{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,7,16]],"date-time":"2024-07-16T12:40:17Z","timestamp":1721133617299},"reference-count":17,"publisher":"Georg Thieme Verlag KG","issue":"07","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dtsch Med Wochenschr"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Was ist neu?<\/jats:title><jats:p>Achalasie\u2002In den letzten 2 Jahren wurden mehrere Leitlinien unterschiedlicher Fachgesellschaften publiziert. Zur interventionellen Behandlung der Achalasie kommen die pneumatische Dilatation, die POEM sowie die Heller-Myotomie zur Anwendung. Bei der Durchf\u00fchrung der pneumatischen Dilatation ist ein sequenzielles Vorgehen empfohlen (1. Dilatation bis 30\u200amm, 4 Wochen sp\u00e4ter 2. Dilatation auf 35\u200amm).<\/jats:p><jats:p>SIBO\u2002Die bakterielle Fehlbesiedlung des D\u00fcnndarms ist ein klinisches Syndrom mit einem breiten Spektrum an Symptomen. Goldstandard ist die Kultur aus Duodenalsaft mit einem Cut-off von &gt;\u200a1000CFU\/ml laut der neuen amerikanischen Leitlinie. Mit einer geringeren Sensitivit\u00e4t, aber hohen Spezifit\u00e4t ist der H2-Atemtest mit Glukose geeignet. Der Laktulose-Atemtest ist eher skeptisch zu bewerten.<\/jats:p><jats:p>IMO\u2002Als intestinal methanogen overgrowth (IMO) bezeichnet man eine \u00dcberwucherung von Methan-produzierenden Prokariota, welche mittels Durchf\u00fchrung eines Atemtests mit Messung des Methans in der Ausatemluft nachgewiesen werden kann. Diese Kondition ist teilweise mit einem Reizdarmsyndrom vom Obstipationstyp assoziiert.<\/jats:p><jats:p>COVID-19 und Funktionsdiagnostik\u2002Aufgrund der COVID-19-Pandemie hat in den letzten Monaten die Zahl an Untersuchungen in der gastroenterologischen Funktionsdiagnostik abgenommen \u2013 es wurden allerdings Empfehlungen zur Priorisierung ver\u00f6ffentlicht.<\/jats:p>","DOI":"10.1055\/a-1156-0780","type":"journal-article","created":{"date-parts":[[2021,3,29]],"date-time":"2021-03-29T22:45:00Z","timestamp":1617057900000},"page":"441-445","source":"Crossref","is-referenced-by-count":1,"title":["Gastroenterologische Funktionsdiagnostik \u2013 neue\u00a0Entwicklungen und Tipps f\u00fcr die Praxis"],"prefix":"10.1055","volume":"146","author":[{"given":"Gianluca","family":"Barbone","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Gastroenterologie und Hepatologie \u2013 Charit\u00e9\u00a0Campus Mitte, Universit\u00e4tsmedizin Berlin \u2013 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