Visceral Medicine最新文献_第2页

Microbiota Therapy: Ready for Clinical Practice? 微生物群疗法:准备好临床实践了吗?

4区医学

Visceral Medicine Pub Date : 2023-11-14 DOI: 10.1159/000534778

Michael Scharl, Gerhard Rogler

引用次数: 0

Interdisciplinary Frontiers – The View of Surgery 跨学科的前沿-外科的观点

4区医学

Visceral Medicine Pub Date : 2023-10-27 DOI: 10.1159/000533743

Pompiliu Piso, Maximilian Babucke, Vanessa Schmitt, Sebastian Blaj

引用次数: 0

Hydatid Disease of the Liver. 肝棘球蚴病。

IF 1.8 4区医学

Visceral Medicine Pub Date : 2023-10-01 Epub Date: 2023-09-25 DOI: 10.1159/000533807

Virandera Pal Bhalla, Souvik Paul, Ernst Klar

{"title":"Hydatid Disease of the Liver.","authors":"Virandera Pal Bhalla, Souvik Paul, Ernst Klar","doi":"10.1159/000533807","DOIUrl":"10.1159/000533807","url":null,"abstract":"Background: Echinococcosis also known as hydatid disease is a zoonotic parasitic disease caused by a tapeworm. It has a worldwide distribution. For long, it was thought to be a problem of the poorly sanitized \"third world\" and not given the importance it deserved. However, its occurrence in countries like Australia and New Zealand and recently in countries in Central Europe has meant that it is included in a WHO list of neglected diseases, has recently been the subject of extensive epidemiological studies, and has been the recipient of increased research funding.Summary: The diagnosis is still based on clinical presentation in an endemic area corroborated with typical findings on imaging which routinely include ultrasound and CT scan. Serological tests have been used in some centers to support the diagnosis. Treatment depends on the site of involvement and can vary from wait and watch to extensive radical surgical procedures. The common element of all treatments is the addition of albendazole which forms an essential cornerstone of all treatment protocols. Inspite having been used for a fairly long time, there is still no consensus on the dose, duration, and timing of therapy with albendazole.Key message: Hydatid disease continues to be a significant global health problem inspite of a good understanding of its life cycle and rising standards of public sanitation. Though diagnosis is straightforward and not expensive, treatment can sometimes be complicated. The addition of albendazole to all treatment protocols is an important advance, but firm guidelines on duration of its use are still awaited.","PeriodicalId":56003,"journal":{"name":"Visceral Medicine","volume":"39 5","pages":"112-120"},"PeriodicalIF":1.8,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10601525/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71415381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical Value of Clip-and-Snare Assisted Endoscopic Submucosal Resection in Treatment of Rectal Neuroendocrine Tumors. 钳夹和圈套辅助内镜下黏膜下切除术治疗直肠神经内分泌肿瘤的临床价值。

IF 1.8 4区医学

Visceral Medicine Pub Date : 2023-10-01 Epub Date: 2023-09-05 DOI: 10.1159/000533393

Xin-Tong Jiang, Yang Hu, Jian Gong, Shi-Bin Guo

{"title":"Clinical Value of Clip-and-Snare Assisted Endoscopic Submucosal Resection in Treatment of Rectal Neuroendocrine Tumors.","authors":"Xin-Tong Jiang, Yang Hu, Jian Gong, Shi-Bin Guo","doi":"10.1159/000533393","DOIUrl":"10.1159/000533393","url":null,"abstract":"Introduction: The aim of the study was to introduce a new endoscopic technology, clip-and-snare assisted endoscopic submucosal resection (CS-ESMR), for treatment of rectal neuroendocrine tumors (NETs) and then to investigate the therapeutic value of CS-ESMR.Methods: In this retrospective study, 67 patients who underwent endoscopic treatment of rectal NETs from March 2017 to December 2021 were analyzed. According to the endoscopic resection methods (endoscopic mucosal resection [EMR], CS-ESMR, and endoscopic submucosal dissection [ESD]), the cases were divided into CS-ESMR group (27 cases), ESD group (31 cases), and EMR group (9 cases). The pathological R0 resection rate and the incidence of adverse events (bleeding and perforation) were compared among the three groups.Results: There was a significant difference about the pathological R0 resection between the CS-ESMR group and the EMR group and between the CS-ESMR group and the ESD group (both p < 0.05). Compared with ESD group, the procedure time, intraoperative bleeding, and the cost of CS-ESMR group are significantly decreased (p < 0.001, p < 0.05, p < 0.001, respectively).Conclusion: CS-ESMR may be a safe and effective treatment for rectal NETs with a diameter of less than 10 mm, without muscularis propria invasion and metastasis.","PeriodicalId":56003,"journal":{"name":"Visceral Medicine","volume":"39 5","pages":"140-147"},"PeriodicalIF":1.8,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10601530/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71415463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Endoscopic Ultrasound in Pancreatology: Focus on Inflammatory Diseases and Interventions. 胰腺科的内镜超声：聚焦炎症性疾病和介入治疗。

IF 1.8 4区医学

Visceral Medicine Pub Date : 2023-10-01 Epub Date: 2023-09-05 DOI: 10.1159/000533433

Francesco Vitali, Sebastian Zundler, Daniel Jesper, Deike Strobel, Dane Wildner, Nicoló de Pretis, Luca Frulloni, Stefano Francesco Crinó, Markus F Neurath

{"title":"Endoscopic Ultrasound in Pancreatology: Focus on Inflammatory Diseases and Interventions.","authors":"Francesco Vitali, Sebastian Zundler, Daniel Jesper, Deike Strobel, Dane Wildner, Nicoló de Pretis, Luca Frulloni, Stefano Francesco Crinó, Markus F Neurath","doi":"10.1159/000533433","DOIUrl":"10.1159/000533433","url":null,"abstract":"Background: Endoscopic ultrasound (EUS) is a main tool in pancreatology for both diagnosis and therapy. It allows minimally invasive differentiation of various diseases, with a minimal degree of inflammation or anatomic variations. EUS also enables interventional direct access to the pancreatic parenchyma and the retroperitoneal space, the pancreatic duct, the pancreatic masses, cysts, vascular structures for diagnostic and therapeutic purposes.Summary: This review aimed to summarize the new developments of EUS in the field of pancreatology, with special interest on inflammation and interventions. EUS enables way to perform pseudocyst drainage, necrosectomy, transenteral drainage and transenteric access of the main pancreatic duct, or the direct visualization or therapy of vascular structures adjacent to the pancreas.Key messages: EUS has a deep impact on pancreatology, and the development of new diagnostic and interventional approaches to the retroperitoneal space and the pancreas has increased in the last years exponentially, allowing minimal invasive diagnostics and therapy and avoiding surgery and percutaneous therapy.","PeriodicalId":56003,"journal":{"name":"Visceral Medicine","volume":"39 5","pages":"131-139"},"PeriodicalIF":1.8,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10601533/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71415380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Parasitic Disease of the Gastrointestinal Tract: Surgical Aspects. 胃肠道寄生虫病：外科方面。

IF 1.8 4区医学

Visceral Medicine Pub Date : 2023-10-01 Epub Date: 2023-09-15 DOI: 10.1159/000533352

Ernst Klar

引用次数: 0

Diagnostic Endoscopic Ultrasound in Pancreatology: Focus on Normal Variants and Pancreatic Masses. 胰腺科的诊断性内镜超声：关注正常变异和胰腺肿块。

IF 1.8 4区医学

Visceral Medicine Pub Date : 2023-10-01 Epub Date: 2023-09-05 DOI: 10.1159/000533432

Francesco Vitali, Sebastian Zundler, Daniel Jesper, Dane Wildner, Deike Strobel, Luca Frulloni, Markus F Neurath

{"title":"Diagnostic Endoscopic Ultrasound in Pancreatology: Focus on Normal Variants and Pancreatic Masses.","authors":"Francesco Vitali, Sebastian Zundler, Daniel Jesper, Dane Wildner, Deike Strobel, Luca Frulloni, Markus F Neurath","doi":"10.1159/000533432","DOIUrl":"10.1159/000533432","url":null,"abstract":"Background: Endoscopic ultrasound (EUS) is a main tool in gastroenterology for both diagnosis and exclusion of pancreatic pathology. It allows minimally invasive assessment of various diseases or anatomic variations affecting the pancreas also with the help of new Doppler technologies, elastography, contrast-enhanced imaging including post hoc image processing with quantification analyses, three-dimensional reconstruction, and artificial intelligence. EUS also allows interventional direct access to the pancreatic parenchyma and the retroperitoneal space, to the pancreatic duct, pancreatic masses, cysts, and vascular structures.Summary: This review aimed to summarize new developments of EUS in the field of pancreatology. We highlight the role of EUS in evaluating pancreatic pathology by describing normal anatomic variants like pancreas divisum, pancreatic lipomatosis, pancreatic fibrosis in the elderly and characterizing pancreatic masses, both in the context of chronic pancreatitis and within healthy pancreatic parenchyma. EUS is considered the optimal imaging modality for pancreatic masses of uncertain dignity and allows both cytological diagnosis and histology, which is essential not only for neoplastic conditions but also for tailoring therapy for benign inflammatory conditions.Key messages: EUS plays an indispensable role in pancreatology and the development of new diagnostic and interventional approaches to the retroperitoneal space and the pancreas exponentially increased over the last years. The development of computer-aided diagnosis and artificial intelligence algorithms hold the potential to overcome the obstacles associated with interobserver variability and will most likely support decision-making in the management of pancreatic disease.","PeriodicalId":56003,"journal":{"name":"Visceral Medicine","volume":"39 5","pages":"121-130"},"PeriodicalIF":1.8,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10601528/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71415464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Visceral Medicine: The View of GI 内脏医学:GI的观点

4区医学

Visceral Medicine Pub Date : 2023-09-12 DOI: 10.1159/000533435

Peter Huebener, Tania Amin, Ansgar W. Lohse

引用次数: 0

Biliary Parasitic Diseases Associated with Hepatobiliary Carcinoma. 与肝胆癌相关的胆道寄生虫病

IF 1.8 4区医学

Visceral Medicine Pub Date : 2023-08-01 Epub Date: 2023-07-12 DOI: 10.1159/000531599

Taigo Hata, Ito Hiromichi

引用次数: 0

Safety and Feasibility of Cholecystectomy with the Hugo^TM RAS: Proof of Setup Guides and First-In-Human German Experience. 使用HugoTM RAS进行胆囊切除术的安全性和可行性:安装指南的证明和首次在人身上的德国经验

IF 1.8 4区医学

Visceral Medicine Pub Date : 2023-08-01 Epub Date: 2023-08-09 DOI: 10.1159/000531595

Orlin Belyaev, Tim Fahlbusch, Illya Slobodkin, Wademar Uhl

{"title":"Safety and Feasibility of Cholecystectomy with the HugoTM RAS: Proof of Setup Guides and First-In-Human German Experience.","authors":"Orlin Belyaev, Tim Fahlbusch, Illya Slobodkin, Wademar Uhl","doi":"10.1159/000531595","DOIUrl":"10.1159/000531595","url":null,"abstract":"Introduction: The Hugo RAS robotic platform by Medtronic was recently certified for human use in Europe. Several centers have gained initial experience with this system in urology and gynecology. However, few data about its feasibility and safety in general surgery have been published.Methods: The first-in-human surgical procedures with the Hugo RAS in Germany were performed at our hospital in February 2023. We report our early experience with robotic cholecystectomy using this new platform. The primary aim was to test the setup guides of the manufacturer and to evaluate the safety and feasibility of Hugo RAS for this procedure.Results: A modified setup with two 11-mm ports and two 8-mm ports without an assistant port was used in 14 consecutive cases. A 30° or a 0° camera, a bipolar grasper or a Maryland on the left arm, a monopolar scissors on the right arm, and a double-fenestrated grasper on the additional arm were mounted. Clip application and gallbladder extraction were performed by the bedside assistant through the right arm 11-mm port. There were no complications, no adverse events, and no conversions. Arm collisions were reduced through slight corrections in trocar positions.Conclusion: Robotic-assisted cholecystectomy with the Hugo RAS was safe and feasible. The modularity of robotic arms allows individual setup modifications which may be of advantage for patients and surgeons.","PeriodicalId":56003,"journal":{"name":"Visceral Medicine","volume":"39 1","pages":"76-86"},"PeriodicalIF":1.8,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10601522/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49261137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0