Clark CG, Wyllie JH, Haggie SJ, et al (1977) Comparison of catgut and polyglycolic acid sutures in colonic anastomoses. World J Surg 1:501PubMedCrossRefGoogle Scholar
  8. 8.
    Clarke JS, Condon RE, Bartlett JG, et al (1977) Preoperative oral antibiotics reduce septic complications of colon operations: Results of prospective, randomized, double-blind clinical study. Ann Surg 186:251PubMedCrossRefGoogle Scholar
  9. 9.
    Cohn I Jr (1970) Intestinal antisepsis. Surg Gynecol Obstet 130:1006PubMedGoogle Scholar
  10. 10.
    Collins CD, Talbot CH (1969) Pelvic drainage after anterior resection of the rectum. Arch Surg 99:391PubMedGoogle Scholar
  11. 11.
    Deveney KE, Way LW (1977) Effect of different absorbable sutures on healing of gastrointestinal anastomoses. Am J Surg 133:86PubMedCrossRefGoogle Scholar
  12. 12.
    Dudrick SJ, Wilmore DW, Vars HM, Rhoads JE (1968) Long-term total parenteral nutrition with growth, development, and positive nitrogen balance. Surgery 64:134PubMedGoogle Scholar
  13. 13.
    Elliott TE, Albertazzi VJ, Danto LA (1977) Stenosis after stapler anastomosis. Am J Surg 133:750PubMedCrossRefGoogle Scholar
  14. 14.
    Fischer JF (1976) Total parenteral nutrition. Little, Brown, BostonGoogle Scholar
  15. 15.
    Fischer MG (1976) Bleeding from stapler anastomosis. Am J Surg 131:745PubMedCrossRefGoogle Scholar
  16. 16.
    Getzen LC (1969) Intestinal suturing. Part I: The development of intestinal sutures. Curr Probl Surg (Aug) 6:1Google Scholar
  17. 17.
    Getzen LC (1969) Intestinal suturing. Part II: Inverting and everting intestinal sutures. Curr Probl Surg (Sept) 6:1Google Scholar
  18. 18.
    Gilbert FI Jr, Cherry JW, Downing DE, et al (1974) Allied health personnel in cancer detection: Utilization of proctosigmoidoscopic technicians in detecting abnormalities of the lower bowel. Cancer 33:1725PubMedCrossRefGoogle Scholar
  19. 19.
    Gilchrist RK, David VC (1938) Lymphatic spread of carcinoma of the rectum. Ann Surg 108:621PubMedCrossRefGoogle Scholar
  20. 20.
    Goligher JC (1976) Visceral and parietal suture in abdominal surgery. Am J Surg 131:130PubMedCrossRefGoogle Scholar
  21. 21.
    Goligher JC, Graham NG, De Dombal FT (1970) Anastomotic dehiscence after anterior resection of rectum and sigmoid. Br J Surg 57:109PubMedCrossRefGoogle Scholar
  22. 22.
    Goodman MJ (1977) Mass screening for colorectal cancer - A negative report. JAMA 237:2380PubMedCrossRefGoogle Scholar
  23. 23.
    Gurry JF, Ellis-Pegler RB (1976) An elemental diet as preoperative preparation of the colon. Br J Surg 63:969PubMedCrossRefGoogle Scholar
  24. 24.
    Hastings JB (1974) Mass screening for colorectal cancer. Am J Surg 127:228PubMedCrossRefGoogle Scholar
  25. 25.
    Hogan WJ, Stewart ET, Geenen JE, et al (1977) A prospective comparison of the accuracy of colonoscopy vs air - barium contrast exam for detection of colonic polypoid lesions. Gastrointest Endosc 23(4):230Google Scholar
  26. 26.
    Jiborn H, Ahonen J, Zederfeldt B (1978) Healing of experimental colonic anastomoses. The effect of suture technic on collagen concentration in the colonic wall. Am J Surg 135:333PubMedCrossRefGoogle Scholar
  27. 27.
    Juler GL, Dietrick WR, Eisenman JI (1976) Intramesenteric perforation of sigmoid diverticulitis with nonfatal venous intravasation. Am J Surg 132:653PubMedCrossRefGoogle Scholar
  28. 28.
    Lahiry SK, Hedberg SE (1978) Fiberoptic colonoscopy and polypectomy. Complications and management. Meeting of the American Society for Gastrointestinal Endoscopy, Las Vegas, May 4Google Scholar
  29. 29.
    Laufman H, Rubel T (1977) Synthetic absorbable sutures. Surg Gynecol Obstet 145:597PubMedGoogle Scholar
  30. 30.
    Magee C, Rodeheaver GT, Golden GT, et al (1976) Potentiation of wound infection by surgical drains. Am J Surg 131:547PubMedCrossRefGoogle Scholar
  31. 31.
    Manz CW, LaTendresse C, Sako Y (1970) The detrimental effects of drains on colonic anastomoses: An experimental study. Dis Colon Rectum 13:17PubMedCrossRefGoogle Scholar
  32. 32.
    Nichols RL, Condon RE (1971) Preoperative preparation of the colon. Surg Gynecol Obstet 132:323Google Scholar
  33. 33.
    Nichols RL, Condon RE, DiSanto AR (1977) Preoperative bowel preparation. Arch Surg 112:1493PubMedGoogle Scholar
  34. 34.
    Parker EM, Kerr HW (1908) Intestinal anastomosis without open incisions by means of basting sitches. Bull Johns Hopkins Hosp 19:132Google Scholar
  35. 35.
    Pearl SS (1978) Letter to the editor. CA 28:238PubMedGoogle Scholar
  36. 36.
    Ravitch MM, Steichen FM (1972) Technics of staple suturing in the gastrointestinal tract. Ann Surg 175:815PubMedCrossRefGoogle Scholar
  37. 37.
    Schaupp WC (1969) Drainage of low anterior anastomoses. Am J Surg 118:627PubMedCrossRefGoogle Scholar
  38. 38.
    Schrock TR, Deveney CW, Dunphy JE (1973) Factors contributing to leakage of colonic anastomoses. Ann Surg 177:513PubMedCrossRefGoogle Scholar
  39. 39.
    Steichen FM (1977) The creation of autologous substitute organs with stapling instruments. Am J Surg 134:659PubMedCrossRefGoogle Scholar
  40. 40.
    Stewart WRC, Samson RB (1968) Rectal tube decompression of left-colon anastomosis. Dis Colon Rectum 11:452PubMedCrossRefGoogle Scholar
  41. 41.
    Washington JA II, Dearing WH, Judd ES, et al (1974) Effect of preoperative antibiotic regimen on development of infection after intestinal surgery; prospective randomized, double-blind study. Ann Surg 180:567PubMedCrossRefGoogle Scholar
  42. 42.
    Welch CE, Hedberg SE (1975) Polypoid lesions of the gastrointestinal tract, 2nd edn. Saunders, PhiladelphiaGoogle Scholar

Zusätzliche Literatur

  1. Condon RE (1984) Preoperative bowel preparation. In: Cameron JL (ed) Current surgical therapy 1984–1985. BC Decker, Philadelphia, p. 130Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1987

Authors and Affiliations

  • William H. ReMine
    • 1
  • W. Spencer Payne
    • 2
  • Jon A. van Heerden
    • 3
  • Claude E. Welch
    • 4
  • Leslie W. Ottinger
    • 5
  • John P. Welch
    • 6
  1. 1.Section of Gastroenterologic and General SurgeryMayo Clinic and Mayo FoundationRochesterUSA
  2. 2.Section of Thoracic and Cardiovascular SurgeryMayo Clinic and Mayo FoundationRochesterUSA
  3. 3.Section of Gastroenterologic and General SurgeryMayo Clinic and Mayo FoundationRochesterUSA
  4. 4.Massachusetts General HospitalBostonUSA
  5. 5.Massachusetts General HospitalBostonUSA
  6. 6.University of ConnecticutHartfordUSA

Personalised recommendations