In a study founded on two random samples of 237 patients each from 1970--1977, 96% of the patients have had no complaints or they have felt much better after simple cholecystectomy. Retrospective analysis of 3822 patients with a standardized simple cholecystectomy with papilloplasty and without cholangiometry and cholangioscopy shows that only 4% have attacks of pain in the right side of the upper abdomen. In half of the cases an organic reason was found which had no connection with the bile duct.
If it is not possible to arrest massive hemorrhage from esophageal varices within 48 h by conservative means or by endoscopic phlebosclerosation, surgery should be performed as soon as possible. In most cases a palliative operation is performed, by which irreversible shock and consequent heart failure can be avoided. The method of phlebosclerosation preferred by the authors is transection of the lower esophagus via a thoracic approach.
Since the introduction in the Federal Republic of Germany of free routine screening for colorectal carcinoma (digital examination of the rectum in 1971; test for occult blood in the faeces in 1977), the number of Dukes' stage A cases diagnosed at one hospital has increased by 30%. The average interval between onset of symptoms and diagnosis has shortened from 5 to 3.8 months, and the proportion of inoperable carcinomas has decreased by 10%.
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