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Zeitschrift für Gastroenterologie 542건

  1. [해외논문]   Invasive kardiale Aspergillose nach orthotoper Lebertransplantation   SCI SCIE

    Wiltberger, G. ; Schmelzle, M. ; Schubert, S. ; Lübbert, C. ; Brandmaier, P. ; Berg, T. ; Pfeiffer, D. ; Rodloff, A. ; Mohr, F.W. ; Jonas, S.
    Zeitschrift für Gastroenterologie v.52 no.8 ,pp. 813 - 817 , 2014 , 0044-2771 ,

    초록

    Invasive aspergillus infection occurs in 5 – 42 % of liver-transplanted recipients and is a dangerous complication, associated with high mortality if untreated. However, the early diagnosis of invasive aspergillosis can be elusive, as clinical signs are unspecific and the pathogenic agent is difficult to?demonstrate. We here report about a 58-year-old man with acute liver failure caused by newly diagnosed chronic hepatitis B infection who underwent liver transplantation. The postoperative course was uneventful, and the patient was discharged after 30 days. After 105 days the patient was readmitted because of fever, recurrent chest and abdominal pain. Computed tomography revealed a cardiac lesion; other diagnostic steps including bone-marrow and endomycordial biopsy, virological and microbiological investigations gave no clear findings. To exclude a malignant process, thoracotomy with mass and simultaneous lower left lobe resection were performed. Histopathological?findings revealed an invasive perimyocardial aspergillosis. Immediate intravenous therapy with voriconazole and caspofungin was initiated and monitoring of the mass was performed with transesophageal echocardiography and Cardio-MRI. Due to slightly increase of the lesion, medication was switched to posaconazole and caspofungin. Under this dual fungal treatment the lesion regressed and the patient could be discharged after two?months in good clinical condition. Frequent Cardio-MRI scan after discharge showed further mass-regression. Therefore antifungal treatment was switched to oral posaconazole mono-therapy. After one year, complete reduction of the mass was achieved and antifungal therapy was discontinued. Recent diagnostic imaging follow-up showed no pathological finding.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  2. [해외논문]   Versorgung einer spAt entdeckten, iatrogenen Kolonperforation via minimalinvasivem Rendezvous-Verfahren  

    Kühn, F. ; Philipp, M. ; Klar, E. ; Witte, M.
    Zeitschrift für Gastroenterologie v.52 no.8 ,pp. 818 - 820 , 2014 , 0044-2771 ,

    초록

    Laparoscopic surgery as primary therapeutical option for iatrogenic colonic perforation after colonoscopy can be complemented by intraoparative colonoscopy in order to detect and treat even difficult accessible lesions. Via the presented method minimal invasisve detection and therapy of perforation can be conducted safely and can lead to reduction of morbidity.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  3. [해외논문]   Inzidenz und Therapie von Chemotherapie-induzierter Nausea und Emesis bei gastrointestinalen Tumoren   SCI SCIE

    Lorenzen, S. ; Spörl, S. ; Lordick, F.
    Zeitschrift für Gastroenterologie v.52 no.8 ,pp. 821 - 830 , 2014 , 0044-2771 ,

    초록

    The incidence of gastrointestinal (GI) cancer is increasing, with approximately 2 million new cases diagnosed worldwide and about 1.2 million patients dying per year. In Europe, about 500 000 people per year are newly diagnosed with GI cancer. The most frequent cancer types that undergo chemotherapy include cancer of the oesophagus, stomach, pancreas, biliary tract and colorectum. In the last years, various new agents and combinations have been demonstrated to improve the prognosis of patients with GI?cancer. However, with the introduction of new and more effective systemic treatments, the need for supportive treatment has become more complex. There has been significant improvement in the management of nausea and vomiting arising from highly and moderately emetogenic chemotherapy. Nevertheless, vomiting and especially nausea continue to be two of the most distressing side effects of antineoplastic treatment. For the prevention of chemotherapy-induced nausea and vomiting in highly emetogenic therapy, a triple therapy including a 5-HT3-receptor antagonist (RA), dexamethasone?and an NK1-RA, aprepitant or fosaprepitant?are recommended. In moderately emetogenic regimens, updated guidelines recommend the combination of the second-generation 5-HT3-RA palonosetron with dexamethasone, providing improved protection against acute nausea and vomiting, and demonstrating superior prevention in the delayed phase. This review provides an update of the revised clinical guidelines for antiemetic treatment and prophylaxis in GI cancer patients receiving chemotherapy.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  4. [해외논문]   Differenzialdiagnose der DiarrhO  

    Lembcke, B.
    Zeitschrift für Gastroenterologie v.52 no.8 ,pp. 831 - 840 , 2014 , 0044-2771 ,

    초록

    Diarrhoea is a common symptom and numerous differential diagnoses must be considered. This article illustrates approaches for a rational and efficient work-up based on practical facilities in acute diarrhoea and fostered by 4 key questions scrutinising chronic diarrhoea. The applications of imaging methods (endoscopy, ultrasonography) are discussed along with infectious topics and function testing. The aim of this contribution is to help patients to get a precise diagnosis in a most rational way. This implies a transparent and targeted medical strategy, avoiding selective intuitions (“trial and error”) as well as extensive diagnostic overdoing in the case of only putative diarrhoea. Knowing the potential of diagnostic methods which are (or can) possibly not performed regularly in the physician's office, and their requirements/limitations is an important component in this situation. The basic fundament for application of such methods, however, and the clue to economic diagnosis as well as the differential diagnosis of diarrhoeal diseases are the history and simple tests.

    원문보기

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    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  5. [해외논문]   Endoskopische oder chirurgische Zystogastrostomie bei Pankreaspseudozysten: Jetzt endlich eine klare Antwort auf?eine alte Frage?  

    Lankisch, T. O.
    Zeitschrift für Gastroenterologie v.52 no.8 ,pp. 841 - 842 , 2014 , 0044-2771 ,

    초록

    Diarrhoea is a common symptom and numerous differential diagnoses must be considered. This article illustrates approaches for a rational and efficient work-up based on practical facilities in acute diarrhoea and fostered by 4 key questions scrutinising chronic diarrhoea. The applications of imaging methods (endoscopy, ultrasonography) are discussed along with infectious topics and function testing. The aim of this contribution is to help patients to get a precise diagnosis in a most rational way. This implies a transparent and targeted medical strategy, avoiding selective intuitions (“trial and error”) as well as extensive diagnostic overdoing in the case of only putative diarrhoea. Knowing the potential of diagnostic methods which are (or can) possibly not performed regularly in the physician's office, and their requirements/limitations is an important component in this situation. The basic fundament for application of such methods, however, and the clue to economic diagnosis as well as the differential diagnosis of diarrhoeal diseases are the history and simple tests.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  6. [해외논문]   Neue Mitglieder der Deutschen Gesellschaft fUr Gastroenterologie, Verdauungs- und Stoffwechselkrankheiten  


    Zeitschrift für Gastroenterologie v.52 no.8 ,pp. 1002 - 1003 , 2014 , 0044-2771 ,

    초록

    Diarrhoea is a common symptom and numerous differential diagnoses must be considered. This article illustrates approaches for a rational and efficient work-up based on practical facilities in acute diarrhoea and fostered by 4 key questions scrutinising chronic diarrhoea. The applications of imaging methods (endoscopy, ultrasonography) are discussed along with infectious topics and function testing. The aim of this contribution is to help patients to get a precise diagnosis in a most rational way. This implies a transparent and targeted medical strategy, avoiding selective intuitions (“trial and error”) as well as extensive diagnostic overdoing in the case of only putative diarrhoea. Knowing the potential of diagnostic methods which are (or can) possibly not performed regularly in the physician's office, and their requirements/limitations is an important component in this situation. The basic fundament for application of such methods, however, and the clue to economic diagnosis as well as the differential diagnosis of diarrhoeal diseases are the history and simple tests.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  7. [해외논문]   Endoskopische Trainingskurse nach den Kriterien der DGVS: Kurs Kapselendoskopie aufgenommen  


    Zeitschrift für Gastroenterologie v.52 no.8 ,pp. 1002 - 1002 , 2014 , 0044-2771 ,

    초록

    Diarrhoea is a common symptom and numerous differential diagnoses must be considered. This article illustrates approaches for a rational and efficient work-up based on practical facilities in acute diarrhoea and fostered by 4 key questions scrutinising chronic diarrhoea. The applications of imaging methods (endoscopy, ultrasonography) are discussed along with infectious topics and function testing. The aim of this contribution is to help patients to get a precise diagnosis in a most rational way. This implies a transparent and targeted medical strategy, avoiding selective intuitions (“trial and error”) as well as extensive diagnostic overdoing in the case of only putative diarrhoea. Knowing the potential of diagnostic methods which are (or can) possibly not performed regularly in the physician's office, and their requirements/limitations is an important component in this situation. The basic fundament for application of such methods, however, and the clue to economic diagnosis as well as the differential diagnosis of diarrhoeal diseases are the history and simple tests.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

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  8. [해외논문]   14. Intensivkurs Gastroenterologie  


    Zeitschrift für Gastroenterologie v.52 no.8 ,pp. 1005 - 1005 , 2014 , 0044-2771 ,

    초록

    Diarrhoea is a common symptom and numerous differential diagnoses must be considered. This article illustrates approaches for a rational and efficient work-up based on practical facilities in acute diarrhoea and fostered by 4 key questions scrutinising chronic diarrhoea. The applications of imaging methods (endoscopy, ultrasonography) are discussed along with infectious topics and function testing. The aim of this contribution is to help patients to get a precise diagnosis in a most rational way. This implies a transparent and targeted medical strategy, avoiding selective intuitions (“trial and error”) as well as extensive diagnostic overdoing in the case of only putative diarrhoea. Knowing the potential of diagnostic methods which are (or can) possibly not performed regularly in the physician's office, and their requirements/limitations is an important component in this situation. The basic fundament for application of such methods, however, and the clue to economic diagnosis as well as the differential diagnosis of diarrhoeal diseases are the history and simple tests.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

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  9. [해외논문]   Einladung zur Mitgliederversammlung des BVGD  

    Hartmann, Franz
    Zeitschrift für Gastroenterologie v.52 no.8 ,pp. 1008 - 1008 , 2014 , 0044-2771 ,

    초록

    Diarrhoea is a common symptom and numerous differential diagnoses must be considered. This article illustrates approaches for a rational and efficient work-up based on practical facilities in acute diarrhoea and fostered by 4 key questions scrutinising chronic diarrhoea. The applications of imaging methods (endoscopy, ultrasonography) are discussed along with infectious topics and function testing. The aim of this contribution is to help patients to get a precise diagnosis in a most rational way. This implies a transparent and targeted medical strategy, avoiding selective intuitions (“trial and error”) as well as extensive diagnostic overdoing in the case of only putative diarrhoea. Knowing the potential of diagnostic methods which are (or can) possibly not performed regularly in the physician's office, and their requirements/limitations is an important component in this situation. The basic fundament for application of such methods, however, and the clue to economic diagnosis as well as the differential diagnosis of diarrhoeal diseases are the history and simple tests.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  10. [해외논문]   Kapselendoskopie – DUnndarm endlich GKV-Leistung!  

    Hohn, Horst
    Zeitschrift für Gastroenterologie v.52 no.8 ,pp. 1009 - 1011 , 2014 , 0044-2771 ,

    초록

    Diarrhoea is a common symptom and numerous differential diagnoses must be considered. This article illustrates approaches for a rational and efficient work-up based on practical facilities in acute diarrhoea and fostered by 4 key questions scrutinising chronic diarrhoea. The applications of imaging methods (endoscopy, ultrasonography) are discussed along with infectious topics and function testing. The aim of this contribution is to help patients to get a precise diagnosis in a most rational way. This implies a transparent and targeted medical strategy, avoiding selective intuitions (“trial and error”) as well as extensive diagnostic overdoing in the case of only putative diarrhoea. Knowing the potential of diagnostic methods which are (or can) possibly not performed regularly in the physician's office, and their requirements/limitations is an important component in this situation. The basic fundament for application of such methods, however, and the clue to economic diagnosis as well as the differential diagnosis of diarrhoeal diseases are the history and simple tests.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지

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