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Viszeralmedizin 2015;31:214-218 (Source: Viszeralmedizin)
Source: Viszeralmedizin - June 23, 2015 Category: Gastroenterology Source Type: research

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Viszeralmedizin 2015;31:212-213 (Source: Viszeralmedizin)
Source: Viszeralmedizin - June 23, 2015 Category: Gastroenterology Source Type: research

Acute and Chronic Inflammation of the Biliary System
Viszeralmedizin 2015;31:200-203 (Source: Viszeralmedizin)
Source: Viszeralmedizin - June 20, 2015 Category: Gastroenterology Source Type: research

Title Page / Table of Contents / Imprint
Viszeralmedizin 2015;31:149-152 (Source: Viszeralmedizin)
Source: Viszeralmedizin - June 20, 2015 Category: Gastroenterology Source Type: research

Intestinal Stenosis of Garré: An Old Problem Revisited
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. A correct diagnosis and an adequate surgical treatment are necessary to solve this rare complication favorably.Viszeralmedizin (Source: Viszeralmedizin)
Source: Viszeralmedizin - June 15, 2015 Category: Gastroenterology Source Type: research

Limits of Surgical Resection for Bile Duct Cancer
Conclusion: The limit of surgical resection for bile duct cancer is the advanced tumor stage (T stadium). While in a T3 stadium an R0 resection is possible in most cases, we were not able to perform an R0 resection in a T4 stadium. From our point of view, early T stadium cannot usually be estimated through expanded diagnostics but only through surgical exploration.Viszeralmedizin (Source: Viszeralmedizin)
Source: Viszeralmedizin - June 15, 2015 Category: Gastroenterology Source Type: research

Acute Bacterial Cholangitis
Conclusion: Prompt clinical recognition and accurate diagnostic workup including adequate laboratory assessment and (aetiology-oriented) imaging are critical steps in the management of cholangitis. Treatment is directed at the two major interrelated pathophysiologic components, i.e. bacterial infection (immediate antimicrobial therapy) and bile duct obstruction (biliary drainage). As for the latter, transpapillary endoscopic drainage by stent or nasobiliary drain and/or same-session bile duct clearance, depending on individual disease severity, represent first-line treatment approaches.Viszeralmedizin (Source: Viszeralmedizin)
Source: Viszeralmedizin - June 15, 2015 Category: Gastroenterology Source Type: research

Acute and Chronic Inflammation of the Biliary System
Viszeralmedizin (Source: Viszeralmedizin)
Source: Viszeralmedizin - June 15, 2015 Category: Gastroenterology Source Type: research

Acute Cholecystitis
Conclusion: Laparoscopic cholecystectomy for acute cholecystitis within 24 h after hospital admission is a safe procedure and should be the preferred treatment for ASA I-III patients. In critically ill patients, the intervention should be determined by a narrow interdisciplinary consent based on the patient's individual comorbidities.Viszeralmedizin (Source: Viszeralmedizin)
Source: Viszeralmedizin - June 9, 2015 Category: Gastroenterology Source Type: research

Liver Transplantation for Patients with Cholestatic Liver Diseases
Conclusion: CD are excellent indications for liver transplantation since excellent long-term outcomes are achievable when the transplant is performed at the right time. The decisions concerning evaluation, listing, and allocation should be made by an interdisciplinary team of gastroenterologists and transplant surgeons.Viszeralmedizin (Source: Viszeralmedizin)
Source: Viszeralmedizin - June 9, 2015 Category: Gastroenterology Source Type: research

How Should Cancer Surveillance in Primary Sclerosing Cholangitis Be Performed?
Conclusion: We review different aspects of cancer surveillance in patients with PSC. Since prospective data on the surveillance of malignant tumors is unavailable, we discuss a rational approach on how to perform cancer surveillance in patients with PSC.Viszeralmedizin (Source: Viszeralmedizin)
Source: Viszeralmedizin - June 9, 2015 Category: Gastroenterology Source Type: research

Update on Sclerosing Cholangitis in Critically Ill Patients
Conclusion: In patients with sepsis, long-term ICU therapy and ongoing cholestasis SC-CIP must be excluded by endoscopic retrograde cholangiopancreatography. Due to the poor prognosis, the option of LT should be evaluated in all patients with SC-CIP.Viszeralmedizin (Source: Viszeralmedizin)
Source: Viszeralmedizin - June 9, 2015 Category: Gastroenterology Source Type: research

How to Diagnose Immunoglobulin G4-Associated Cholangitis: The Jack-of-All-Trades in the Biliary Tract
Conclusion: More accurate biomarkers are needed to correctly diagnose IgG4-RD and prevent misdiagnoses and unnecessary therapeutic interventions.Viszeralmedizin (Source: Viszeralmedizin)
Source: Viszeralmedizin - June 9, 2015 Category: Gastroenterology Source Type: research

Biliary Mucosal Barrier and Microbiome
Conclusion: Although yet undefined, dysbiosis of the biliary or intestinal microbiota rather than a single microorganism may influence disease progression.Viszeralmedizin (Source: Viszeralmedizin)
Source: Viszeralmedizin - June 6, 2015 Category: Gastroenterology Source Type: research

Management of Spontaneous Hepatic Rupture on Top of HELLP Syndrome: Case Report and Review of the Literature
Conclusion: An association between liver rupture and HELLP syndrome is rare but was previously described in several case reports. In pregnant women with HELLP syndrome and acute onset abdominal pain, a potential spontaneous hepatic rupture should be taken into consideration.Viszeralmedizin (Source: Viszeralmedizin)
Source: Viszeralmedizin - May 22, 2015 Category: Gastroenterology Source Type: research