Publications by authors named "J Ockenga"
European guidelines for the diagnosis and treatment of pancreatic exocrine insufficiency: UEG, EPC, EDS, ESPEN, ESPGHAN, ESDO, and ESPCG evidence-based recommendations.
J Enrique Dominguez-Muñoz Miroslav Vujasinovic Daniel de la Iglesia Djuna Cahen Gabriele Capurso Johann Ockenga
United European Gastroenterol J
December 2024
Pancreatic exocrine insufficiency (PEI) is defined as a reduction in pancreatic exocrine secretion below the level that allows the normal digestion of nutrients. Pancreatic disease and surgery are the main causes of PEI. However, other conditions and upper gastrointestinal surgery can also affect the digestive function of the pancreas.
View Article and Find Full Text PDF[Small intestinal bacterial overgrowth (SIBO) - Therapy, nutrition, microbiome].
Dtsch Med Wochenschr
September 2024
Article Synopsis
- SIBO, or small intestinal bacterial overgrowth, is characterized by an excessive number of bacteria in the small intestine, leading to symptoms like bloating, nausea, and diarrhea, often due to various underlying health issues.
- Factors such as reduced gut motility, changes in gastrointestinal structure, and immune system issues can contribute to the development of SIBO, and diet plays a crucial role in shaping the gut microbiome.
- Treatment options for SIBO may include elemental diets, low-carbohydrate diets, and the use of pre- and probiotics, with ongoing research focusing on the connections between nutrition and gut health.
Article Synopsis
- ERCP is a complex medical procedure that carries significant risks, including complications like pancreatitis and bleeding, making specialized training and a high volume of procedures essential for success.
- The success rate of ERCPs is closely tied to the number of procedures performed annually, with studies suggesting that centers performing at least 200 ERCPs per year demonstrate better outcomes.
- Emerging reforms in German hospitals emphasize the need for minimum procedure volumes in specialized centers, highlighting that high-quality ERCP requires not just frequency, but also the availability of comprehensive resources and support for managing complications.