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  1. Article ; Conference proceedings: Impact of anastomotic leak vs pneumonia on failure to rescue after transthoracic esophagectomy for cancer

    Giulini, L. / Kemeter, M. / Thumfart, L. / Koch, O. / Grechenig, M. / Emmanuel, K. / Hitzl, W. / Dubecz, A.

    Zeitschrift für Gastroenterologie

    2023  Volume 61, Issue 08

    Event/congress Viszeralmedizin 2023 77. Jahrestagung der DGVS mit Sektion Endoskopie Herbsttagung der Deutschen Gesellschaft für Allgemein- und Viszeralchirurgie mit den Arbeitsgemeinschaften der DGAV und Jahrestagung der CACP, Erst online. Dann Hamburg., 2023-09-11
    Language German
    Publishing date 2023-08-01
    Publisher Georg Thieme Verlag
    Publishing place Stuttgart ; New York
    Document type Article ; Conference proceedings
    ZDB-ID 201387-3
    ISSN 1439-7803 ; 0044-2771 ; 0172-8504
    ISSN (online) 1439-7803
    ISSN 0044-2771 ; 0172-8504
    DOI 10.1055/s-0043-1772031
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  2. Article ; Conference proceedings: The SAlzburg PEritoneal SUrface CAlculator (SAPESUCA): The first web-based application for peritoneal surface quantification in cytoreduction and HIPEC

    Jäger, T / Regenbogen, S / Schredl, P / Grechenig, M / Gruber, R / Neureiter, D / Emmanuel, K / Ramspott, JP / Presl, J

    Zeitschrift für Gastroenterologie

    2022  Volume 60, Issue 08

    Event/congress Viszeralmedizin 2022 76. Jahrestagung der Deutschen Gesellschaft für Gastroenterologie, Verdauungs- und Stoffwechselkrankheiten mit Sektion Endoskopie 13. Herbsttagung der Deutschen Gesellschaft für Allgemein- und Viszeralchirurgie gemeinsam mit den Arbeitsgemeinschaften der DGAV, Erst online. Dann Hamburg., 2022-09-12
    Language German
    Publishing date 2022-08-01
    Publisher Georg Thieme Verlag
    Publishing place Stuttgart ; New York
    Document type Article ; Conference proceedings
    ZDB-ID 201387-3
    ISSN 1439-7803 ; 0044-2771 ; 0172-8504
    ISSN (online) 1439-7803
    ISSN 0044-2771 ; 0172-8504
    DOI 10.1055/s-0042-1755075
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  3. Article ; Online: Refluxsymptomatik – kein Unterschied in Ausprägung und Schweregrad bei Patienten mit und ohne funktionell bewiesene gastroösophageale Refluxerkrankung.

    Grechenig, Michael / Gruber, Ricarda / Weitzendorfer, Michael / von Rahden, Burkhard H A / Widmann, Bernhard / Emmanuel, Klaus / Koch, Oliver

    Zentralblatt fur Chirurgie

    2021  Volume 146, Issue 2, Page(s) 170–175

    Abstract: Background: Patients with gastroesophageal reflux disease (GERD) often suffer greatly from their symptoms. The aim of this study was to determine if there is a difference in quality of life and gastrointestinal symptom complexes between patients with ... ...

    Title translation Reflux Symptoms - No Difference in Severity and Intensity in Patients with and without Functional Verified Gastroesophageal Reflux Disease.
    Abstract Background: Patients with gastroesophageal reflux disease (GERD) often suffer greatly from their symptoms. The aim of this study was to determine if there is a difference in quality of life and gastrointestinal symptom complexes between patients with purely functional complaints and patients with objective GERD.
    Material and methods: We included all patients with typical reflux symptoms, who had a GERD examination in 2017 at our department. All patients underwent high resolution manometry, 24-h-pH-metry impedance measurement and gastroscopy. Quality of life was assessed using the Gastrointestinal Quality of Life Index (GIQLI) and gastrointestinal symptoms were rated by a symptom checklist (SCL), assessing the severity and intensity of 14 different symptoms. Based on the results of the 24-h-pH-metry impedance measurement, patients were divided into 2 groups: patients with functional reflux symptoms and patients with true GERD. These two groups were compared.
    Results: Complete data were available in 162 patients, of whom 86 (52.2%) were objectively suffering from reflux (DeMeester score mean: 37.85; SD ± 29.11) and 76 (46.1%) had a normal DeMeester score (Mean: 7.01; SD ± 4.09). No significant difference in quality of life was found between the two groups (mean GIQLI of GERD patients: 94.81, SD ± 22.40, and mean GIQLI of patients with functional reflux symptoms: 95.26, SD ± 20.33, p = 0.988). Furthermore, no significant difference could be found in the evaluated symptoms (mean general SCL score of GERD patients: 46.97; SD ± 29.23; patients with functional reflux symptoms: 48.03; SD ± 29.17, p = 0.827).
    Conclusion: Patients with functional complaints suffer just as much from their symptoms as patients with objectively diagnosed GERD. Differentiation between gastroesophageal reflux disease and functional reflux symptoms is only possible by means of functional diagnostic testing.
    MeSH term(s) Gastroesophageal Reflux/diagnosis ; Humans ; Manometry ; Quality of Life
    Language German
    Publishing date 2021-02-08
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 200935-3
    ISSN 1438-9592 ; 0044-409X
    ISSN (online) 1438-9592
    ISSN 0044-409X
    DOI 10.1055/a-1333-3910
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  4. Article: Refluxsymptomatik – kein Unterschied in Ausprägung und Schweregrad bei Patienten mit und ohne funktionell bewiesene gastroösophageale Refluxerkrankung

    Grechenig, Michael / Gruber, Ricarda / Weitzendorfer, Michael / von Rahden, Burkhard H. A. / Widmann, Bernhard / Emmanuel, Klaus / Koch, Oliver

    Zentralblatt für Chirurgie - Zeitschrift für Allgemeine, Viszeral-, Thorax- und Gefäßchirurgie

    2021  Volume 146, Issue 02, Page(s) 170–175

    Abstract: Hintergrund: Patienten mit gastroösophagealem Reflux (GERD) leiden oft sehr unter der Symptomatik. Im Rahmen unserer Studie galt es deshalb herauszufinden, ob sich die Lebensqualität und die Symptome bei Patienten mit objektiv nachgewiesener GERD von ... ...

    Abstract Hintergrund: Patienten mit gastroösophagealem Reflux (GERD) leiden oft sehr unter der Symptomatik. Im Rahmen unserer Studie galt es deshalb herauszufinden, ob sich die Lebensqualität und die Symptome bei Patienten mit objektiv nachgewiesener GERD von Patienten ohne funktionell bewiesenes Korrelat unterscheidet.
    Material und Methoden: Eingeschlossen wurden alle Patienten mit typischer Refluxsymptomatik, die 2017 an unserer Abteilung für Allgemein-, Viszeral- und Thoraxchirurgie hinsichtlich des Vorliegens einer GERD abgeklärt wurden. Alle Patienten erhielten eine hochauflösende Manometrie, 24-h-Impedanz-pH-Metrie und eine Gastroskopie. Die Lebensqualität wurde mittels Quality of Life Index (GIQLI) und die gastrointestinale Symptomatik mittels einer Symptomcheckliste (SCL) evaluiert. Mittels SCL wurde die Schwere und Intensität von 14 verschiedenen Symptomen eruiert. Basierend auf den Resultaten der 24-h-pH-Impedanzmessung wurden die Patienten in 2 Gruppen eingeteilt – Patienten mit gastroösophagealer Refluxerkrankung und Patienten mit rein funktioneller Symptomatik ohne organisches Korrelat. Diese Gruppen wurden miteinander verglichen.
    Ergebnisse: Ein vollständiger Datensatz war bei 162 Patienten verfügbar, wovon 86 Patienten (52,2%) objektiv an Reflux erkrankt waren (DeMeester-Mittelwert: 37,85; SD ± 29,11) und 76 Patienten (46,1%) einen unauffälligen DeMeester-Score (Mittelwert: 7,01; SD ± 4,09) aufwiesen. Zwischen diesen beiden Gruppen konnte kein signifikanter Unterschied in der Lebensqualität gefunden werden (Mittelwert GIQLI von GERD-Patienten: 94,81; SD ± 22,40; Mittelwert GIQLI von Patienten mit rein funktionellen Symptomen: 95,26; SD ± 20,33; p = 0,988). Außerdem konnte kein signifikanter Unterschied in der Symptomwahrnehmung der Patienten gefunden werden (Mittelwert SCL-Score von Refluxpatienten: 46,97; SD ± 29,23; Mittelwert SCL-Score bei Patienten mit rein funktioneller Symptomatik 48,03; SD ± 29,17; p = 0,827).
    Schlussfolgerung: Patienten mit funktionellen Refluxbeschwerden unterscheiden sich hinsichtlich des Leidensdrucks nicht von Patienten mit objektiv bewiesener Refluxerkrankung. Eine Differenzierung zwischen gastroösophagealer Refluxerkrankung und funktionellen Refluxsymptomen ist nur mittels Funktionsdiagnostik möglich.
    Keywords gastroösophageale Refluxerkrankung ; Lebensqualität ; Funktionsdiagnostik ; funktionelle Refluxsymptome ; gastroeosophageal reflux disease (GERD) ; diagnostics ; quality of life ; functional reflux symptoms
    Language German
    Publishing date 2021-02-08
    Publisher Georg Thieme Verlag KG
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 200935-3
    ISSN 1438-9592 ; 0044-409X
    ISSN (online) 1438-9592
    ISSN 0044-409X
    DOI 10.1055/a-1333-3910
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  5. Article: Sonographische Identifikation und Grössenbestimmung der Palmaris-longus-Sehne.

    Grechenig, W / Clement, H / Mayr, J / Grechenig, M

    Biomedizinische Technik. Biomedical engineering

    1999  Volume 44, Issue 11, Page(s) 319–323

    Abstract: Since the palmaris longus tendon is subject to a wide range of anatomical variations (in 10% of the cases, aplasia is observed), the identification and determination of its length and thickness is of importance for the pre-operative planning of ligament ... ...

    Title translation Ultrasound identification and size determination of the palmaris longus tendon.
    Abstract Since the palmaris longus tendon is subject to a wide range of anatomical variations (in 10% of the cases, aplasia is observed), the identification and determination of its length and thickness is of importance for the pre-operative planning of ligament reconstructive surgery. Thirty healthy volunteers aged between 6 and 50 years were examined using high-resolution 10-12 MHz US probes. We determined the length and thickness of the tendon, and its relationship to the median nerve in the distal region of the forearm. Thanks to the dynamic nature of the examination and the typical tendinous echo structure, the palmaris longus tendon was accurately identified by US in both children and adults. Ultrasonography is highly suitable for the identification of the palmaris longus tendon and aids the pre-operative planning of ligament reconstructions.
    MeSH term(s) Adolescent ; Adult ; Child ; Female ; Hand/diagnostic imaging ; Humans ; Male ; Middle Aged ; Reference Values ; Tendon Transfer ; Tendons/abnormalities ; Tendons/diagnostic imaging ; Tendons/transplantation ; Ultrasonography
    Language German
    Publishing date 1999-11
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 120817-2
    ISSN 1862-278X ; 0013-5585
    ISSN (online) 1862-278X
    ISSN 0013-5585
    DOI 10.1515/bmte.1999.44.11.319
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  6. Article: Detection of pneumoperitoneum by ultrasound examination: an experimental and clinical study.

    Grechenig, W / Peicha, G / Clement, H G / Grechenig, M

    Injury

    1999  Volume 30, Issue 3, Page(s) 173–178

    Abstract: Purpose of the study: The aim of the study is to show the value and reliability of ultrasound examination in detecting free intraabdominal air after blunt abdominal trauma.: Methods: The experimental part of this study includes the evaluation of the ... ...

    Abstract Purpose of the study: The aim of the study is to show the value and reliability of ultrasound examination in detecting free intraabdominal air after blunt abdominal trauma.
    Methods: The experimental part of this study includes the evaluation of the sonographic morphology of air within liquid and solid tissues. Subsequently air was injected into the abdominal cavities of 10 cadavers and sonography utilized for localization and assessment of the minimal detectable air volume. The clinical part of the study reports on the sonographic detection of hollow viscus perforation in 10 patients, who were admitted to our institution because of acute abdominal problems.
    Results: Sonography is a reliable method for the diagnosis of free intraabdominal air. Best position for ultrasound examination of the abdomen is supine with the thorax slightly elevated (10-20 degrees). The optimal probe position is in the right paramedian epigastric area in the longitudinal direction. In all the 10 patients we were able to diagnose pneumoperitoneum preoperatively by ultrasound assessment.
    MeSH term(s) Adult ; Aged ; Cadaver ; Female ; Humans ; Male ; Middle Aged ; Pneumoperitoneum/diagnostic imaging ; Pneumoperitoneum/etiology ; Ultrasonography ; Wounds, Nonpenetrating/complications ; Wounds, Nonpenetrating/diagnostic imaging
    Language English
    Publishing date 1999-04
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 218778-4
    ISSN 1879-0267 ; 0020-1383
    ISSN (online) 1879-0267
    ISSN 0020-1383
    DOI 10.1016/s0020-1383(98)00248-4
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  7. Article: Die sonographische Frakturdiagnostik--eine experimentelle Studie.

    Grechenig, W / Clement, H / Schatz, B / Klein, A / Grechenig, M

    Biomedizinische Technik. Biomedical engineering

    1997  Volume 42, Issue 5, Page(s) 138–145

    Abstract: Thanks to the increasing use of ultrasonography in the diagnostic evaluation of the musculoskeletal system, and the development of high-resolution ultrasonic transducers with ever better image quality, as well as the greater general trend towards non- ... ...

    Title translation Ultrasound fracture diagnosis--an experimental study.
    Abstract Thanks to the increasing use of ultrasonography in the diagnostic evaluation of the musculoskeletal system, and the development of high-resolution ultrasonic transducers with ever better image quality, as well as the greater general trend towards non-invasive techniques, the use of ultrasonography in the diagnosis and follow-up of fractures would appear to make good sense. The aim of the present experimental study was, therefore, to identify the typical acoustic pattern of fractures and areas of bone impression and defects, while taking account of possible sources of error due to artefacts. Experiments were carried out on cadaver bones immersed in a water bath, using 7.5 and 10 MHz linear transducers. Depending on its size, the bony defect is represented by an interruption of the cortical echo, or a dorsal band of echoes limited to the fracture zone. Of interest is the fact that fractures and bony defects are not represented as such when the transducer is directed parallel to the line of the fracture or the impression area. Particular attention needs to be paid to the numerous artefacts occurring at the margins of the fracture. In summary, it may be noted that using resolution transducers under standardised experimental examination conditions, cortical interruptions of not less than 1 mm can be identified.
    MeSH term(s) Artifacts ; Bone and Bones/diagnostic imaging ; Fractures, Bone/diagnostic imaging ; Humans ; Image Enhancement/instrumentation ; Transducers ; Ultrasonography/instrumentation
    Language German
    Publishing date 1997-05
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 120817-2
    ISSN 1862-278X ; 0013-5585
    ISSN (online) 1862-278X
    ISSN 0013-5585
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  8. Article: Stellenwert der Sonographie am Stütz- und Bewegungsapparat--unter besonderer Berücksichtigung von Strahlenbelastung und Kostenreduktion.

    Grechenig, W / Clement, H G / Schatz, B / Grechenig, M

    Biomedizinische Technik. Biomedical engineering

    1997  Volume 42, Issue 5, Page(s) 132–137

    Abstract: In recent years, ultrasonic assessment of the locomotory system has become established both as a screening method in patients with chronic disorders and for evaluating acute injuries. Thanks to technical improvements to the equipment (use of high- ... ...

    Title translation Value of ultrasound of the support and locomotor system--with special reference to radiation exposure and cost reduction.
    Abstract In recent years, ultrasonic assessment of the locomotory system has become established both as a screening method in patients with chronic disorders and for evaluating acute injuries. Thanks to technical improvements to the equipment (use of high-frequency probes up to 20 MHz), ever smaller structures can be visualized. Ultrasonography can be carried out immediately following the clinical- and possibly radiological-assessment, by one and the same investigator, and requires little extra time. A bilateral examination in particular permits good evaluation of the extent of an injury and, with appropriate experience and good-quality equipment, an accurate assessment of the anatomical topography. Ultrasonography should now be used as the primary imaging method in the diagnosis of injuries to the following parts of the locomotory system, thus helping to minimize the number of expensive, and more invasive, diagnostic procedures: muscles and tendons, peri-articular soft tissue (in particular shoulder, knee and elbow joints), detection of intra-articular effusions, collections of fluid and, where applicable, ultrasonically guided puncture. In numerous other problems, too (postoperative complications, foreign bodies, fractures, osteomyelitis, soft tissue inflammation, etc.), ultrasound can deliver the first information. In this way, expensive diagnostic techniques can be reserved for special cases only, thus reducing costs. Furthermore, used as an adjunctive method, ultrasonography can reduce the number of diagnostic and follow-up X-rays in the case of injuries to the AC joint, shoulder dislocations, Hill-Sachs lesions, fractures in children, and for the detection of foreign bodies, again reducing radiation exposure and overall costs.
    MeSH term(s) Cost Savings ; Humans ; Musculoskeletal Diseases/diagnostic imaging ; Musculoskeletal Diseases/economics ; Musculoskeletal System/diagnostic imaging ; Musculoskeletal System/injuries ; Radiation Dosage ; Sensitivity and Specificity ; Ultrasonography/economics
    Language German
    Publishing date 1997-05
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 120817-2
    ISSN 1862-278X ; 0013-5585
    ISSN (online) 1862-278X
    ISSN 0013-5585
    DOI 10.1515/bmte.1997.42.5.132
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Sonograpische Darstellung von Fremdkörpern--eine experimentelle Studie.

    Grechenig, W / Clement, H G / Grechenig, M / Fellinger, M

    Biomedizinische Technik. Biomedical engineering

    1996  Volume 41, Issue 11, Page(s) 308–315

    Abstract: In an experimental study, the US pattern of foreign materials such as are often found in wounds, was investigated. The exploration was carried out with the aid of high-resolution, mechanical US probes (10-12 MHz) used to examine foreign bodies placed in ... ...

    Title translation Ultrasound imaging of foreign bodies--an experimental study.
    Abstract In an experimental study, the US pattern of foreign materials such as are often found in wounds, was investigated. The exploration was carried out with the aid of high-resolution, mechanical US probes (10-12 MHz) used to examine foreign bodies placed in a gelatine bath and in the shoulder of a pig. The study showed that all foreign bodies that measured at least 1-2 mm in diameter were reliably detected. The intensity of the interface echoes was identical with all the materials employed, irrespective of the nature of the surface. However, the artefacts caused by the foreign bodies used revealed considerable differences. Complete acoustic shadow, acoustic attenuation, reverberation echoes and even "comet-tail" artefacts were observed. In clinical practice, familiarity with the artefacts that may be expected during sonographic exploration and localization of foreign bodies in wounds would seem to make good sense.
    MeSH term(s) Animals ; Artifacts ; Foreign Bodies/diagnostic imaging ; Humans ; Shoulder/diagnostic imaging ; Swine ; Transducers ; Ultrasonography/instrumentation
    Language German
    Publishing date 1996-11
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 120817-2
    ISSN 1862-278X ; 0013-5585
    ISSN (online) 1862-278X
    ISSN 0013-5585
    DOI 10.1515/bmte.1996.41.11.308
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Delaying surgery for patients with a previous SARS-CoV-2 infection

    Glasbey, J. C. / Nepogodiev, D. / Omar, O. / Simoes, J. F. F. / Ademuyiwa, A. / Fiore, M. / Minaya-Bravo, A. / Shaw, R. / Vidya, R. / Bhangu, A. / Bhangu, A. A. / Siaw-Acheampong, K. / Benson, R. / Bywater, E. / Chaudhry, D. / Dawson, B. E. / Evans, J. P. / Gujjuri, R. R. / Heritage, E. /
    Jones, C. S. / Kamarajah, S. K. / Khatri, C. / Khaw, R. A. / Keatley, J. M. / Knight, A. / Lawday, S. / Li, E. / Mann, H. S. / Marson, E. J. / McLean, K. A. / Mckay, S. C. / Mills, E. C. / Pellino, G. / Picciochi, M. / Taylor, E. H. / Tiwari, A. / Trout, I. M. / Venn, M. L. / Wilkin, R. J. W. / Moug, S. / Vimalchandran, D. / Vallance, A. / Pockney, P. / Griffiths, E. A. / Townend, P. / Roberts, K. / McKay, S. / Isaac, J. / Satoi, S. / Edwards, J. / Coonar, A. S. / Marchbank, A. / Caruana, E. J. / Layton, G. R. / Patel, A. / Brunelli, A. / Ford, S. / Desai, A. / Gronchi, A. / Almond, M. / Tirotta, F. / Dumitra, S. / Kolias, A. / Price, S. J. / Fountain, D. M. / Jenkinson, M. D. / Hutchinson, P. / Marcus, H. J. / Piper, R. J. / Lippa, L. / Servadei, F. / Esene, I. / Freyschlag, C. / Neville, I. / Rosseau, G. / Schaller, K. / Demetriades, A. K. / Robertson, F. / Alamri, A. / Schache, A. G. / Winter, S. C. / Ho, M. / Nankivell, P. / Biel, J. 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    2020  

    Keywords covid19
    Language English
    Publishing country it
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    Full text online

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