[Diagnosis, staging and therapy of gastric cancer].

Abstract:

:In spite of a continuously decreasing incidence in Western countries, gastric cancer remains a major health problem world-wide and a leading cause of cancer-related deaths. The molecular pathogenesis of the vast majority of sporadic tumours has not yet been clarified in detail, while for some familial cancer types causal germline mutations have been identified. Only radical resection offers a chance of cure and the prognosis is determined by the stage of disease at diagnosis. Unfortunately, about two-thirds of patients are still diagnosed in a late stage. The results of surgery have reached a plateau of effectiveness, in stages III and IV (UICC) an R0 resection will be possible in only about 40 % of cases and even, after successful curative resection, the prognosis is limited due to a high recurrence rate. The benefit of neoadjuvant chemotherapy in locally advanced cancers has been verified in phase II studies. Less clear is the adjuvant situation - the benefit of adjuvant radiochemotherapy after systematic lymphadenectomy awaits to be proven. In the palliative situation platinum-based high-dose 5-FU infusion protocols are currently the standard therapy.

journal_name

Z Gastroenterol

authors

Menges M

doi

10.1055/s-2004-813342

subject

Has Abstract

pub_date

2004-08-01 00:00:00

pages

767-73

issue

8

eissn

0044-2771

issn

1439-7803

journal_volume

42

pub_type

杂志文章,评审
  • A flow cytometric competition technique for measuring interaction of LDL with cellular LDL-receptors applied to patients with mutant (Arg3500-->Gln) apolipoprotein B.

    abstract::We report our experience with a method to evaluate binding and uptake in cells of low density lipoprotein (LDL) from heterozygous patients with familial defective apolipoprotein B-100 (FDB-LDL) and LDL from normolipidemic subjects (nonFDB-LDL). The method is based on competition for binding/uptake in Epstein-Barr Viru...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章

    doi:

    authors: Heath F,Jensen TG,Hansen PS,Jensen LG,Vissinger H,Moestrup SK,Pedersen S,Kølvraa S,Bolund L,Faergeman O

    更新日期:1996-06-01 00:00:00

  • The pancreatic head is larger than often assumed.

    abstract::Reference values for B-mode abdominal ultrasound are controversially discussed in the literature mainly due to the lack of data and non-standardized examination techniques. A cohort of 100 patients was prospectively examined. Patients with hepatobiliary diseases including gallstones, acute or chronic pancreatitis (n =...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章

    doi:10.1055/s-0033-1335175

    authors: Pirri C,Cui XW,De Molo C,Ignee A,Schreiber-Dietrich DG,Dietrich CF

    更新日期:2013-04-01 00:00:00

  • [Childhood achalasia: a separate entity?].

    abstract:BACKGROUND:Achalasia in childhood is rare, also the etiology and the pathogenesis of the early onset ort he disease is practically unknown. Little is known about the neuropathological changes in structure of the esophageal wall in non-hereditary, sporadic achalasia in children and ist differentiation to that in adults....

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章,评审

    doi:10.1055/s-2007-963649

    authors: Bohl J,Gockel I,Sultanov F,Eckardt V,Junginger T

    更新日期:2007-12-01 00:00:00

  • [Langerhans cell histiocytosis of the stomach with BRAF-V600E-mutation: case report and review of the literature].

    abstract::Langerhans cell histiocytosis is a disease with different clinical presentations and a wide spectrum of organ involvements. Rarely Langerhans cell histiocytosis can involve the gastrointestinal tract of adult patients. A case of infiltration of gastric mucosa by Langerhans cell histiocytosis is presented. The neoplast...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0034-1399058

    authors: Sarbia M,Mauerer R,Bettstetter M,Funk A

    更新日期:2015-04-01 00:00:00

  • [Rational laboratory diagnosis of cholestasis syndrome].

    abstract::Laboratory diagnostics efficiently applied is of decisive importance for a great deal of questions in spite of the technical and endoscopic methods which are available today in the field of examinations. By means of a screening programme consisting of ALAT, gamma-GT, ChE at a sensitivity of > 90% alterations in both t...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章,评审

    doi:

    authors: Nilius R,Jonczyk M

    更新日期:1993-02-01 00:00:00

  • Validation of the "German Inflammatory Bowel Disease Activity Index (GIBDI)": An Instrument for Patient-Based Disease Activity Assessment in Crohn's Disease and Ulcerative Colitis.

    abstract:INTRODUCTION: Assessment of disease activity in Crohn's disease (CD) and ulcerative colitis (UC) is usually based on the physician's evaluation of clinical symptoms, endoscopic findings, and biomarker analysis. The German Inflammatory Bowel Disease Activity Index for CD (GIBDICD) and UC (GIBDIUC) uses data from patient...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章

    doi:10.1055/a-0605-4080

    authors: Hüppe A,Langbrandtner J,Häuser W,Raspe H,Bokemeyer B

    更新日期:2018-10-01 00:00:00

  • [Computerized tomography analysis of gallstones: soon an essential diagnosis before nonsurgical gallstone therapy?].

    abstract::Successful application of non operative procedures for gallstone therapy are limited on cholesterol stones. Therefore reliable therapeutic analysis of stone components is mandatory for planning of an adequate therapy. Computed tomographic gallstone analysis is considered to improve selection of patients significantly....

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章

    doi:

    authors: Staritz M,Thelen M

    更新日期:1992-10-01 00:00:00

  • [Video-endoscopy and sonography--future developments].

    abstract::Video Endoscopy and Video Sonography are new developments in the field of endoscopy. They will start a structural change of the common endoscopy unit. This article shall give an overview about new development ways and their consequences for the next years in the field of Video Endoscopy. ...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章

    doi:

    authors: Stettin J

    更新日期:1990-06-01 00:00:00

  • [Long-term drug treatments to improve prognosis of patients with liver cirrhosis and to prevent complications due to portal hypertension].

    abstract::Portal hypertension in patients with liver cirrhosis can be improved, not only by surgical or interventional shunt placements, but also by drug-only treatment. Many recent studies addressed the question whether any of these substances can improve survival of patients with liver cirrhosis when administered continuously...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章,评审

    doi:10.1055/a-0958-2788

    authors: Holstege A

    更新日期:2019-08-01 00:00:00

  • [Pneumatosis intestinalis in anorexia nervosa: a case report].

    abstract::Pneumatosis intestinalis (PI) is identified as the accumulation of gas within the wall of the small or large intestine. It was first described by Du Vernoi in 1783. The pathogenesis is supposed to be multifactorial. It is assumed that there are 3 paths of disease development: mechanical, bacterial and biochemical. Adu...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章

    doi:10.1055/s-0031-1281680

    authors: Dzirlo L,Haunold I,Lung S,Buchinger E,Müller-Knespel EM,Weiss P

    更新日期:2013-11-01 00:00:00

  • [New endoscopic therapies for gastroesophageal reflux disease].

    abstract::The growing data about new endoscopic therapies for gastroesophageal reflux disease (GERD) seem to indicate that these techniques might be effective at least in a part of patients suffering from GERD. However, up to now it is not clear which technique is the best. Randomized studies comparing the different techniques ...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章,评审

    doi:10.1055/s-2003-41824

    authors: Bittinger M,Messmann H

    更新日期:2003-09-01 00:00:00

  • [Addison's disease as a rare cause of chronically elevated liver enzymes].

    abstract::Common causes of chronically elevated serum liver enzymes include fatty liver disease, chronic viral hepatitis, autoimmune hepatitis, or hereditary metabolic disorders. Adrenocortical insufficiency can also cause elevated liver enzymes. Since 1990 only 11 cases have been reported. We here report a 52-year-old man with...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章

    doi:10.1055/s-2005-858976

    authors: Gurakuqi GC,Stadlbauer V,Stepan V,Warnkross H,Trauner M

    更新日期:2006-02-01 00:00:00

  • [Real-time PCR assay for rapid detection of clarithromycin-resistant helicobacter pylori in gastric biopsy specimens].

    abstract::The main cause for failure of Helicobacter pylori eradication therapy is resistance to clarithromycin which is due to point mutations. The use of real-time PCR allows the detection of these mutations directly on biopsy specimens within a few hours. In our routine laboratory, we compared LightCycler PCR to conventional...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章

    doi:10.1055/s-2004-813313

    authors: Regnath T,Enninger A,Schalasta G

    更新日期:2004-12-01 00:00:00

  • [Anorectal motility in systemic scleroderma].

    abstract::We prospectively compared esophageal and rectal motility data from 7 patients with progressive systemic sclerosis (4 females, 3 males) to esophageal recordings in 22 and anorectal recordings in 9 healthy controls. All patients with sclerosis exhibited motility disturbances in the lower esophageal sphincter (LES): LES ...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章

    doi:

    authors: Frieling T,Enck P,Bremer G,Lübke HJ,Berges W,Wienbeck M

    更新日期:1988-11-01 00:00:00

  • Gastric schwannoma as a rare differential diagnosis of pleural effusion.

    abstract::We report a case of solitary gastric schwannoma that initially manifested with recurrent left pleural effusion caused by an inflammatory reaction. A 75-year-old female was primarily admitted with progressive dyspnoea and left sided effusion. History as well as clinical examination, gastroscopy, computed tomography (CT...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章

    doi:10.1055/s-2002-35416

    authors: Janowitz P,Meier F,Reisig J

    更新日期:2002-11-01 00:00:00

  • [Multiple gastric wall abscesses--a rare differential endosonographic diagnosis of submucous stomach tumors].

    abstract::We report a rare case of a 52 year old patient with multiple gastric wall abscesses. In 1987 a selective proximal vagotomy was performed. Because of non-specific gastric symptoms in 1993 an endoscopy and an endoscopic ultrasound was performed at another hospital which resulted in the likely diagnosis of multiple leiom...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章

    doi:

    authors: Messmann H,Hollerbach S,Gross V,Holstege A,Büttner R,Schmidt J,Hohenberger W,Schölmerich J

    更新日期:1995-03-01 00:00:00

  • [Autoimmune pancreatitis].

    abstract::Over the last years several case reports and articles have been published suggesting that a new form of chronic pancreatitis has been diagnosed and named autoimmune pancreatitis. The present overview scrutinizes the proposed evidence in the light of the current literature and aims to prove whether autoimmune pancreati...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章

    doi:10.1055/s-2002-19642

    authors: Rünzi M,Dejica D,Junge B,Keller J,Layer P

    更新日期:2002-01-01 00:00:00

  • Lower prevalence of vitamin D insufficiency in German patients with systemic mast cell activation syndrome compared with the general population.

    abstract::Introduction The common mastocytosis variant systemic mast cell activation syndrome (MCAS) may underlie at least a subset of patients with irritable bowel syndrome (IBS). A critical role of vitamin D (VD) in the stabilization of mast cells (MCs) with deficiency of VD resulting in MC activation has been demonstrated. I...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章

    doi:10.1055/s-0043-121346

    authors: Wirz S,Hertfelder HJ,Seidel H,Homann J,Molderings GJ

    更新日期:2017-12-01 00:00:00

  • [First manifestation of a leucocytoclastic vasculitis in the colon: case report and differential diagnostic aspects].

    abstract::This report presents a female patient suffering from chronic diarrhea, who developed palpable purpura on the lower extremities 8 weeks after onset of the gastrointestinal symptoms. Biopsies obtained from the colon and skin showed leukocytoclastic vasculitis. Possible triggers or underlying diseases could not be found,...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章

    doi:10.1055/s-0032-1325470

    authors: Schartner E,Höflmayer D,Müller-Knespel EM,Dzirlo L,Haunold I,Dawid M,Stanek-Kalchhauser D,Weiss P,Klimpfinger M

    更新日期:2013-01-01 00:00:00

  • Colonoscopy use in a country with a long-standing colorectal cancer screening programme: evidence from a large German survey.

    abstract:BACKGROUND:Given the potential colonoscopy has in prevention and early detection of colorectal cancer (CRC), its overall use within a population is a meaningful parameter to estimate the future CRC burden. We aimed to examine overall prevalence and correlates of colonoscopy use in Germany, a country with a long-standin...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章

    doi:10.1055/s-0029-1245611

    authors: Sieverding M,Matterne U,Ciccarello L,Haug U

    更新日期:2010-12-01 00:00:00

  • [Gastrin in the pathogenesis of ulcer disease].

    abstract::The role of endogenous gastrin in the pathogenesis of "idiopathic" ulcer disease is difficult to determine; however, gastrin is probably only of limited importance besides various probable more important factors. In conditions associated with uncontrolled gastrin production by a gastrin secreting tumor or in cases in ...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章

    doi:

    authors: Koop H

    更新日期:1987-08-01 00:00:00

  • [Current status of ultrasound in gastroenterology--bowel and upper gastrointestinal tract--part 1].

    abstract::Ultrasonography has become widely accepted as a diagnostic tool for gastrointestinal diseases. It not only assesses the lumen but more importantly also the wall and the surrounding structures of the stomach and bowel. Furthermore, functional processes (peristalsis, blood flow) can be visualised and provide important i...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章,评审

    doi:10.1055/s-2007-963101

    authors: Nuernberg D,Ignee A,Dietrich CF

    更新日期:2007-07-01 00:00:00

  • [Pharmacotherapy in patients with ulcerative colitis].

    abstract:BACKGROUND:Patients with ulcerative colitis experience various impairments. The pharmacological treatment of the disease comprises 5-aminosalicylic acid, corticosteroids as well as immunomodulatory and biological agents. Little self-reported data exist on the prescription of these drugs. METHODS:This cross-sectional s...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章

    doi:10.1055/s-0031-1273276

    authors: Scherer M,Hardt J,Blozik E,Preiss JC,Bokemeyer B,Hüppe A,Raspe H

    更新日期:2011-07-01 00:00:00

  • Beyond fibrosis: stellate cells as liver stem cells.

    abstract::The high regenerative potential of the liver is driven by parenchymal and non-parenchymal cells, which restore the original liver mass after injury by cell proliferation. The contribution of stem- and progenitor cells to liver regeneration is mainly observed when hepatocyte proliferation is impaired. However, the orig...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0035-1566895

    authors: Kordes C,Sawitza I,Götze S,Schumacher E,Häussinger D

    更新日期:2015-12-01 00:00:00

  • [Gastrointestinal bleeding in portal hypertension in liver cirrhosis].

    abstract::There are three major goals in the prophylaxis and treatment of upper gastrointestinal bleeding in portal hypertensive patients: prophylaxis of the first bleeding episode, therapy of active bleeding and prophylaxis of recurrent bleeding. Several therapeutic options are available: non-selective beta-blockers are the tr...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章,评审

    doi:10.1055/s-2004-813909

    authors: Biecker E,Heller J,Appenrodt B,Schepke M,Sauerbruch T

    更新日期:2005-01-01 00:00:00

  • [Pancreatic interventions: biopsy, drainage, necrosectomy--from the viewpoint of the radiologist].

    abstract::The following publication is an overview looking at diagnostic and therapeutic possibilities related to interventional procedures for diseases of the pancreas. We emphasize the description of the technique and show meaningful indications and limitations. ...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章

    doi:10.1055/s-2000-10302

    authors: Tomczak RJ,Görich J,Gabelmann A,Krämer S,Rilinger N,Brambs HJ

    更新日期:2000-11-01 00:00:00

  • [Esophageal 24 hour-pH metry. Recommendations of the German Society of Neurogastroenterology and Motility and the Study Group for Gastrointestinal Functional Disorders and Function Diagnostics of the Austrian Society of Gastroenterology and Hepatology].

    abstract::This article presents the recommendations for 24-hour oesophageal pH-metry of the German Society of Neurogastroenterology and Motility and the Study Group for Gastrointestinal Functional Disorders and Function Diagnostics of the Austrian Society of Gastroenterology and Hepatology. Indications for the examination, the ...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 指南,杂志文章,实务指引

    doi:10.1055/s-2003-39823

    authors: Pehl C,Keller J,Merio R,Stacher G,Deutschen Gesellschaft für Neurogastroenterologie und Motilität.,Arbeitsgruppe für gastrointestinale Funktionsstörungen und Funktionsdiagnostik der Osterreichischen Gesellschaft für Gastroenterologie und Hepat

    更新日期:2003-06-01 00:00:00

  • [Gastrointestinal complications of adult patients with cystic fibrosis].

    abstract::Cystic fibrosis (CF) is the most common autosomal recessive disease in the Caucasian population. The primary cellular defect, the reduced expression of the cystic fibrosis transmembrane conductance regulator (CFTR), leading to a chloride secretory defect, is present in all epithelial cells of endodermal and mesodermal...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章,评审

    doi:

    authors: Bargon J,Stein J,Dietrich CF,Müller U,Caspary WF,Wagner TO

    更新日期:1999-08-01 00:00:00

  • [Assessment of the efficacy and safety of the phytopharmacon STW 5 versus metoclopramide in functional dyspepsia--a retrolective cohort study].

    abstract:AIM:The objective of this study was to assess the efficacy and safety of the phytopharmacon STW 5 versus metoclopramide in functional dyspepsia. METHODS:A retrolective, epidemiological cohort study with parallel groups in 23 randomised centres where both drugs were used routinely was performed. The main outcome variab...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章,多中心研究

    doi:10.1055/s-2007-963357

    authors: Raedsch R,Hanisch J,Bock P,Sibaev A,Vinson B,Gundermann KJ

    更新日期:2007-10-01 00:00:00

  • Case report: extreme CgA elevation under PPI confounding assessment of adrenal mass.

    abstract::Measurement of chromogranin A (CgA) level in blood can be used to monitor neuroendocrine tumours. However CgA level may also be elevated in several other endocrine and non-endocrine diseases. Here, we report on a patient with an incidental left-sided adrenal tumour and elevated CgA level. Adrenalectomy did not confirm...

    journal_title:Zeitschrift fur Gastroenterologie

    pub_type: 杂志文章

    doi:10.1055/s-0028-1109174

    authors: Wiedmann MW,Mössner J,Stumvoll M,Führer D

    更新日期:2009-07-01 00:00:00