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Gastrointestinal function testing model using a new laryngopharyngeal pH probe(restech)in patients after Ivor-Lewis esophagectomy

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World Journal of Gastrointestinal Oncology 2021年第6期13卷 612-624页

作者： Benjamin Babic Dolores T Müller Florian Gebauer Lars Mortimer Schiffmann rabi r datta WolfgangSchröder Christiane J Bruns Jessica M Leers Hans F Fuchs Department of General VisceralCancer and Transplant SurgeryUniversity of CologneCologne 50931Germany

BACKGrOUND There is no established correlation between 24-h esophageal pH-metry(Eso-pH)and the new laryngopharyngeal pH-monitoring system(restech)as only small case series ***-pH was not designed to detect laryngopharyngeal reflux(LPr)and restech may detect LPr *** have previously published a dataset using the two techniques in a large patient collective with gastroesophageal reflux ***,patients after esophagectomy were reported to represent an ideal human reflux model as no reflux barrier *** To use a human reflux model to examine our previously published correlation in these *** Patients after Ivor Lewis esophagectomy underwent our routine follow-up program with surveillance endoscopies,computed tomography scans and further exams following *** patients with a complete check-up program and reflux symptoms were offered inclusion into this prospective study and evaluated using restech and simultaneous ***,the relationship between the two techniques was evaluated rESULTS A total of 43 patients from May 2016-November 2018 were *** patients presented with mainly typical reflux symptoms such as heartburn(74%),regurgitation(84%),chest pain(58%),and dysphagia(47%).Extraesophageal symptoms such as cough,hoarseness,asthma symptoms,and globus sensation were also *** 24-hour pH-metry was abnormal in 88%of patients with a mean DeMeester Score of 229.45[range 26.4-319.5].restech evaluation was abnormal in 61%of cases in this highly selective patient *** patients with abnormal supine LPr were also abnormal for supine esophageal reflux measured by conventional *** Patients following esophagectomy and reconstruction with gastric interposition can ideally serve as a human reflux ***,laryngopharyngeal reflux phases occur mainly in the upright *** this human volume-reflux model,results of simultaneous esophageal and laryngopharyngeal(restech)pH

关键词： Gastroesophageal reflux disease Laryngopharyngeal reflux Minimally invasive esophagectomy Surgical technology restech Esophageal pH-metry

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5G mobile communication applications for surgery:An overview of the latest literature

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Artificial Intelligence in Gastrointestinal Endoscopy 2021年第1期2卷 1-11页

作者： Leandra Börner Valdez rabi r datta Benjamin Babic Dolores T Müller Christiane J Bruns Hans F Fuchs Department of Surgery University of CologneCologne 50937Germany

Fifth-generation wireless network,5G,is expected to bring surgery to a next *** surgery and telementoring could be enabled and be brought into routine medical care due to 5G characteristics,such as extreme high bandwidth,ultrashort latency,multiconnectivity,high mobility,high availability,and high *** work explores the benefits,applications and demands of 5G for ***,the development of previous surgical procedures from using older networks to 5G is *** current state of 5G in surgical research studies is discussed,as well as future aspects and requirements of 5G in surgery are presented.

关键词： 5G Wireless networks remote surgery Telesurgery Telementoring robotic surgery

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