Zeitschrift fur Gastroenterologie最新文献

Incidental Gallbladder Polyps - A Case Report on Diagnostic Dilemmas and Management Uncertainty. 偶发性胆囊息肉-诊断困境和治疗不确定性的病例报告。

IF 1.4 4区医学

Zeitschrift fur Gastroenterologie Pub Date : 2025-07-16 DOI: 10.1055/a-2638-1945

Brice Bestenheider, Florian Simon Buehlmann, Christoph F Dietrich

{"title":"Incidental Gallbladder Polyps - A Case Report on Diagnostic Dilemmas and Management Uncertainty.","authors":"Brice Bestenheider, Florian Simon Buehlmann, Christoph F Dietrich","doi":"10.1055/a-2638-1945","DOIUrl":"https://doi.org/10.1055/a-2638-1945","url":null,"abstract":"Incidental findings of the gallbladder and bile ducts are common results in routine ultrasound examinations. This highlights the importance of accurate diagnostics and risk stratification to guide clinical decision-making appropriately. This case report discusses the diagnostic and therapeutic challenges posed by incidental gallbladder polyps (GBPs) through the case of a young man in his late twenties, in whom multiple polyps in the gallbladder were discovered during an abdominal ultrasound. Following current clinical guidelines, he underwent an elective cholecystectomy. The histopathological examination showed no signs of malignancy, emphasizing the ongoing challenge of correctly identifying suspicious lesions while avoiding unnecessary procedures or overtreatment. The case illustrates the limitations of imaging techniques, particularly in assessing the malignancy risk of polyps. It also highlights the variability in size measurements and the need for a nuanced, interdisciplinary decision-making process. Finally, the case raises important questions about patient-centered care, as individual perspectives often differ from standardized recommendations.","PeriodicalId":23853,"journal":{"name":"Zeitschrift fur Gastroenterologie","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144650646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Rare Case of Squamous Cell Cancer - Mixed Neuroendocrine Neoplasm in the tubular Esophagus (MiNEN) discovered by Endoscopic Submucosal Dissection of the entire Tumor. 内镜下粘膜下解剖发现食管鳞状细胞癌-混合性神经内分泌肿瘤1例。

IF 1.4 4区医学

Zeitschrift fur Gastroenterologie Pub Date : 2025-07-16 DOI: 10.1055/a-2624-0296

Christoph R Werner, Katrin Benzler, Lisa Amsberg, Michael Bitzer, Karsten Büringer, Cihan Gani, Mathis Overkamp, Ulrike Schempf, Dörte Wichmann, Nisar P Malek, Hans Bösmüller

引用次数: 0

[The importance of nutritional medicine in patient care, medical training, and research - from a management perspective]. [从管理角度看营养医学在病人护理、医疗培训和研究中的重要性]。

IF 1.4 4区医学

Zeitschrift fur Gastroenterologie Pub Date : 2025-07-16 DOI: 10.1055/a-2616-0772

Katharina Hupa-Breier, Monika Rau

{"title":"[The importance of nutritional medicine in patient care, medical training, and research - from a management perspective].","authors":"Katharina Hupa-Breier, Monika Rau","doi":"10.1055/a-2616-0772","DOIUrl":"https://doi.org/10.1055/a-2616-0772","url":null,"abstract":"Malnutrition affects up to 50% of all hospitalized patients and is associated with increased mortality and morbidity. Nutritional therapy is important for the early detection and treatment of malnutrition.The aim of this survey was to determine the personnel and structural nutritional medicine resources in gastroenterological clinics and to identify possible obstacles.In October 2023, an anonymous survey was conducted among gastroenterological chief physicians being member of the German Society for Gastroenterology, Digestive and Metabolic Diseases (DGVS) on the structural and personnel resources of nutritional care.Of the 78 participants, 57.7% worked at a basic and standard care hospital, 16.7% at a maximum care hospital and 10.3% at a university hospital. There are nutritional medicine structures in 83.3% of the hospitals, 61.5% of which have a doctor with the additional qualification in nutritional medicine. The acquisition of the additional designation was subsidised in 53.8% of cases. The lack of remuneration for nutritional medicine treatments and the resulting lack of personnel resources appear to be problematic for the expansion of clinical nutritional medicine.Even though gastroenterological chief physicians ascribe great importance to nutritional medicine, it currently plays a subordinate role in clinical work, training and further education as well as in research. An improvement in budgetary remuneration appears necessary in order to strengthen nutritional medicine in everyday inpatient care.","PeriodicalId":23853,"journal":{"name":"Zeitschrift fur Gastroenterologie","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144650644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bibliometric analysis of research areas, authors' hierarchy and gender in German university gastroenterology and hepatology. 德国大学胃肠病学和肝病学研究领域、作者等级和性别的文献计量分析。

IF 1.4 4区医学

Zeitschrift fur Gastroenterologie Pub Date : 2025-07-16 DOI: 10.1055/a-2645-0307

Katja Boklage, Sebastian Debus, Thomas Lingenfelser, Reinhart T Grundmann

{"title":"Bibliometric analysis of research areas, authors' hierarchy and gender in German university gastroenterology and hepatology.","authors":"Katja Boklage, Sebastian Debus, Thomas Lingenfelser, Reinhart T Grundmann","doi":"10.1055/a-2645-0307","DOIUrl":"https://doi.org/10.1055/a-2645-0307","url":null,"abstract":"This bibliometric study examines the publication activities of German university departments of gastroenterology and hepatology.First and last authorships from staff members (chief and consultants) of 39 German university departments of gastroenterology were evaluated. Gender assignment was carried out through manual verification based on information available on hospital websites. The observation period extended from 2010 to 2019, and all PubMed-listed publications were considered. The 5-year Impact factor (IF2016) was evaluated through the publishing journals' five-year IF in 2016.A total of 4,923 publications with 22,609.5 cumulative impact factors (c-IFs) were generated by 509 staff members. Publications on gastroenterology accounted for 30.3% and publications on hepatology for 26.7% of the total publications. The most common research foci were therapeutic approaches (35.0%) and diagnostics (30.2%). While women comprised 21.8% of the total staff, they accounted for only 16.9% of publishing authors. The proportion of female staff decreased with increasing professional level (Consultants 26.2%, Consultants with management functions 12.7%, Directors 10%; Doctors 29.9%, Senior lecturers 13.9%, Professors 15.4%). The c-IF were distributed as 89% male and 11% female staff, with the average IF per authorship being nearly equal for male and female authorships (men IF 4.54, women IF 4.42).This study confirms the strong male dominance in leadership positions, number of publications, and generated c-IFs in German gastroenterological university departments.","PeriodicalId":23853,"journal":{"name":"Zeitschrift fur Gastroenterologie","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144650645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Correction: AWMF-Registernummer: 032-010OL - Leitlinie (Kurzversion)]. [更正：AWMF注册号：032-010OL -指南（短版本）]。

IF 1.4 4区医学

Zeitschrift fur Gastroenterologie Pub Date : 2025-07-01 Epub Date: 2025-05-27 DOI: 10.1055/a-2618-6445

Thomas Seufferlein, Julia Mayerle, Stefan Boeck, Thomas Brunner, Thomas J Ettrich, Lars Grenacher, Thomas Mathias Gress, Thilo Hackert, Volker Heinemann, Angelika Kestler, Marianne Sinn, Andrea Tannapfel, Waldemar Uhl, Ulrich Wedding

引用次数: 0

[Podcasts for psychoeducation in irritable bowel syndrome: A mixed-methods analysis]. [肠易激综合征播客心理教育：混合方法分析]。

IF 1.4 4区医学

Zeitschrift fur Gastroenterologie Pub Date : 2025-07-01 Epub Date: 2025-03-31 DOI: 10.1055/a-2550-9549

Pia Gerhold, Bernd Löwe, Samuel Huber, Angelika Weigel

{"title":"[Podcasts for psychoeducation in irritable bowel syndrome: A mixed-methods analysis].","authors":"Pia Gerhold, Bernd Löwe, Samuel Huber, Angelika Weigel","doi":"10.1055/a-2550-9549","DOIUrl":"10.1055/a-2550-9549","url":null,"abstract":"Irritable bowel syndrome (IBS) constitutes a significant proportion of gastroenterological consultations. Psychoeducation for IBS can improve clinical outcomes. Podcasts might be a valuable medium for psychoeducation. The aim of this study was therefore to evaluate German-language podcasts on IBS with regard to their suitability for patient education and to identify both podcast recommendations and practice-oriented formulation examples for practitioners.In a key date survey, podcasts produced by specialists on explanatory models of IBS were identified and a mixed methods analysis conducted. Content was evaluated quantitatively using a guideline-based checklist and qualitatively using a thematic analysis for an in-depth analysis of the contained explanatory models.From a total of 132 identified podcast episodes, 53 (duration M = 31 minutes, SD = 15.5) were included in the analysis. On average, the podcast episodes scored 16 out of a possible 60 points, with the best-rated episode scoring 37 points. Alongside helpful formulation examples, the qualitative analysis revealed stigmatizing to misleading statements.Podcasts comprise high-quality explanatory models for IBS. Practitioners can use a combination of podcast episodes as a valuable resource to facilitate psychoeducation.","PeriodicalId":23853,"journal":{"name":"Zeitschrift fur Gastroenterologie","volume":" ","pages":"731-740"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Thinking out of the tube: endoscopic findings in oral cavity, pharynx and larynx during flexible esophagogastroduodenoscopy]. [管内思考：柔性食管胃十二指肠镜下口腔、咽、喉的内镜表现]。

IF 1.4 4区医学

Zeitschrift fur Gastroenterologie Pub Date : 2025-07-01 Epub Date: 2025-02-19 DOI: 10.1055/a-2529-3061

Felix Gundling, Christopher Moritz Schad, Nadia Böss, Andreas Wannhoff, Eva-Tessina Becker, Andreas Eckert, Oliver Pech

{"title":"[Thinking out of the tube: endoscopic findings in oral cavity, pharynx and larynx during flexible esophagogastroduodenoscopy].","authors":"Felix Gundling, Christopher Moritz Schad, Nadia Böss, Andreas Wannhoff, Eva-Tessina Becker, Andreas Eckert, Oliver Pech","doi":"10.1055/a-2529-3061","DOIUrl":"10.1055/a-2529-3061","url":null,"abstract":"During a flexible esophagogastroduodenoscopy (EGD), the oral cavity and significant regions of the pharynx (oropharynx, hypopharynx), as well as the larynx, can usually be examined with a high resolution. Numerous benign and malignant findings of considerable clinical relevance can occur in this region of the digestive tract, which can be inspected during a gastroscopy and treated subsequently. Remarkably, head and neck tumors represent a heterogeneous group of malignant diseases and account for ca. 4 % of cancers diagnosed in men in Germany.This review presents benign and malignant findings assessed during routine endoscopy in the oral cavity, pharynx and larynx discussing them in the context of an extensive literature review.Common benign and malignant findings in the oral cavity, oropharynx, hypopharynx and larynx are easy to diagnose visually with a reasonable amount of additional time and histological confirmation is possible in selected cases. We describe a proposal for a structured examination procedure.Careful routine inspection of the oral cavity, oropharynx, hypopharynx and larynx during gastroscopy can reveal pathological findings and diagnose them at an early stage, especially in people at risk, but also in the general population.","PeriodicalId":23853,"journal":{"name":"Zeitschrift fur Gastroenterologie","volume":" ","pages":"760-770"},"PeriodicalIF":1.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143459670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Clinical Ultrasound Part II - Sonopsychology or Psychological Interactions using Ultrasound]. [临床超声第二部分-超声心理学或使用超声的心理相互作用]。

IF 1.4 4区医学

Zeitschrift fur Gastroenterologie Pub Date : 2025-07-01 Epub Date: 2025-05-15 DOI: 10.1055/a-2581-4225

Claudia Lucius, Christian Jenssen, Dieter Nürnberg, Daniel Merkel, Dagmar G Schreiber-Dietrich, Eberhard Merz, Christoph F Dietrich

引用次数: 0

[Endo-Hepatology: New Endoscopic Solutions for Old Hepatological Problems]. [内窥镜下解决肝病老问题]。

IF 1.4 4区医学

Zeitschrift fur Gastroenterologie Pub Date : 2025-07-01 Epub Date: 2025-04-30 DOI: 10.1055/a-2590-9998

Michael Praktiknjo, Matthias Dollinger, Barbara Braden, Wim Laleman, Jonel Trebicka

引用次数: 0

[Malignancy on the second look - the hidden cardia carcinoma]. [二次检查的恶性肿瘤-隐蔽性贲门癌]。

IF 1.4 4区医学

Zeitschrift fur Gastroenterologie Pub Date : 2025-07-01 Epub Date: 2025-07-11 DOI: 10.1055/a-2596-9018

Susanne M Hürtgen, Til Bubenzer, Amjad Naami, Jens J W Tischendorf

引用次数: 0