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2篇 您的检索式:作者名="Hans F Fuchs"
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1Gastrointestinal function testing model using a new laryngopharyngeal pH probe(Restech)in patients after Ivor-Lewis esophagectomy显示文摘BACKGROUND There is no established correlation between 24-h esophageal pH-metry(Eso-pH)and the new laryngopharyngeal pH-monitoring system(Restech)as only small case series exist.Eso-pH was not designed to detect laryngopharyngeal reflux(LPR)and Restech may detect LPR better.We have previously published a dataset using the two techniques in a large patient collective with gastroesophageal reflux disease.Anatomically,patients after esophagectomy were reported to represent an ideal human reflux model as no reflux barrier exists.AIM To use a human reflux model to examine our previously published correlation in these patients.METHODS Patients after Ivor Lewis esophagectomy underwent our routine follow-up program with surveillance endoscopies,computed tomography scans and further exams following surgery.Only patients with a complete check-up program and reflux symptoms were offered inclusion into this prospective study and evaluated using Restech and simultaneous Eso-pH.Subsequently,the relationship between the two techniques was evaluated RESULTS A total of 43 patients from May 2016-November 2018 were included.All patients presented with mainly typical reflux symptoms such as heartburn(74%),regurgitation(84%),chest pain(58%),and dysphagia(47%).Extraesophageal symptoms such as cough,hoarseness,asthma symptoms,and globus sensation were also present.Esophageal 24-hour pH-metry was abnormal in 88%of patients with a mean DeMeester Score of 229.45[range 26.4-319.5].Restech evaluation was abnormal in 61%of cases in this highly selective patient cohort.All patients with abnormal supine LPR were also abnormal for supine esophageal reflux measured by conventional Eso-pH.CONCLUSION Patients following esophagectomy and reconstruction with gastric interposition can ideally serve as a human reflux model.Interestingly,laryngopharyngeal reflux phases occur mainly in the upright position.In this human volume-reflux model,results of simultaneous esophageal and laryngopharyngeal(Restech)pHmetry showed 100%correlation as being explicable by one of our reflux scenarios.Benjamin Babic Dolores T Müller Florian Gebauer Lars Mortimer Schiffmann Rabi R Datta WolfgangSchröder Christiane J Bruns Jessica M Leers Hans F Fuchs 2021World Journal of Gastrointestinal Oncology2021,13,6:0
25G mobile communication applications for surgery:An overview of the latest literature显示文摘Fifth-generation wireless network,5G,is expected to bring surgery to a next level.Remote surgery and telementoring could be enabled and be brought into routine medical care due to 5G characteristics,such as extreme high bandwidth,ultrashort latency,multiconnectivity,high mobility,high availability,and high reliability.This work explores the benefits,applications and demands of 5G for surgery.Therefore,the development of previous surgical procedures from using older networks to 5G is outlined.The current state of 5G in surgical research studies is discussed,as well as future aspects and requirements of 5G in surgery are presented.Leandra Börner Valdez Rabi R Datta Benjamin Babic Dolores T Müller Christiane J Bruns Hans F Fuchs 2021Artificial Intelligence in Gastrointestinal Endoscopy2021,2,1:0
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