12 results match your criteria: "Academic Teaching Hospital of the University of Hamburg[Affiliation]"

AI-assisted capsule endoscopy reading in suspected small bowel bleeding: a multicentre prospective study.

Lancet Digit Health

May 2024

Department of Medicine, Gastroenterology and Endoscopy, Fondazione Poliambulanza Istituto Ospedaliero, Brescia, Italy; Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

Background: Capsule endoscopy reading is time consuming, and readers are required to maintain attention so as not to miss significant findings. Deep convolutional neural networks can recognise relevant findings, possibly exceeding human performances and reducing the reading time of capsule endoscopy. Our primary aim was to assess the non-inferiority of artificial intelligence (AI)-assisted reading versus standard reading for potentially small bowel bleeding lesions (high P2, moderate P1; Saurin classification) at per-patient analysis.

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(1) Background: Villous atrophy is an indication for small bowel capsule endoscopy (SBCE). However, SBCE findings are not described uniformly and atrophic features are sometimes not recognized; (2) Methods: The Delphi technique was employed to reach agreement among a panel of SBCE experts. The nomenclature and definitions of SBCE lesions suggesting the presence of atrophy were decided in a core group of 10 experts.

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Lavage, Simethicone, and Prokinetics-What to Swallow with a Video Capsule.

Diagnostics (Basel)

September 2021

Agaplesion Bethesda Krankenhaus Bergedorf, Academic Teaching Hospital of the University of Hamburg, Clinic for Internal Medicine, 21029 Hamburg, Germany.

The development of new capsules now allows endoscopic diagnosis in all segments of the gastrointestinal tract and comes with new needs for differentiated preparation regimens. Although the literature is steadily increasing, the results of the conducted trials on preparation are sometimes conflicting. The ingestion of simethicone before gastric and small bowel capsule endoscopy for prevention of air bubbles is established.

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Background: Bariatric procedures are considered superior to medical therapies in managing type 2 diabetes mellitus (T2DM). Laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic sleeve gastrectomy (LSG) are the most commonly used procedures for weight loss and comorbidity resolution worldwide. However, it is not yet known whether the degree of T2DM is influenced by the choice of bariatric procedure.

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Introduction: Sudden cardiac death from ventricular fibrillation (VF) remains a major health problem worldwide. Currently, there are limited treatment options available to patients who suffer from episodes of VF. Because Purkinje fibers have been implicated as a source of initiation of VF, we are presenting the first paper of a series highlighting the promising results of substrate modulation through "De-Networking" of the Purkinje system preventing VF in patients without an alternative ablation strategy.

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Effectiveness of laparoscopic Roux-en-Y gastric bypass and sleeve gastrectomy for morbid obesity in achieving weight loss outcomes.

Int J Surg

October 2019

Head of the Department of Surgery, Reinbek Hospital, Academic Teaching Hospital of the University of Hamburg, Hamburger Straße 33, D-21465, Reinbek, Germany. Electronic address:

Objective: Laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic sleeve gastrectomy (LSG) are commonly performed weight loss procedures worldwide. Unfortunately, few studies have compared percentage total weight loss (%TWL) following these procedures. This research compared short-term, mid-term and long-term %TWL by LRYGB and LSG.

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Article Synopsis
  • The study evaluates a training program for 46 surgeons in São Paulo on Lichtenstein inguinal herniorrhaphy, focusing on teaching methods and outcomes across two years (2014-2015).
  • The training involved active teaching strategies and a validated Qualification Form to enhance surgeons’ skills, confidence, and performance, showing significant improvements in various aspects of the surgical procedure.
  • Results indicate the program's effectiveness, with a high nerve identification rate among trained surgeons and a consensus on the training’s value in serving underserved communities, emphasizing the social responsibility of medical education.
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Diagnosis and Treatment of Symptomatic Carpal Bossing.

J Clin Diagn Res

October 2015

Institute of Diagnostic and Interventional Radiology/Neuroradiology, Westkuestenklinikum Heide, Academic Teaching Hospital of the Universities of Kiel, Luebeck and Hamburg, Heide, Germany .

Context: Carpal bossing is an osseous formation at the dorsal portion of the quadrangular joint, which rarely becomes symptomatic. However, in some patients it causes pain, restricted mobility and can lead to complications like tendon rupture, inflammatory and degenerative joint disease.

Aim: In this article, we present our experiences with this rare disorder in order to improve diagnostic and therapeutic proceedings.

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Purpose: Chronic inguinodynia is one of the most frequent complications after groin herniorrhaphy. We investigated the retroperitoneal anatomy of the iliohypogastric, ilioinguinal, genitofemoral, and lateral femoral cutaneous nerve to prevent direct nerve injury during hernia repairs and to find the most advantageous approach for posterior triple neurectomy.

Methods: We dissected the inguinal nerves in 30 human anatomic specimens bilaterally.

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Emphysema: Imaging for Endoscopic Lung Volume Reduction.

Rofo

July 2015

Diagnostic and Interventional Radiology, Academic Teaching Hospital of the University of Hamburg, Amalie Sieveking-Hospital, Hamburg, Germany.

Unlabelled: Chronic obstructive pulmonary disease (COPD) is characterized by two entities, the more airway-predominant type ("bronchitis") on the one hand, and emphysema-predominant type on the other. Imaging via high-resolution computed tomography plays an important role in phenotyping COPD. For patients with advanced lung emphysema, new endoscopic lung volume reduction therapies (ELVR) have been developed.

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Unlabelled: Since aspects of demographic transition have become an essential part of socioeconomic, medical and health-care research in the last decades, it is vital for the radiologist to discriminate between normal ageing related effects and abnormal imaging findings in the elderly. This article reviews functional and structural aspects of the ageing lung and focuses on typical ageing related radiological patterns.

Key Points: • The physiological aging process of the thoracic organs shows typical structural and functional aspects.

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