journal
https://read.qxmd.com/read/26557838/inflammatory-bowel-diseases-current-medical-and-surgical-therapy
#21
JOURNAL ARTICLE
Georg Lamprecht, Raja Atreya, Martin E Kreis, Britta Siegmund, Andreas Stallmach
No abstract text is available yet for this article.
August 2015: Viszeralmedizin
https://read.qxmd.com/read/26557837/endoscopic-therapy-in-inflammatory-bowel-diseases
#22
REVIEW
Helmut Neumann, Markus F Neurath, Raja Atreya
BACKGROUND: Endoscopy is an essential diagnostic and therapeutic modality in the clinical care of inflammatory bowel disease (IBD) patients. Endoscopic therapy can be used for treatment of disease-related strictures, surveillance and resection of intraepithelial neoplasia, and treatment of fistulas or disease-related complications, and is currently being evaluated regarding its capacity in in vivo molecular imaging procedures. METHODS: A literature search using Medline and Science Citation Index was performed in March 2015...
August 2015: Viszeralmedizin
https://read.qxmd.com/read/26557836/indications-and-specific-surgical-techniques-in-crohn-s-disease
#23
REVIEW
Claudia Seifarth, Martin E Kreis, Jörn Gröne
BACKGROUND: Crohn's disease (CD) as one of the major entities of chronic inflammatory bowel diseases can affect all segments of the gastrointestinal tract but occurs most often in the small bowel, the terminal ileum, the colon, and the rectum. Typical symptoms include tiredness, lower abdominal pain, fever, and diarrhea, which are initially treated by conservative measures. Most patients will eventually develop complications such as fistulas, abscesses, or strictures. Surgery is often unavoidable in these cases...
August 2015: Viszeralmedizin
https://read.qxmd.com/read/26557835/medical-therapy-of-perianal-crohn-s-disease
#24
REVIEW
Thomas Klag, Martin Goetz, Eduard F Stange, Jan Wehkamp
BACKGROUND: Development of perianal fistulas are a common feature of Crohn's disease (CD). Consequences are severe impairment of quality of life as well as potentially life-threatening complications like abscess formation or bacterial sepsis. Therefore, appropriate treatment is an important task in the management of CD. METHODS: This review describes the epidemiology, pathogenesis, diagnosis, and conservative medical treatment of perianal CD with regard to the available literature...
August 2015: Viszeralmedizin
https://read.qxmd.com/read/26557834/medical-therapy-of-fibrostenotic-crohn-s-disease
#25
REVIEW
Britta Siegmund
INTRODUCTION: The present review serves to provide a concise overview of the current knowledge on therapeutic strategies with regard to fibrostenotic lesions in Crohn's disease. METHODS: A literature search was performed focusing on the last 5 years, and current concepts of pathophysiology, epidemiology, and treatment have been summarized. RESULTS: Fibrostenotic lesions in Crohn's disease are currently considered to be a consequence of the chronic inflammatory nature of the disease...
August 2015: Viszeralmedizin
https://read.qxmd.com/read/26557833/occult-and-manifest-colorectal-carcinoma-in-ulcerative-colitis-how-does-it-influence-surgical-decision-making
#26
REVIEW
Julia Hardt, Peter Kienle
BACKGROUND: The incidence of colorectal cancer (CRC) among patients with ulcerative colitis (UC) is increased compared to the general population. The diagnosis of CRC potentially influences surgical decision making in patients with UC. METHODS: This review considers clinical studies, systematic reviews, and guidelines on the surgical therapy of CRC in UC. We searched the bibliographic databases The Cochrane Library and Medline (applying MeSH terms such as 'Colitis, Ulcerative/surgery', 'Colorectal Neoplasms', and 'Proctocolectomy, Restorative') with no restriction on language, date, or country...
August 2015: Viszeralmedizin
https://read.qxmd.com/read/26557832/surgical-principles-in-the-treatment-of-ulcerative-colitis
#27
REVIEW
Florian Kühn, Ernst Klar
BACKGROUND: The primary treatment of ulcerative colitis (UC) is conservative; surgical intervention is carried out in the case of therapy-refractory situation, imminent or malignant transformation, or complications. Surgery for UC should be indicated by interdisciplinary means. Despite the development of drug therapy - in particular the introduction of biologics -, a surgical intervention becomes necessary in a relevant proportion of patients with UC throughout lifetime. METHODS: A selective literature search was conducted, taking into account the current studies, reviews, meta-analyses, and guidelines...
August 2015: Viszeralmedizin
https://read.qxmd.com/read/26557831/medical-therapy-of-active-ulcerative-colitis
#28
REVIEW
Martin Bürger, Carsten Schmidt, Niels Teich, Andreas Stallmach
BACKGROUND: Medical therapy of mild and moderate ulcerative colitis (UC) of any extent is evidence-based and standardized by national and international guidelines. However, patients with steroid-refractory UC still represent a challenge. METHODS: A literature search using PubMed (search terms: ulcerative colitis, therapy, new, 1-2008-2015) resulted in 821 publications. For the current article, 88 citations were extracted including 36 randomized controlled studies, 18 reviews, and 8 meta-analyses...
August 2015: Viszeralmedizin
https://read.qxmd.com/read/26557830/new-imaging-techniques-in-the-diagnosis-of-inflammatory-bowel-diseases
#29
REVIEW
Yan Li, Karlheinz Hauenstein
BACKGROUND: Cross-sectional imaging modalities are fundamental in the management of patients with inflammatory bowel disease (IBD) from the first diagnosis and throughout the entire course of the disease. Over the past few years, the use of magnetic resonance (MR) imaging (MRI) has considerably increased, and no other imaging modality has experienced as advanced a development as MRI. METHODS: A comprehensive literature search (PubMed/Medline) using keywords such as 'MR enterography', 'imaging modalities', 'IBD', and 'Crohn's disease' was performed...
August 2015: Viszeralmedizin
https://read.qxmd.com/read/26557829/inflammatory-bowel-diseases-current-medical-and-surgical-therapy
#30
JOURNAL ARTICLE
Markus F Neurath, Ernst Klar
No abstract text is available yet for this article.
August 2015: Viszeralmedizin
https://read.qxmd.com/read/26468318/intestinal-stenosis-of-garr%C3%A3-an-old-problem-revisited
#31
Daniele Marrelli, Costantino Voglino, Giulio Di Mare, Francesco Ferrara, Gianni Guazzi, Federica Croce, Maurizio Costantini, Riccardo Piagnerelli, Franco Roviello
BACKGROUND: Intestinal stenosis of Garré, first described in 1892, is a rare condition as a consequence of a complicated strangulated hernia. Preoperative diagnosis is challenging because of unspecific symptoms. Proper anamnesis, especially in terms of clinical and surgical history, as well as careful examination of both inguinal spaces is essential. CASE REPORT: We herein present a case of intestinal stenosis of Garré in a 70-year-old female. CONCLUSION: Intestinal stenosis of Garré should be considered in cases of occlusive symptoms occurring after a non-operative or surgical reduction of a strangulated hernia...
June 2015: Viszeralmedizin
https://read.qxmd.com/read/26468317/management-of-spontaneous-hepatic-rupture-on-top-of-hellp-syndrome-case-report-and-review-of-the-literature
#32
JOURNAL ARTICLE
Achim Troja, Ahmed Abdou, Christiane Rapp, Swantje Wienand, Eduard Malik, Hans-Rudolf Raab
INTRODUCTION: We report the case of a patient with antepartum HELLP syndrome and simultaneous rupture of the right liver lobe. An emergency caesarean section was performed and the liver rupture was managed surgically via perihepatic packing. The mother and her child recovered well and were discharged 19 days after admission. CASE REPORT: We describe a case report and review the literature. Based on our own experience and the most common clinical presentations of such patients, we were able to establish an algorithm for managing such cases...
June 2015: Viszeralmedizin
https://read.qxmd.com/read/26468316/acute-and-chronic-inflammation-of-the-biliary-system
#33
JOURNAL ARTICLE
Tim Lankisch Chair, Hüseyin Bektas, Alexander Dechêne, Hanno Ehlken, Gabriele I Kirchner, Hauke Lang, Christoph Schramm
No abstract text is available yet for this article.
June 2015: Viszeralmedizin
https://read.qxmd.com/read/26468315/liver-transplantation-for-patients-with-cholestatic-liver-diseases
#34
REVIEW
Wenzel Schöning, Maximilian Schmeding, Florian Ulmer, Anne Andert, Ulf Neumann
BACKGROUND: Cholestatic liver diseases (CD) account for 11% of all liver transplantations (LT) in the Eurotransplant region. Despite the excellent long-term outcome that is considerably superior to all other indications for LT, transplant surgeons and physicians face nowadays - in the era of MELD (Model of End-Stage Liver Disease)-based allocation, organ shortage, and extended allocation policies - more and more challenges in this patient cohort, especially since there is no curative medical treatment for these entities...
June 2015: Viszeralmedizin
https://read.qxmd.com/read/26468314/limits-of-surgical-resection-for-bile-duct-cancer
#35
REVIEW
Fabian Bartsch, Stefan Heinrich, Hauke Lang
INTRODUCTION: Perihilar cholangiocarcinoma is the most frequent cholangiocarcinoma and poses difficulties in preoperative evaluation. For its therapy, often major hepatic resections as well as resection and reconstruction of the hepatic artery or the portal vein are necessary. In the last decades, great advances were made in both the surgical procedures and the perioperative anesthetic management. In this article, we describe from our point of view which facts represent the limits for curative (R0) resection in perihilar cholangiocarcinoma...
June 2015: Viszeralmedizin
https://read.qxmd.com/read/26468313/how-to-diagnose-immunoglobulin-g4-associated-cholangitis-the-jack-of-all-trades-in-the-biliary-tract
#36
REVIEW
Lowiek M Hubers, Ulrich Beuers
BACKGROUND: Immunoglobulin (Ig) G4-associated cholangitis (IAC) is an inflammatory disorder of the biliary tract displaying characteristic features of IgG4-related disease (IgG4-RD): elevation of IgG4 serum levels, infiltration of IgG4+ plasma cells in the affected tissue, and good response to immunosuppressive treatment. METHODS AND RESULTS: The clinical presentation of IAC is often misleading, mimicking other diseases of the biliary tract such as cholangiocarcinoma or primary and secondary sclerosing cholangitis...
June 2015: Viszeralmedizin
https://read.qxmd.com/read/26468312/update-on-sclerosing-cholangitis-in-critically-ill-patients
#37
REVIEW
Gabriele I Kirchner, Petra Rümmele
BACKGROUND: ‛Sclerosing cholangitis in critically ill patients' (SC-CIP) is a cholestatic liver disease of unknown etiology and represents the most prevalent form of secondary sclerosing cholangitis. METHODS: This overview is based on a systematic review of the literature searching for 'secondary sclerosing cholangitis', 'SC-CIP', 'cast syndrome', and 'ischemic cholangitis' in the database PubMed. RESULTS: SC-CIP can develop in patients with sepsis and acute respiratory distress syndrome during a long-term intensive care unit (ICU) treatment...
June 2015: Viszeralmedizin
https://read.qxmd.com/read/26468311/how-should-cancer-surveillance-in-primary-sclerosing-cholangitis-be-performed
#38
REVIEW
Hanno Ehlken, Christoph Schramm
BACKGROUND: Primary sclerosing cholangitis (PSC) is a chronic inflammatory disease affecting the intra- and extrahepatic bile duct system that can ultimately cause liver cirrhosis. Apart from the risk of progression to end-stage liver disease the prognosis of PSC is primarily determined by the risk to develop hepatobiliary or extrahepatic malignancies. A reasonable surveillance strategy for PSC patients must allow the detection of early cancer that will permit a potentially curative therapy...
June 2015: Viszeralmedizin
https://read.qxmd.com/read/26468310/acute-bacterial-cholangitis
#39
REVIEW
Vincent Zimmer, Frank Lammert
BACKGROUND: Acute bacterial cholangitis for the most part owing to common bile duct stones is common in gastroenterology practice and represents a potentially life-threatening condition often characterized by fever, abdominal pain, and jaundice (Charcot's triad) as well as confusion and septic shock (Reynolds' pentad). METHODS: This review is based on a systematic literature review in PubMed with the search items 'cholangitis' 'choledocholithiasis' 'gallstone disease' 'biliary infection', and 'biliary sepsis'...
June 2015: Viszeralmedizin
https://read.qxmd.com/read/26468309/acute-cholecystitis
#40
REVIEW
Jochen Schuld, Matthias Glanemann
BACKGROUND: The treatment of acute cholecystitis has been controversially discussed in the literature as there are no high-evidence-level data yet for determining the optimal point in time for surgical intervention. So far, the laparoscopic removal of the gallbladder within 72 h has been the most preferred approach in acute cholecystitis. METHODS: We conducted a systematic review by including randomized trials of early laparoscopic cholecystectomy for acute cholecystitis...
June 2015: Viszeralmedizin
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