A5060360043- Liver Disease Diagnosis and Treatment
- Liver Disease and Transplantation
- Gastrointestinal motility and disorders
- Gastroesophageal reflux and treatments
- Esophageal and GI Pathology
- Diet and metabolism studies
- Pancreatitis Pathology and Treatment
- Gastrointestinal disorders and treatments
- Diverticular Disease and Complications
- Clinical Nutrition and Gastroenterology
- Pelvic floor disorders treatments
- Metabolism and Genetic Disorders
- Liver Diseases and Immunity
- Drug-Induced Hepatotoxicity and Protection
- Organ Transplantation Techniques and Outcomes
- Biliary and Gastrointestinal Fistulas
- Pancreatic and Hepatic Oncology Research
- Gastric Cancer Management and Outcomes
- Gastrointestinal Bleeding Diagnosis and Treatment
- Health and Medical Studies
- Systemic Lupus Erythematosus Research
- Neuroendocrine Tumor Research Advances
- Foreign Body Medical Cases
- Clostridium difficile and Clostridium perfringens research
- Congenital gastrointestinal and neural anomalies
Sozialstiftung Bamberg
2021-2025
München Klinik Bogenhausen
2015-2024
München Klinik
2012-2023
Technical University of Munich
2010-2022
Deutsche Schmerzgesellschaft
2022
Israelitisches Krankenhaus
2022
Gemeinschaftsklinikum Mittelrhein
2020
Ludwig-Maximilians-Universität München
2008-2014
Leipzig University
2004-2008
University Hospital Leipzig
2004-2005
This guideline provides evidence-based key recommendations for diagnosis and therapy of complications liver cirrhosis upgrades the 2011 version. An interdisciplinary team medical experts patient support groups developed following AWMF evidence based consensus guidelines. New chapters concerning hepatic encephalopathy were added.Die Leitlinie Komplikationen der Leberzirrhose Deutschen Gesellschaft für Gastroenterologie, Verdauungs- und Stoffwechselkrankheiten (DGVS) ersetzt die aus dem Jahr...
Introduction: In the literature, data on effects of gender and age pressure anorectal manometry differ. Possible reasons are investigation only small numbers healthy people comparison 2 groups with large differences. addition, about influence or sensation sparse. Therefore, aim present study was to determine in a female male cohort spanning great range. Methods: Anorectal performed 72 women 74 men median 64 years both (ranges: 22–90 years; 23–88 years). We determined mean anal resting...
Introduction. Blood ammonia-measurements are often performed in the emergency departments to diagnose or rule out hepatic encephalopathy (HE). However, utility and correct interpretation of ammonia levels is a matter discussion. At this end present prospective study evaluated whether blood coincide with HE which was also established by West Haven criteria critical flicker frequency, respectively. Material methods. In 59 patients known cirrhosis ammonia-levels were determined patient...
Abstract Objective: Bacterial translocation, causing intestinal inflammation, is one of the key mechanisms in pathogenesis hepatic encephalopathy (HE) and spontaneous bacterial peritonitis (SBP) The presence fecal calprotectin quantitatively relates to neutrophil migration therefore considered as a marker inflammation. We aimed assess role concentrations (FCCs) diagnosing onset severity HE SBP. Methods: Sixty‐one cirrhotics were prospectively included. Forty‐two subjects served controls....
Zusammenfassung Die elektrische Hochfrequenzstimulations-Therapie (Gastric Electric Stimulation, GES) stellt eine Behandlungsoption der Gastroparese verschiedener Genese dar. beste Indikation und die Prognoseparameter sind noch nicht abschließend geklärt. Retrospektive Analyse aller – Patienten, bei denen zwischen 2011 2020 ein GES-Device implantiert wurde. Das klinische Ansprechen wurde vor nach Implantation mittels eines validierten Gastroparesis Cardinal Symptom Index (GCSI) gemessen...
Zusammenfassung Während einer flexiblen Ösophagogastroduodenoskopie (ÖGD) können in der Regel die Mundhöhle, Oropharynx, Hypopharynx und Larynx mit hohen optischen Auflösung eingesehen werden. In diesem Abschnitt des Verdauungstrakts kommen zahlreiche benigne maligne Befunde von klinischer Relevanz vor, welche im Rahmen Gastroskopie diagnostiziert entsprechen Therapie zugeführt werden können. Insbesondere gilt dies für Kopf-Hals-Tumore, eine heterogene Gruppe bösartiger Erkrankungen...
Abkürzungsverzeichnis AST: Aspartat-Aminotransferase ALT: Alanin-Aminotransferase BFI: bowel function index CACP: Chirurgische Arbeitsgemeinschaft für Coloproktologie CAS: constipation assessment Skala (scale) CSBM: komplette spontane Stuhlentleerung (complete spontaneous movement) DEGAM: Deutsche Gesellschaft Allgemeinmedizin und Familienmedizin DGAV: Allgemein- Viszeralchirugie DGEM: Ernährungsmedizin DGG: Geriatrie DGIM: Innere Medizin DGK: Koloproktologie DGNHK: Naturheilkunde DGNM:...
Diabetes is frequently diagnosed in patients with cirrhosis and represents an important risk factor for morbidity mortality. Pharmacological therapy limited due to hepatotoxicity the of hypoglycemia. Investigations on medical practice this patient population, frequency diabetes-associated complications impact quality metabolic control are rare.A retrospective analysis was performed compare effects hypoglycemic treatment, achieved glycemic under therapy, prevalence typical cirrhosis-related...
Schlüsselwörter Magen - gastrointestinale Motilität Gastroparesis G-POEM Gastrale Elektrostimulation
Erdheim-Chester disease (ECD) is a rare non-Langerhans form of histiocytosis, characterized by infiltration foamy, lipid-laden histiocytes often affecting the lower extremities and resulting in symmetrical osteosclerosis. Internal organs involved include lung kidneys, reflecting progressive disseminated granulomatous infiltration. Progression may be fatal, especially cases systemic extraosseous involvement. Here, we report patient with elevated serum levels liver enzymes due to intra-...
In functional constipation, three pathophysiological subgroups have been identified: slow-transit constipation (STC); normal-transit (NTC) and outlet delay (OD). Extracolonic manifestations, especially disturbed small bowel motility, are well known to occur in STC, but rarely studied NTC OD. To perform 24-h-ambulatory jejunal manometry a large prospective series of clinical patients with chronic all subtypes. A total 61 consecutive patients, referred our tertiary gastroenterologic centre for...
Patients with liver cirrhosis are considered as high-risk population for cardiac surgery. The aim of this study was to review mortality and mid-term outcome patients requiring coronary artery bypass graft (CABG), valve replacement, or combined procedures.Between July 1997 December 2006, 47 (mean age 65.4 ± 11.7 years) were operated CABG (21 patients), aortic replacement /mitral (14 CABG/VR (9 patients) dissection/tumorexstirpation (3 (group I). Thirty-three classified Child-Pugh class A...
Patients with fecal incontinence (FI) have lower anal resting (MRP) and squeeze (MSP) pressure an impaired sensitivity compared to healthy people. However, whether anorectal manometry (ARM) can separate precisely between health disease is discussed controversially. The aim was evaluate the accuracy of ARM in a huge cohort patients controls.ARM obtained 144 controls 559 FI patients. MRP, MSP, balloon volume at first perception (BVP) urge sensation (BVU) were determined. Receiver operating...
Malnutrition is a common feature of terminal chronic liver disease. In Great Britain earlier studies revealed widespread use inappropriate dietary management for example, protein restriction in patients with cirrhosis (LC). Therefore, it was the aim this study to evaluate current recommendations LC, recommended by gastroenterologists Germany.Anonymous questionnaires were sent 576 members Bavarian Society Gastroenterology. Information requested on and diagnostic assessment nutritional status...
Abstract Background Knowledge about human cyclic fasting motility (MMC) and the postprandial response is mostly based on manometric findings in upper small intestine. Hardly any data exist ileal motility, as acquisition of has been limited by methodological concerns. The aim was to study jejunal an optimized setting. Methods Solid‐state 24‐h‐manometry performed jejunum ileum healthy individuals, applying a strict protocol for fasting, resting, consumption standardized meal. Both visual...
Schlüsselwörter Reizdarm - Intestinale Motilität Obstipation Diarrhoe
<b>Einleitung:</b> Untersuchungen zur Häufigkeit von Herzrhythmusstörungen bei Patienten mit Leberzirrhose sind selten. Allerdings treten auslösende Trigger-Faktoren für Rhythmusstörungen insbesondere häufig auf. Ziel dieser retrospektiven Studie war daher eine Untersuchung der kardialen Arrhythmien in einem Zirrhose-Kollektiv sowie Evaluierung assoziierter Faktoren. <b>Methodik</b>: Archivunterlagen (n = 293) aus unserer Klinik im Zeitraum 2004 – 2008 wurden bez. aller Art untersucht. Die...
Fecal microbiota transplantation (FMT) represents a treatment option for some diseases, e.g. recurring Clostridium difficile-associated colitis. However, there is also evidence that FMT can be effective in treating obesity. This pilot study established the approval and willingness of obese patients to undergo FMT.We conducted survey adults with obesity using questionnaire containing 21 both multiple choice open questions was dispatched cohort 101 persons It included aiming at process itself,...
Endoscopic full-thickness resection (eFTR) using the device (FTRD®) is a novel minimally invasive procedure that allows of various lesions in gastrointestinal tract including colorectum. Real-world data outside published studies are limited. The aim this study was detailed analysis outcomes colonoscopic eFTR different hospitals from care levels correlation with number endoscopists performing eFTR.