[Rehabilitation for digestive and metabolic diseases. Quo vadis?].

The position of rehabilitation in gastroenterology, hepatology and metabolic diseases has changed little in the last 25 years. Initial improvements in quality are oriented more to the content of rehabilitative measures and less to organizational basic conditions. Nevertheless, there is an urgent need for action if rehabilitation medicine is to achieve an equivalent and recognized position in the interaction between primary care and other medical specialties.

[Obesity treatment in rehabilitation clinics--explanations and remarks on implementing clinical practice guideline].

Unlabelled: This paper focuses on the improvement of obesity treatment during in-patient rehabilitation.

Assignment: The diagnosis of obesity rarely is in the foreground of assignment to rehabilitation. Obesity is the primary diagnosis in only about 1 % of all adipose patients; the term is also non-specific with respect to the causal role in the Metabolic Syndrome.

Development of an EORTC disease-specific quality of life module for use in patients with gastric cancer.

Quality of life (QL) is an important outcome in clinical trials in oncology. There is currently no valid international QL measure for gastric cancer. This paper describes the development of a QL module for gastric cancer to supplement the European Organization for Research and Treatment of Cancer (EORTC) Quality of life (QLQ-C30) questionnaire.

The effect of pancreatic enzyme supplementation in patients with steatorrhoea after total gastrectomy.

Objective: To assess the influence of pancreatic enzyme supplementation on symptoms, energy intake, bowel habits, and fat malassimilation in patients after total gastrectomy.

Design: A prospective, double-blind, randomized, parallel, placebo-controlled, multi-centre trial.

Setting: Institutionalized patients in three gastroenterological rehabilitation clinics.

Determinants of medico-social functioning after total gastrectomy.

Aim: To describe medico-social functioning after total gastrectomy and the factors determining it.

Patients And Methods: In three medical rehabilitation centres, 173 consecutive patients (female/male = 62/111) after potentially curative total gastrectomy for gastric malignancy 206 days earlier (median, interquartile range = IQR 56-644) were evaluated for different pre- and post-operative parameters with potential influence on post-operative medico-social functioning as measured with the Edinburgh Rehabilitation Status Scale (ERSS). Parameters evaluated were: gender, age, time since operation, tumour stage, type of operation, clinical centre of admittance, haemoglobin, ferritin, albumin, presence of small bowel bacterial overgrowth, rapid oro-coecal transit, dyspepsia, early satiety, reflux, dysphagia, vomiting, a symptom based score, body mass index in health, at operation and on admission, weight loss since operation, calorie intake, bowel habits, and fat malassimilation.