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Visceral Medicine

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https://www.readbyqxmd.com/read/29888246/long-term-outcomes-after-surgery-for-appendiceal-mucinous-tumours
#1
Audrius Dulskas, Tomas Poskus, Eligijus Poskus, Kestutis Strupas
Background: Appendiceal mucinous tumour (AMT) is a very uncommon disease. We aimed to evaluate preoperative and postoperative characteristics as well as long-term outcomes of patients with appendiceal mucinous adenomas and peritoneal pseudomyxoma (PMP). Methods: A consecutive cohort of patients diagnosed with AMT were included in the study. Tumour recurrence and the development of PMP was diagnosed based on the patients' complaints, physical examination, imaging studies, and biopsy results...
April 2018: Visceral Medicine
https://www.readbyqxmd.com/read/29888245/current-concepts-of-inguinal-hernia-repair
#2
REVIEW
Ferdinand Köckerling, Maarten P Simons
With more than 20 million patients annually, inguinal hernia repair is one of the most often performed surgical procedures worldwide. The lifetime risk to develop an inguinal hernia is 27-43% for men and 3-6% for women. In spite of all advances, 11% of all patients suffer from a recurrence and 10-12% from chronic pain following primary inguinal hernia repair. By developing evidence-based guidelines and recommendations, the international hernia societies aim to improve the outcome of inguinal hernia repair due to standardization of care...
April 2018: Visceral Medicine
https://www.readbyqxmd.com/read/29888244/functional-diagnosis-in-upper-and-lower-gastrointestinal-diseases-relevance-for-conservative-interdisciplinary-and-surgical-therapies
#3
Mark Fox, Henriette Heinrich, Silvana Perretta, Daniel Steinemann
No abstract text is available yet for this article.
April 2018: Visceral Medicine
https://www.readbyqxmd.com/read/29888243/high-resolution-anorectal-manometry-new-insights-in-the-diagnostic-assessment-of-functional-anorectal-disorders
#4
REVIEW
Henriette Heinrich, Benjamin Misselwitz
Functional anorectal disorders such as faecal incontinence (FI), functional anorectal pain, and functional defecation disorders (FDD) are highly prevalent and represent a high socioeconomic burden. Several tests of anorectal function exist in this setting; however, high-resolution anorectal manometry (HR-ARM) is a new tool that depicts pressure all along the anal canal and can assess rectoanal coordination. HR-ARM is used in the diagnosis of FI and especially FDD although data in health is still sparse, and pressure phenomena seen during simulated defecation, such as dyssynergia, are highly prevalent in health...
April 2018: Visceral Medicine
https://www.readbyqxmd.com/read/29888242/before-and-after-anorectal-surgery-which-information-is-needed-from-the-functional-laboratory
#5
REVIEW
Maria Witte, Frank Schwandner, Ernst Klar
Background: Anorectal surgery covers a wide spectrum of surgery. Diagnostic workup of anorectal disease is based on clinical examination with basic functional tests followed by more elaborate diagnostic tests. Since the incidence of anorectal disorders increases with age, more patients will present in outpatient clinics, thus underlining the relevance of this topic. Methods: A PubMed literature search was performed using the terms 'anal incontinence', 'anal and rectal surgery', 'functional diagnostics', and combinations of these terms...
April 2018: Visceral Medicine
https://www.readbyqxmd.com/read/29888241/medical-therapy-of-constipation-current-standards-and-beyond
#6
REVIEW
Viola Andresen, Peter Layer
Chronic constipation is a very common medical problem with relevant impact on the patients' quality of life. Modern definitions recognize constipation as a polysymptomatic disorder, including various aspects of disturbed defecation. Current guidelines recommend a stepwise approach in the management of chronic constipation. Isolated or concomitant evacuation disorders should be identified and may need differential/additional treatment. Baseline measures include lifestyle components and bulking agents. The next step recommends treatment with conventional laxatives...
April 2018: Visceral Medicine
https://www.readbyqxmd.com/read/29888240/before-and-after-esophageal-surgery-which-information-is-needed-from-the-functional-laboratory
#7
REVIEW
Ines Gockel, Sebastian Murad Rabe, Stefan Niebisch
Background: Indications for benign esophageal surgery and postoperative follow-up need to be highly elaborated with differentiated and structured algorithms, based on objective functional workup in the esophageal laboratory. Functional outcome is of utmost interest and has to be driven by the need for comprehensive but purposeful diagnostic methods. Methods: Preoperative diagnostic workup procedures by the functional laboratory include 24-h pH-monitoring, impedance testing, and high-resolution manometry (HRM) - in addition to upper gastrointestinal endoscopy and barium swallow/timed barium esophagogram...
April 2018: Visceral Medicine
https://www.readbyqxmd.com/read/29888239/medical-therapy-of-gastroesophageal-reflux-disease-beyond-proton-pump-inhibitors-where-are-we-heading
#8
REVIEW
Herbert Koop
Proton pump inhibitors (PPI) have greatly improved the treatment of gastroesophageal reflux disease. However, recent investigations have revealed that reflux symptoms persist in a substantial number of patients. Therefore, treatment strategies beyond PPI are urgently required. One such strategy may involve more reliable acid suppression, e.g., with new acid inhibitory drugs. Furthermore, the rapid appearance of an acidic compartment in the proximal stomach after a meal, which is largely responsible for postprandial heartburn, requires a specific kind of therapy in addition to PPI which still needs to be established...
April 2018: Visceral Medicine
https://www.readbyqxmd.com/read/29888238/what-is-the-impact-of-high-resolution-manometry-in-the-functional-diagnostic-workup-of-gastroesophageal-reflux-disease
#9
REVIEW
Jutta Keller
International guidelines agree that high-resolution esophageal manometry (HRM) is an integral part of the diagnostic evaluation of patients with refractory reflux symptoms and should be performed before antireflux surgery. Its most important goal is to explore differential diagnoses, in particular major esophageal motility disturbances, that may be responsible for symptoms. HRM additionally provides insights into all relevant pathomechanisms of gastroesophageal reflux disease (GERD): It can reveal important information on the morphology and function of the esophagogastric junction (EGJ), the presence of a hiatus hernia, transient lower esophageal sphincter relaxations, and dysmotility of the esophageal body...
April 2018: Visceral Medicine
https://www.readbyqxmd.com/read/29888237/diagnostic-investigations-of-gastroesophageal-reflux-disease-who-and-when-to-refer-and-for-what-test
#10
REVIEW
Arne Kandulski, Lukas Moleda, Martina Müller-Schilling
Background: Due to the high prevalence and incidence of patients with gastroesophageal reflux disease (GERD), the diagnostic workup of patients with symptoms of GERD needs to be balanced between empiric antisecretory therapy and further functional assessment including endoscopy and reflux monitoring. Methods: This article is based on a literature review (PubMed, Medline) using the terms 'gastroesophageal reflux disease' or 'GERD' and 'diagnosis', 'therapy', or 'PPI' with special and critical analysis of the current 'Porto' consensus report...
April 2018: Visceral Medicine
https://www.readbyqxmd.com/read/29888236/non-cardiac-chest-pain
#11
REVIEW
Thomas Frieling
Background: Non-cardiac chest pain (NCCP) is recurrent angina pectoris-like pain without evidence of coronary heart disease in conventional diagnostic evaluation. The prevalence of NCCP is up to 70% and may be detected (in this order) at all levels of the medical health care system (general practitioner, emergency department, chest pain unit, coronary care). Reduction of quality of life due to NCCP is comparable, and partially even higher, to that caused by cardiac chest pain. Reasons for psychological strain are symptom recurrence in approximately 50%, nonspecific diagnosis with resulting uncertainty, and insufficient integration of other medical disciplines in the diagnostic workup...
April 2018: Visceral Medicine
https://www.readbyqxmd.com/read/29888235/functional-diagnosis-in-upper-and-lower-gastrointestinal-diseases-relevance-for-conservative-interdisciplinary-and-surgical-therapies
#12
EDITORIAL
Martina Müller-Schilling, Ines Gockel
No abstract text is available yet for this article.
April 2018: Visceral Medicine
https://www.readbyqxmd.com/read/29594173/acinar-cell-cystadenoma-a-rarity-in-advanced-von-hippel-lindau-disease-a-case-report
#13
Tim Fahlbusch, Andrea Tannapfel, Waldemar Uhl, Chris Braumann
Background: Von Hippel-Lindau (VHL) disease may occur at various localisations which can be both intra- and extrapancreatic as well as challenging to diagnose by medical imaging. Case Report: A positron emission tomography/magnetic resonance imaging in a 40-year-old woman was performed to monitor a haemangioblastoma. Additionally, it showed findings which were considered to be a pancreatic neuroendocrine tumour (pNET) and retroumbilical metastasis. The suspected metastasis was laparoscopically resected; however, pathological evaluation did not lead to a clear categorisation...
February 2018: Visceral Medicine
https://www.readbyqxmd.com/read/29594172/endoscopic-surveillance-in-inflammatory-bowel-disease
#14
REVIEW
Martin Goetz
Introduction: Endoscopy is a key technique for the surveillance of patients with inflammatory bowel diseases (Crohn's disease (CD) and ulcerative colitis). Indication to perform endoscopy for surveillance includes assessment of response to therapy, postoperative surveillance, and surveillance for intraepithelial neoplasia. Methods: In addition to personal experience, a literature search was performed and the guidelines were consulted. Results and Conclusion: Endoscopy is the gold standard in the long-term assessment of mucosal healing and in the short-term control of response to intensified therapy...
February 2018: Visceral Medicine
https://www.readbyqxmd.com/read/29594171/augmented-reality-cyber-physical-systems-and-robotic-surgery-nice-to-have-or-a-program-with-future
#15
Andreas Kirschniak, Jan-Hendrik Egberts, Frank-Alexander Granderath, Sörgen Torge Mees, Markus Mille, Beat P Müller, Tero Rautio, Anjali A Röth
No abstract text is available yet for this article.
February 2018: Visceral Medicine
https://www.readbyqxmd.com/read/29594170/enhanced-visualization-from-intraoperative-tissue-differentiation-to-augmented-reality
#16
REVIEW
Dirk Wilhelm, Thomas Vogel, Daniel Ostler, Nils Marahrens, Nils Kohn, Sebastian Koller, Helmut Friess, Michael Kranzfelder
Background: Optimal visualization of the operative field and methods that additionally provide supportive optical information form the basis for target-directed and successful surgery. This article strives to give an overview of current enhanced visualization techniques in visceral surgery and to highlight future developments. Methods: The article was written as a comprehensive review on this topic and is based on a MEDLINE search and ongoing research from our own group and from other working groups...
February 2018: Visceral Medicine
https://www.readbyqxmd.com/read/29594169/robotic-endoscopy
#17
REVIEW
Zheng Li, Philip Wai-Yan Chiu
Endoscopes extend the eyes of the physician into the patient's body. They are widely used in gastrointestinal (GI) diagnostics and minimally invasive surgery. Endoscopes can be classified into 3 types: rigid, flexible, and capsule endoscopes. Rigid and flexible endoscopes are traditionally held and manipulated by the physician to visualize the region of interest, while capsule endoscopes move passively along with the GI peristalsis. With the advancement of technology, robotic endoscopy has been increasingly developed and accepted...
February 2018: Visceral Medicine
https://www.readbyqxmd.com/read/29594168/feasibility-and-usefulness-of-a-joystick-guided-robotic-scope-holder-soloassist-in-laparoscopic-surgery
#18
REVIEW
Yasushi Ohmura, Mari Nakagawa, Hiromitsu Suzuki, Kazutoshi Kotani, Atsushi Teramoto
Introduction: The Soloassist® system is a joystick-guided robotic scope holder. We evaluated the efficacy of Soloassist in laparoscopic surgery. Methods: We investigated operative time, blood loss, set-up time, length of hospital stay, and the number of participating surgeons in laparoscopic cholecystectomy cases before and after the introduction of Soloassist. Furthermore, we evaluated these factors in each group of 20 elective and emergency cholecystectomy cases by single surgeon after matching their background...
February 2018: Visceral Medicine
https://www.readbyqxmd.com/read/29594167/first-experiences-with-the-new-senhance%C3%A2-telerobotic-system-in-visceral-surgery
#19
REVIEW
Dietmar Stephan, Heike Sälzer, Frank Willeke
Until recently, robotic-assisted surgery has exclusively been connected to the name DaVinci®. In 2016, a second robotic system, the Senhance®, became available. To introduce the new robotic system into clinical routine, detailed team training and an integration program were useful. Within the first 6 months, 116 cases were performed with this system. The integration program intended to start with simple and well-standardized clinical cases. We chose inguinal hernia repair using the TAPP (transabdominal preperitoneal) technique as the starting procedure...
February 2018: Visceral Medicine
https://www.readbyqxmd.com/read/29594166/robot-assisted-transplant-surgery-vision-or-reality-a-comprehensive-review
#20
REVIEW
Philipp Stiegler, Peter Schemmer
Minimally invasive surgery is standard procedure for many operations. Further refinements include the introduction of robotic surgery which is still an emerging field especially in laparoscopic surgery. Since the successful introduction of the da Vinci Robotic Surgical System, the robotic approach in organ transplantation has become of great interest in both the live donor organ retrieval and the recipient operation. Robotic surgery for kidney, liver, and pancreas transplantation is feasible. Over 700 donor nephrectomies and 100 kidney transplantations have been performed already, and robotic surgery is standard in a small number of pioneer centers; however, larger series and most importantly randomized controlled trials for the highest evidence are needed...
February 2018: Visceral Medicine
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