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  1. Article: De behandeling van anale fistels.

    Creve, U / Hubens, A

    Acta chirurgica Belgica

    1985  Volume 85, Issue 5, Page(s) 329–333

    Abstract: It is generally accepted that laying-open constitutes the only effective cure for anal fistulae. The sacrifice of at least some part of the anal sphincter apparatus is therefore the inevitable consequence of every operation for fistula. In the case of an ...

    Title translation Treatment of anal fistulas.
    Abstract It is generally accepted that laying-open constitutes the only effective cure for anal fistulae. The sacrifice of at least some part of the anal sphincter apparatus is therefore the inevitable consequence of every operation for fistula. In the case of an intersphincteric or low-trans-sphincteric fistula, only the internal sphincter or the lower half of the external sphincter need to be incised. This may usually be performed without endangering postoperative faecal continence. High trans-sphincteric or suprasphincteric fistulae, however, involve the entire external sphincter and/or the puborectalis muscle. Straightforward trans-section of these sphincters would lead to faecal incontinence. For this reason such high fistulae should be progressively laid open in staged procedures, after encircling the sphincters for some weeks with a seton. The same procedure should also be employed for complex horseshoe-shaped fistulae. Contrary to traditional teaching, anal fistulae in Crohn's disease are no exception to these general therapeutic guidelines. Finally, exploration for an underlying fistula and, if possible, immediate fistulotomy are advocated for all patients with an acute perianal abscess.
    MeSH term(s) Abscess/surgery ; Anus Diseases/surgery ; Crohn Disease/complications ; Fecal Incontinence/etiology ; Humans ; Rectal Fistula/etiology ; Rectal Fistula/surgery
    Language Dutch
    Publishing date 1985-09
    Publishing country England
    Document type English Abstract ; Journal Article
    ZDB-ID 210274-2
    ISSN 0001-5458
    ISSN 0001-5458
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  2. Article: The Hartmann procedure revisited.

    Totté, E / Creve, U / Hubens, A

    Acta chirurgica Belgica

    1993  Volume 93, Issue 4, Page(s) 159–163

    Abstract: The results of 37 consecutive cases of Hartmann's procedure over a 5-year period (1985-1990) were reviewed. The series consisted of 27 emergency procedures (11 diverticular disease, 13 carcinoma, two trauma and one sigmoid volvulus) and ten elective ... ...

    Abstract The results of 37 consecutive cases of Hartmann's procedure over a 5-year period (1985-1990) were reviewed. The series consisted of 27 emergency procedures (11 diverticular disease, 13 carcinoma, two trauma and one sigmoid volvulus) and ten elective procedures (nine carcinoma and one peridiverticular abscess). The indications for emergency procedures were obstruction and perforation. All patients presented with faecal peritonitis owing to colonic perforation. The mean (range) age was 79.4 (34-90) years. The postoperative mortality rate was 30 per cent overall (11 of 37), 33 per cent (four of 12) in the diverticulitis group, 23 per cent (five of 22) in the carcinoma group, and 100 per cent in the iatrogenic trauma group. Death was mainly due to sepsis (82 per cent). Postoperative complications were mainly wound infections, which occurred in 43 per cent (16 of 37) cases. In 25 per cent of the surviving patients, re-establishment of continuity was performed in three of 17 (18 per cent) of the carcinoma group and three of seven (43 per cent) of the diverticulitis group. No attempt at restoration of intestinal continuity was made in six cases due to medical risk in two, extensive carcinoma in two and local recurrence with metastatic disease in two. Three patients refused all further intervention. There were no postoperative deaths after the restoration of continuity. This series reflects the severity of the pathology in this high risk group of patients. However, the operation can be life-saving for a selected group of patients and offers good palliation for advanced colorectal tumours.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Anastomosis, Surgical/methods ; Colorectal Neoplasms/complications ; Colorectal Neoplasms/surgery ; Emergencies ; Female ; Humans ; Intestinal Obstruction/etiology ; Intestinal Obstruction/surgery ; Intestinal Perforation/etiology ; Intestinal Perforation/surgery ; Male ; Middle Aged ; Postoperative Complications/etiology ; Surgical Procedures, Operative/methods
    Language English
    Publishing date 1993-07
    Publishing country England
    Document type Journal Article
    ZDB-ID 210274-2
    ISSN 0001-5458
    ISSN 0001-5458
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  3. Article: Isolated colonic injury following blunt abdominal trauma.

    Totté, E / Van Hee, R / Discart, H / Hendrickx, L / Creve, U

    Acta chirurgica Belgica

    2000  Volume 100, Issue 2, Page(s) 71–73

    Abstract: A case of delayed diagnosis of colonic injury after blunt abdominal trauma leading to faecal peritonitis is presented. Diagnostic problems and possibilities as well as treatment of these injuries are reviewed. The key to diagnosis remains the serial ... ...

    Abstract A case of delayed diagnosis of colonic injury after blunt abdominal trauma leading to faecal peritonitis is presented. Diagnostic problems and possibilities as well as treatment of these injuries are reviewed. The key to diagnosis remains the serial clinical and ultrasound examinations.
    MeSH term(s) Abdominal Injuries/complications ; Adult ; Colon, Sigmoid/blood supply ; Colon, Sigmoid/injuries ; Humans ; Infarction/etiology ; Intestinal Perforation/etiology ; Male ; Peritonitis/etiology ; Wounds, Nonpenetrating/complications
    Language English
    Publishing date 2000-03
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 210274-2
    ISSN 0001-5458
    ISSN 0001-5458
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  4. Article: Benefit of emergency haemorrhoidectomy: a comparison with results after elective operations.

    Ceulemans, R / Creve, U / Van Hee, R / Martens, C / Wuyts, F L

    The European journal of surgery = Acta chirurgica

    2000  Volume 166, Issue 10, Page(s) 808–12; discussion 813

    Abstract: Objective: To compare the outcome of emergency and elective haemorrhoidectomy.: Design: Retrospective study.: Setting: Teaching hospital, Belgium.: Subject: 104 patients who had haemorrhoidectomy for acutely ulcerated or strangulated ... ...

    Abstract Objective: To compare the outcome of emergency and elective haemorrhoidectomy.
    Design: Retrospective study.
    Setting: Teaching hospital, Belgium.
    Subject: 104 patients who had haemorrhoidectomy for acutely ulcerated or strangulated haemorrhoids, and 545 who had elective haemorrhoidectomy.
    Results: Early complications (26/104, 25%), reoperation (7/104, 7%) and late anal stenosis (7/104, 7%) were more common after emergency than elective haemorrhoidectomy, for which the corresponding figures were 74/545 (3.6%), 9 (1.7%) and 1/545 (0.2%). Late outcome was similar for the two groups.
    Conclusions: Emergency haemorrhoidectomy is indicated for the treatment of the acute complications of haemorrhoids.
    MeSH term(s) Acute Disease ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Chronic Disease ; Digestive System Surgical Procedures/adverse effects ; Digestive System Surgical Procedures/methods ; Elective Surgical Procedures ; Emergency Treatment ; Fecal Incontinence/etiology ; Female ; Hemorrhoids/complications ; Hemorrhoids/surgery ; Humans ; Male ; Middle Aged ; Pain/etiology ; Recurrence ; Reoperation ; Retrospective Studies ; Treatment Outcome
    Language English
    Publishing date 2000-10
    Publishing country England
    Document type Comparative Study ; Journal Article
    ZDB-ID 1065288-7
    ISSN 1102-4151 ; 1102-416X ; 0001-5482 ; 1102-1101
    ISSN 1102-4151 ; 1102-416X ; 0001-5482 ; 1102-1101
    DOI 10.1080/110241500447452
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  5. Article: Single-dose parenteral antibiotic prophylaxis in gastrointestinal surgery.

    Creve, U / Hubens, A

    Acta chirurgica Belgica

    1980  Volume 79, Issue 1, Page(s) 27–33

    Abstract: In the course of two consecutive, double-blind and prospective studies, the authors evaluated the prophylactic effect of a single peroperative intravenous dose of gentamicin (this study included 166 patients) or the combination gentamicin and clindamycin ...

    Abstract In the course of two consecutive, double-blind and prospective studies, the authors evaluated the prophylactic effect of a single peroperative intravenous dose of gentamicin (this study included 166 patients) or the combination gentamicin and clindamycin (this study included 127 patients), on the wound infection rate following interventions involving the incision of an abdominal hollow viscus. Antibiotic prophylaxis lowered the post-operative wound sepsis rate, especially following clinically contaminated interventions, but this reduction did not reach statistical significance. It is concluded that a single peroperative parenteral dose of antibiotics does not constitute an entirely satisfactory means of wound infection prophylaxis in digestive surgery.
    MeSH term(s) Adolescent ; Adult ; Aged ; Clindamycin/administration & dosage ; Digestive System Surgical Procedures ; Double-Blind Method ; Drug Therapy, Combination ; Female ; Gastrointestinal Diseases/surgery ; Gentamicins/administration & dosage ; Humans ; Injections, Intravenous ; Male ; Middle Aged ; Prospective Studies ; Random Allocation ; Surgical Wound Infection/prevention & control
    Chemical Substances Gentamicins ; Clindamycin (3U02EL437C)
    Language English
    Publishing date 1980-01
    Publishing country England
    Document type Comparative Study ; Journal Article
    ZDB-ID 210274-2
    ISSN 0001-5458
    ISSN 0001-5458
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  6. Article: The effect of Lord's procedure on anal pressure.

    Creve, U / Hubens, A

    Diseases of the colon and rectum

    1979  Volume 22, Issue 7, Page(s) 483–485

    Abstract: In this study, the authors recorded pre- and postoperative anal resting pressures in 28 patients with hemorrhoidal disease and in 32 controls. No significant difference was found between these two groups preoperatively. In the patient population anal ... ...

    Abstract In this study, the authors recorded pre- and postoperative anal resting pressures in 28 patients with hemorrhoidal disease and in 32 controls. No significant difference was found between these two groups preoperatively. In the patient population anal pressure was significantly lowered following Lord's anal dilation treatment. No such pressure reduction was recorded after a standard St. Mark's hemorrhoidectomy. Finally, the authors confirm that anal pressure measurements record only the tonus of the sphincter apparatus and are not influenced by the volume of the hemorrhoidal masses themselves.
    MeSH term(s) Anal Canal/physiology ; Anal Canal/physiopathology ; Dilatation ; Hemorrhoids/physiopathology ; Hemorrhoids/surgery ; Hemorrhoids/therapy ; Humans ; Pressure
    Language English
    Publishing date 1979-10
    Publishing country United States
    Document type Journal Article
    ZDB-ID 212581-x
    ISSN 1530-0358 ; 0012-3706
    ISSN (online) 1530-0358
    ISSN 0012-3706
    DOI 10.1007/bf02586937
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  7. Article: Campylobacter fetus as a cause of acute cholecystitis.

    Verbruggen, P / Creve, U / Hubens, A / Verhaegen, J

    The British journal of surgery

    1986  Volume 73, Issue 1, Page(s) 46

    MeSH term(s) Acute Disease ; Bile/microbiology ; Campylobacter Infections/complications ; Campylobacter Infections/drug therapy ; Campylobacter fetus/isolation & purification ; Cholecystitis/etiology ; Cholecystitis/surgery ; Erythromycin/therapeutic use ; Humans ; Male ; Middle Aged
    Chemical Substances Erythromycin (63937KV33D)
    Language English
    Publishing date 1986-01
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 2985-3
    ISSN 0007-1323 ; 0263-1202 ; 1355-7688
    ISSN 0007-1323 ; 0263-1202 ; 1355-7688
    DOI 10.1002/bjs.1800730120
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  8. Article: Functional results after total gastrectomy with enteric pouch reconstruction. A review of 34 cases.

    Michielsen, D / Van Hee, R / Hendrickx, L / Creve, U / Peeters, R

    Acta chirurgica Belgica

    1996  Volume 96, Issue 4, Page(s) 155–157

    Abstract: 34 patients with gastric carcinoma, treated by total gastrectomy, had a reconstruction procedure, consisting of a pouch as proposed by Lygidakis or as a variant of the procedure: the beta-modification. In 31 patients a total gastrectomy was performed for ...

    Abstract 34 patients with gastric carcinoma, treated by total gastrectomy, had a reconstruction procedure, consisting of a pouch as proposed by Lygidakis or as a variant of the procedure: the beta-modification. In 31 patients a total gastrectomy was performed for histologically proven gastric adenocarcinoma. Two patients presented with a gastric lymphoma and one with a gastric leiomyosarcoma. Operative mortality was 8.8%. Two patients (5.8%) developed leakage of the oesophago-enteral anastomosis and subsequently died from sepsis, while a third patient died from a postoperative pneumonia. Early complications occurred in 4 patients and consisted of dysphagia, due to stenosis of the oesophago-enteric anastomosis. All 4 patients (12.9%) were treated with endoscopic dilatation and were cured of their dysphagia. One patient developed a late peptic ulcer at the pouch anastomosis and needed a reintervention. Nine patients died from extension of their primary disease within the first postoperative year. The 22 surviving patients are all without symptoms and regained their pre-illness weight. In conclusion, the proposed technique of pouch reconstruction has an acceptable operative mortality and morbidity comparable to or even better than in previously described methods. The long term functional results are better and more patients gain weight.
    MeSH term(s) Adenocarcinoma/surgery ; Adult ; Aged ; Aged, 80 and over ; Anastomosis, Roux-en-Y/methods ; Esophagus/surgery ; Female ; Gastrectomy/methods ; Gastrectomy/mortality ; Humans ; Jejunum/surgery ; Male ; Middle Aged ; Stomach Neoplasms/surgery ; Treatment Outcome
    Language English
    Publishing date 1996-07
    Publishing country England
    Document type Journal Article
    ZDB-ID 210274-2
    ISSN 0001-5458
    ISSN 0001-5458
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  9. Article: Effect of cisapride on the post-cholecystectomy upper gastrointestinal transit time.

    Van Rooy, F / Creve, U / Verlinden, M / Hubens, A

    International journal of clinical pharmacology, therapy, and toxicology

    1988  Volume 26, Issue 5, Page(s) 265–268

    Abstract: For the evaluation of postoperative upper gastrointestinal transit, the breath hydrogen test is a convenient method, which is simple but more reliable than the recording of clinical parameters such as bowel sounds. The test was used to study the effect ... ...

    Abstract For the evaluation of postoperative upper gastrointestinal transit, the breath hydrogen test is a convenient method, which is simple but more reliable than the recording of clinical parameters such as bowel sounds. The test was used to study the effect of cisapride on the postoperative mouth-to-caecum transit time. Twenty patients undergoing cholecystectomy were tested pre-operatively and on the first postoperative day after having received either 10 mg of cisapride i.v. or matching placebo under double-blind conditions. The median preoperative transit time in the placebo group was 45 min, and the median postoperative transit time at least 3 h longer. The postoperative transit time after cisapride dosing was still longer than before the operation but was significantly (p = 0.02) reduced as compared with that after placebo administration.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Breath Tests ; Cholecystectomy ; Cisapride ; Clinical Trials as Topic ; Double-Blind Method ; Female ; Gastrointestinal Transit/drug effects ; Humans ; Male ; Middle Aged ; Piperidines/therapeutic use ; Postoperative Complications/drug therapy ; Random Allocation
    Chemical Substances Piperidines ; Cisapride (UVL329170W)
    Language English
    Publishing date 1988-05
    Publishing country Germany
    Document type Clinical Trial ; Controlled Clinical Trial ; Journal Article
    ZDB-ID 124384-6
    ISSN 0174-4879 ; 0340-0026 ; 0300-9718 ; 0946-1965
    ISSN 0174-4879 ; 0340-0026 ; 0300-9718 ; 0946-1965
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  10. Article: Selective rupture of the Wirsung duct: a rare form of pancreatic trauma.

    Van Hee, R / Van Genderen, B / Van Hee, W / Hubens, A / Creve, U

    Acta chirurgica Belgica

    1993  Volume 93, Issue 2, Page(s) 46–48

    Abstract: A patient with a traumatic pancreatic lesion, confined to the Wirsung duct, is presented. At first laparotomy, the diagnosis was missed. Posttraumatic acute pancreatitis led to endoscopic pancreatography, disclosing the exact localization of the lesion. ... ...

    Abstract A patient with a traumatic pancreatic lesion, confined to the Wirsung duct, is presented. At first laparotomy, the diagnosis was missed. Posttraumatic acute pancreatitis led to endoscopic pancreatography, disclosing the exact localization of the lesion. Left pancreatectomy led to rapid recovery. A late postoperative pancreatic fistula healed without problems.
    MeSH term(s) Abdominal Injuries/complications ; Adult ; Cholangiopancreatography, Endoscopic Retrograde ; Humans ; Male ; Pancreatic Ducts/diagnostic imaging ; Pancreatic Ducts/injuries ; Pancreatic Ducts/surgery ; Pancreatic Fistula/etiology ; Pancreatic Fistula/therapy ; Postoperative Complications/etiology ; Reoperation ; Rupture ; Wounds, Stab/complications
    Language English
    Publishing date 1993-03
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 210274-2
    ISSN 0001-5458
    ISSN 0001-5458
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