Zeitschrift fur Gastroenterologie最新文献

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.

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.

In contrast to cross-sectional imaging using computed tomography, magnetic resonance imaging or positron emission tomography, ultrasound examinations enable direct real-time interaction between examiner and patient and their companions. In this review, we highlight general patient-relevant aspects, whereby endpoints such as emotional factors of general and physical stress caused by the examination are discussed. On the other hand, we take a closer look at specific psychosocial interactions during ultrasound examinations in primary care, gastroenterology, oncology, palliative care, pediatrics, obstetrics and gynecology. Furthermore, we consider ultrasound not only as an intervention in the sense of a needle-guiding procedure, but also as an opportunity to change relationships and initiate lifestyle modifications. The psychological impact of incidental findings and the importance of adequate communication of findings and prognosis is discussed from the patient's perspective.

With the rapid development of endoscopic ultrasound (EUS), diagnostic and therapeutic platforms have emerged that are applicable in hepatology. New tools such as EUS-guided portal pressure measurement (in combination with EUS-guided liver biopsy) or EUS-guided variceal obliteration using coils and glue present attractive procedures that can potentially overcome the limitations of current gold standards. In this review article, we provide an overview of these new 'endo-hepatology' techniques and highlight their current role in the treatment of liver diseases.

Dysphagia is a common disease of different aetiology. It is important to detect malignant primary diseases. Therefore, a gastroscopy including tissue samples is always indicated to rule out secondary motility disorders. The high-resolution manometry represents the gold standard in the diagnostic findings of primary motility disorders of the esophagus and reveals information about esophagogastral outflow obstructions.In the following, we present a 73-year-old patient suffering from quick progressive dysphagia and initial endoscopic inconspicuous mucosa with doubtful functional stenosis in the esophagogastric junction. Finding an esophagogastral outflow obstruction (EGJOO) in the manometry, we repeated the gastroscopy and could detect a hidden growing carcinoma of the cardia as reason for the troubles in swallowing. Our case report demonstrates that, in case of inconclusive results, a repeated endoscopic diagnostic approach, considering the manometric result, is helpful to find an explanation for dysphagia.