Schweizerische medizinische Wochenschrift最新文献

Assessment of focal liver lesions in non-cirrhotic liver – expert opinion statement by the Swiss Association for the Study of the Liver and the Swiss Society of Gastroenterology 非肝硬化肝局灶性肝损害的评估-瑞士肝脏研究协会和瑞士胃肠病学会的专家意见声明

Schweizerische medizinische Wochenschrift Pub Date : 2023-09-12 DOI: 10.57187/smw.2023.40099

Mikael Sawatzki, Daniela B. Husarik, David Semela

{"title":"Assessment of focal liver lesions in non-cirrhotic liver – expert opinion statement by the Swiss Association for the Study of the Liver and the Swiss Society of Gastroenterology","authors":"Mikael Sawatzki, Daniela B. Husarik, David Semela","doi":"10.57187/smw.2023.40099","DOIUrl":"https://doi.org/10.57187/smw.2023.40099","url":null,"abstract":"Focal liver lesions are common, with a prevalence up to 20%. The lesions must be evaluated in context of risk factors associated with malignancy. Risk factors include age >40 years, known current or past malignancy, presence of liver cirrhosis or chronic liver disease (i.e. suspected by elevated liver elastography measurement ≥8 kPa or FIB-4 score ≥1.3), unintentional weight loss, fever or night sweats, newly detected focal liver lesions, documented growth of focal liver lesions, current or past use of androgens (e.g. testosterone, oxymetholone, danazol), increased serum tumour markers (i.e. alpha-fetoprotein, carbohydrate antigen 19-9 [CA19-9], carcinoembryonic antigen [CEA]) and family history of malignancy. In patients without risk factors of malignancy, regional (non-)fatty changes, simple liver cysts and typical haemangiomas can be diagnosed by conventional ultrasound (without contrast). Conventional ultrasound Doppler is recommended to rule out vascular malformations such as portosystemic shunts. In all other cases of focal liver lesions, contrast-enhanced imaging is indicated for differentiation in benign and malignant dignity. Contrast-enhanced ultrasound (CEUS) as a first diagnostic step and contrast-enhanced magnetic resonance imaging (MRI) are accurate tests to diagnose haemangioma and focal nodular hyperplasia. Hepatocellular adenoma is diagnosed by contrast-enhanced MRI and/or histology. “Wash out” on CEUS is highly suspicious for a malignant focal liver lesion. Additional investigations aimed at identifying the primary tumour, as well as staging-computed tomography, MRI and/or histology may be necessary and should be decided on a case-by-case basis. A biopsy of focal liver lesions is indicated in cases of unclear dignity, malignant aspect and focal liver lesions of unclear origin as well as for guiding surgical and oncological management.","PeriodicalId":21484,"journal":{"name":"Schweizerische medizinische Wochenschrift","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135878588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Postpartum depression]. 产后抑郁症。

Schweizerische medizinische Wochenschrift Pub Date : 2020-02-20 DOI: 10.31525/ct1-nct04278456

S. Beriger

{"title":"[Postpartum depression].","authors":"S. Beriger","doi":"10.31525/ct1-nct04278456","DOIUrl":"https://doi.org/10.31525/ct1-nct04278456","url":null,"abstract":"UNLABELLED\u0000We investigated whether informing first-time mothers about postpartum depression affects their experience and behaviour during the depression occurring in the first two weeks after birth.\u0000\u0000\u0000METHOD\u0000138 first-time mothers who were participants in a longitudinal study sponsored by the Swiss National Fund were retrospectively surveyed concerning postpartum depression in the week after birth (response rate: 86.9%).\u0000\u0000\u0000RESULTS\u000090% of the new mothers were affected. One fourth reported severe to very severe symptoms. The most popular sources of information about postpartum depression were books (65.8%) and magazines (59.2%). 10% of the mothers received information from their gynaecologist. 33% of the mothers with severe to very severe symptoms reported that after the birth no member of the medical or paramedical professions had discussed postpartum depression with them. Among the mothers who knew about postpartum depression, 30% did not feel adequately prepared for the degree of depression. Comparisons between informed and non-informed mothers show that the informed mothers had fewer symptoms, a shorter duration, and suffered less. In addition, the following reactions were noted: the informed mothers complained less and were less likely to believe that they were alone in their suffering. Also, they tended to have less negative thought patterns, felt less powerless, and were better able to explain their feelings and behaviour.\u0000\u0000\u0000RECOMMENDATIONS\u0000Information about postpartum depression, especially to ensure that new mothers \"feel prepared for it\", has a positive influence on experience and behaviour in the week after birth. Therefore, it is useful to inform women about postpartum depression before the birth. This could be integrated into the neonatal care programme offered by the woman's gynaecologist. At the same time, training for nursing staff concerning postpartum depression is recommended.","PeriodicalId":21484,"journal":{"name":"Schweizerische medizinische Wochenschrift","volume":"28 1","pages":"1127-33"},"PeriodicalIF":0.0,"publicationDate":"2020-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81815401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Congenital atransferrinemia].

Schweizerische medizinische Wochenschrift Pub Date : 2020-02-10 DOI: 10.32388/eyfwyl

L. Heilmeyer, W. Keller, O. Vivell, K. Betke, F. Woehler, W. Keiderling

引用次数: 6

[Neuroendocrine carcinoma]. 神经内分泌癌。

Schweizerische medizinische Wochenschrift Pub Date : 2020-02-07 DOI: 10.1007/3-540-30683-8_1179

G. Kacl, C. Schubiger, U. Eriksson

引用次数: 22

[Heart transplantation]. 心脏移植。

Schweizerische medizinische Wochenschrift Pub Date : 2020-02-02 DOI: 10.32388/i3fv8r

F. Largiadèr

引用次数: 0

[Asthma attack]. (哮喘)。

Schweizerische medizinische Wochenschrift Pub Date : 2011-05-02 DOI: 10.1542/9781581106275-part06-ch22

P. Dür, R. Speich

引用次数: 0

Nutrition des pancréatites aiguës 急性胰腺炎的营养

Schweizerische medizinische Wochenschrift Pub Date : 2007-01-01 DOI: 10.1007/978-2-287-33475-7_68

J. Zazzo

引用次数: 3

[Primary biliary cirrhosis]. 原发性胆汁性肝硬化。

Schweizerische medizinische Wochenschrift Pub Date : 2006-01-01 DOI: 10.1016/B978-0-323-03675-7.50023-8

R. Poupon

引用次数: 3

[Gastrointestinal hemorrhage]. 胃肠道出血。

Schweizerische medizinische Wochenschrift Pub Date : 2005-07-02 DOI: 10.1542/9781581106220-part01-gastrointestinal-hem

M. Hefti

引用次数: 0

[Post-actinic jejunal lymphangiectasis: a rare case of malabsorption]. 【光化后空肠淋巴管扩张:一例罕见的吸收不良病例】。

Schweizerische medizinische Wochenschrift Pub Date : 2000-12-02

R Monasteri, B Werth, W Brunner, W H Reinhart

引用次数: 0