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Paiva S, Werner J, Montiani-Ferreira F, Froes T, Machado M, Olbertz L, Lima L, Langohr I. Transitional carcinoma with extensive invasion of the bony orbit in a dog. ARQ BRAS MED VET ZOO 2013. [DOI: 10.1590/s0102-09352013000400012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
A 12-year-old male English Pointer was examined due to a soft-tissue swelling at the medial canthus of the right orbital region, which was causing facial deformity. The dog had epiphora, purulent nasal discharge, epistaxis, dyspnea, and progressive weight loss. An intraoral mass was observed near the right maxillary premolars. Neoplastic disease was diagnosed based on ancillary tests, which included blood work, skull and intraoral radiographs, ocular ultrasonography and computed tomography. Histopathology revealed transitional carcinoma involving the nasal and oral cavities, maxilla, bony orbit and retrobulbar space. Nasal tumors represent approximately 2% of all tumors diagnosed in this species. Transitional carcinoma is the second most common type of malignant epithelial tumor in the nasal sinuses. This case illustrates the extensive destruction of the soft and bony tissues of the face, including the bony orbit that this type of tumor can cause.
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Budach V, Stromberger C, Becker E, Iro H, Engenhart-Cabillic R, Hautmann M, Strutz J, Hueltenschmidt B, Moser L, Werner J. SP-034: RESULTS of the ARO 04-01 Trial of Concurrent 72 GY Hart/Cis-Platinum/5-FU vs. Hart/Mitomycin/5-FU in LAD H&N Cancer. Radiother Oncol 2013. [DOI: 10.1016/s0167-8140(15)34653-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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103
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Werner J. Antwort auf den Leserbrief „Digitale rektale Untersuchung vor dem Aus?“. Zentralbl Chir 2012; 138:678-9. [DOI: 10.1055/s-0032-1315205] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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104
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Burle N, Escoubas S, Kasper E, Werner J, Oehme M, Lyutovich K. X-ray imaging and diffraction study of strain relaxation in MBE grown SiGe/Si layers. ACTA ACUST UNITED AC 2012. [DOI: 10.1002/pssc.201200544] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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105
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Sabouri F, Strauss A, Felix K, Haberkorn U, Werner J, Kauczor HU, Grenacher L. Galectin-1 und Mesothelin als potentielle Rezeptoren für Molecular Imaging und Targeted-Therapy des Pankreaskarzinoms: erste Ergebnisse des EU-Projektes „Nano-Plattformen für fortgeschrittenes Krebsmanagement“. ROFO-FORTSCHR RONTG 2012. [DOI: 10.1055/s-0032-1329756] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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106
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Hoffmeister A, Mayerle J, Beglinger C, Büchler M, Bufler P, Dathe K, Fölsch U, Friess H, Izbicki J, Kahl S, Klar E, Keller J, Knoefel W, Layer P, Loehr M, Meier R, Riemann J, Rünzi M, Schmid R, Schreyer A, Tribl B, Werner J, Witt H, Mössner J, Lerch M, Lerch MM. S3-Leitlinie Chronische Pankreatitis: Definition, Ätiologie, Diagnostik, konservative, interventionell endoskopische und operative Therapie der chronischen Pankreatitis. Leitlinie der Deutschen Gesellschaft für Verdauungs- und Stoffwechselkrankheiten (DGVS). ZEITSCHRIFT FUR GASTROENTEROLOGIE 2012; 50:1176-224. [PMID: 23150111 DOI: 10.1055/s-0032-1325479] [Citation(s) in RCA: 41] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
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de Souza-Lawrence L, Shah A, Young M, Asrari F, Frassica D, Stearns V, Werner J, Efiom-Ekaha D, Wolff A, Zellars R. Phase I/II Trial of Partial Breast Irradiation (PBI) With Various Concurrent Chemotherapy Regimens: Assessment of Skin Toxicity, Cosmetic Outcomes, and Disease Recurrence. Int J Radiat Oncol Biol Phys 2012. [DOI: 10.1016/j.ijrobp.2012.07.569] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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108
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Fritz S, Büchler MW, Werner J. [Surgical therapy of intraductal papillary mucinous neoplasms of the pancreas]. Chirurg 2012; 83:130-5. [PMID: 22271055 DOI: 10.1007/s00104-011-2184-7] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
Intraductal papillary mucinous neoplasms (IPMN) of the pancreas constitute an increasingly recognized entity of cystic pancreatic tumors which are characterized by mucin production and epithelial growth within the pancreatic ducts and show a wide spectrum of morphologic variants. They may arise in the main pancreatic duct, its major side branches or in both (mixed type). Furthermore, IPMNs are considered as precursor lesions to pancreatic adenocarcinoma. However, it is not clear what the time course of such potential neoplastic transformation might be and whether all lesions progress to malignant tumors. As currently no diagnostic test can reliably differentiate between benign and malignant tumors the majority of newly diagnosed IPMNs should be surgically resected. According to current treatment guidelines (Sendai criteria), only asymptomatic side branch IPMNs of less than 3 cm in diameter without suspicious radiologic features, such as nodules, thickness of the cystic wall or size progression, should be treated conservatively without the need for surgical resection. Recently, this approach has become controversial due to a relevant number of reported Sendai negative IPMNs which revealed malignant transformation on final histological examination. The focus of this review is on the surgical treatment of IPMNs with regard to the current state of knowledge.
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Fritz S, Büchler MW, Werner J. Author's reply: Role of serum carbohydrate antigen 19-9 and carcinoembryonic antigen in distinguishing between benign and invasive intraductal papillary mucinous neoplasm of the pancreas ( Br J Surg 2011; 98: 104–110). Br J Surg 2012. [DOI: 10.1002/bjs.8903] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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110
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Bazhin A, Rusch T, Bulashevska S, Werner J. 789 GAGE5, MAP3K2 and TCEA1 Are Potential Predictive Markers for Chemoradioimmunotherapy With Interferon-alpha and 5-fluorouracil of Pancreatic Cancer Patients. Eur J Cancer 2012. [DOI: 10.1016/s0959-8049(12)71424-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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111
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Shevchenko I, Werner J, Umansky V, Bazhin A. 1098 Adenosine Metabolism in T Cells in Melanoma and Pancreatic Cancer and Its Therapeutic Modulation. Eur J Cancer 2012. [DOI: 10.1016/s0959-8049(12)71703-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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112
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Bazhin A, Bleul T, Werner J. 228 Retinoid Receptors in Pancreatic Cancer – Link to the Epithelial-mesenchymal Transition and Patient Survival. Eur J Cancer 2012. [DOI: 10.1016/s0959-8049(12)70923-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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113
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Rachakonda S, Bauer A, Canzian F, Scarpa A, Neoptolemos J, Werner J, Giese N, Heller A, Hoheisel J, Kumar R. 703 K-Ras and CDKN2a Mutations in Pancreatic Cancer. Eur J Cancer 2012. [DOI: 10.1016/s0959-8049(12)71345-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Steinbach S, Hundt W, Hamann K, Werner J, Mandic R. Effect of Thirst Challenge on ADH Levels in Patients with Bilateral Menière’s Disease. Exp Clin Endocrinol Diabetes 2012; 120:405-9. [DOI: 10.1055/s-0032-1309005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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115
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Sesterhenn A, Szalay A, Zimmermann A, Werner J, Barth P, Wiegand S. Stellenwert der Autopsie bei Patienten mit Kopf-Halstumoren. Laryngorhinootologie 2012; 91:375-80. [DOI: 10.1055/s-0032-1306363] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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116
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Barros I, Tolla B, Werner J. P-261 - “Kitchen's talk” - an innovative work of the project “RESTAURANDO ESPERANÇA. Eur Psychiatry 2012. [DOI: 10.1016/s0924-9338(12)74428-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Abstract
Currently, patients with severe necrotizing pancreatitis rarely need interventional or surgical treatment. However, in case of pancreatic infection and septic complications they should be treated with the step up approach, primarily with an interventional or endoscopic drainage. If further clinical deterioration occurs necrosectomy is indicated. This should ideally be postponed until the third or fourth week after onset of pancreatitis to optimize surgical conditions including demarcation of the necrosis. Open necrosectomy with postoperative continuous lavage is a valid treatment option with low mortality, low morbidity and good long-term outcome. In recent years, several minimally invasive techniques for necrosectomy have been developed and are alternative approaches in about 70% of cases. In most cases, the retroperitoneoscopic approach is used, although the endoscopic transgastric route is also being used more and more frequently. While the reduced operative trauma should theoretically also reduce the onset of postoperative organ failure, no study has actually proven this.
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Hackert T, Stampfl U, Schulz H, Strobel O, Büchler MW, Werner J. Clinical significance of liver ischaemia after pancreatic resection. Br J Surg 2011; 98:1760-5. [PMID: 22021030 DOI: 10.1002/bjs.7675] [Citation(s) in RCA: 35] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/28/2011] [Indexed: 12/14/2022]
Abstract
BACKGROUND Liver ischaemia after pancreatic resection is a rare but potentially serious complication. The aim of this study was to determine the impact of postoperative liver ischaemia after pancreatic resection. METHODS All consecutive patients undergoing pancreatic resection between January 2007 and August 2008 in the Department of Surgery in Heidelberg were identified retrospectively from a prospectively collected database and analysed with a focus on postoperative hepatic perfusion failure. Laboratory data, computed tomography (CT) findings, symptoms, therapy and outcome were recorded. RESULTS A total of 762 patients underwent pancreatic resection in the study period. Seventeen patients (2·2 per cent) with a postoperative increase in liver enzymes underwent contrast-enhanced CT for suspected liver perfusion failure. The types of perfusion failure were hypoperfusion without occlusion of major hepatic vessels (6 patients) and ischaemia with arterial (5) and/or portal vein (6) involvement. The overall mortality rate was 29 per cent (5 of 17 patients). Therapy included conservative treatment (7), radiological or surgical revascularization and necrosectomy or resection of necrotic liver tissue (10). Outcome varied from full recovery (4 patients) to moderate systemic complications (6) and severe complications (7) including death. Simultaneous involvement of the portal vein and hepatic artery was always fatal. CONCLUSION Postoperative liver perfusion failure is a rare but potentially severe complication following pancreatic surgery requiring immediate recognition and, if necessary, radiological or surgical intervention.
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Combs S, Habermehl D, Werner J, Büchler M, Debus J. Strategien für präoperatives Downsizing bei inoperablem Pankreaskarzinom. Chirurg 2011; 82:981-8. [DOI: 10.1007/s00104-011-2129-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
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120
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Michalski C, Halangk W, Werner J, Michl P, Ellenrieder V, Friess H, Kleeff J. Kongressnachlese – Deutscher Pankreasclub 2010. Zentralbl Chir 2011. [DOI: 10.1055/s-0031-1271556] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
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121
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Werner J, Büchler M. Pankreaskarzinom: ein Schritt vorwärts in der Behandlung. Dtsch Med Wochenschr 2011; 136:1807-10. [DOI: 10.1055/s-0031-1286107] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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122
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Roeder F, Timke C, Habl MUG, Krautter U, Hensley F, Buechler M, Werner J, Debus J, Huber P, Krempien R. 33 poster AGGRESSIVE LOCAL TREATMENT CONTAINING INTRAOPERATIVE RADIATION THERAPY (IORT) FOR PATIENTS WITH ISOLATED LOCAL RECURRENCES OF PANCREATIC CANCER. Radiother Oncol 2011. [DOI: 10.1016/s0167-8140(11)70156-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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123
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Werner J, Schulze H, Nawrodt B, Janert M, Vardarli I, Nauck M. Auswirkungen eines Hundes auf körperliche Aktivität, Stoffwechseleinstellung und Gewichtskontrolle bei Typ 1- und Typ 2-Diabetes. DIABETOL STOFFWECHS 2011. [DOI: 10.1055/s-0031-1277535] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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124
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Stampfl U, Radeleff B, Sommer CM, Hackert T, Stampfl S, Werner J, Kauczor HU, Richter G. Perkutane Therapie postoperativer Gallelecks mittels perkutaner transhepatischer Cholangiodrainagen (PTCD). ROFO-FORTSCHR RONTG 2011. [DOI: 10.1055/s-0031-1279146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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125
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Stampfl U, Sommer CM, Hackert T, Bellemann N, Holzschuh M, Werner J, Richter G, Kauczor HU, Radeleff B. Superselektive Embolisation zur Notfallbehandlung von akuten Blutungen nach Pankreas-Operation. ROFO-FORTSCHR RONTG 2011. [DOI: 10.1055/s-0031-1279423] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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