[Current status in the diagnosis and therapy of meconium ileus]. / Der heutige Stand in Diagnose und Therapie des Meconiumileus.

Meconium ileus is in most cases difficult to diagnose preoperatively; however, aganglionosis should be excluded in every case (rectal double-suction biopsy, manometry). In cases of uncomplicated meconium ileus (no perforation, no further intestinal obstructions) lysis of the meconium by a Gastrografin enema is tried first. In case of no relief, an intraoperative puncture of the bowel and Gastrografin instillation is performed. If there is no relief a small bowel resection is performed and a Bishop-Koop anastomosis or a chimney anastomosis established. A distinction must be made between meconium ileus, meconium disease, meconium plug syndrome, and curd obstruction. Results show a survival rate of 80%.

[Glucose, fructose and xylitol as energy carriers in postoperative parenteral nutrition (comparative studies) (author's transl)]. / Glucose, fructose und xylit als Energieträger in der postoperativen parenteralen Ernährung. Vergleichende Untersuchungen

The effects of fructose, glucose and xylitol, as well as their mixture in a proportion of 2:1:1 were measured and compared in the postoperative phase in a uniform group of patients receiving these substances during a 6-hour infusion. Carbohydrate balance, carbohydrate blood levels, changes in acid-base equilibrium and rises of lactate and uric acid were used as criteria for assessing the various substrates and their mixtures. Using these criteria, a carbohydrate mixture consisting of fructose, glucose and xylitol (2: 1: 1) proved to be better than the various substrates by themselves in equivalent amounts.