152 153 Intestinal Disease Meeting Berlin 2006 - Dr. Falk Pharma ...

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Session 1 12 Important new developments in ultrasound According to M. Gebel (Hannover), endoscopy has not been the only area in which new developments can be reported: Ultrasound has experi- Fig. 10 M. Gebel I Contrast-enhanced echography of hepatocellular carcinoma (HCC) (M. Gebel, Hannover) enced clear progress in the diagnosis of gastrointestinal disorders. As an example, he cited contrast enhanced ultrasound. “A number of different contrast media have been introduced that can be used in ultrasound,” M. Gebel noted. Contrast-enhanced echography has, in his opinion, a role in the diagnosis of liver tumors (figure 10), which can be clearly differentiated in most cases. Further examples of progress in ultrasound examinations, M. Gebel explained, include elastography, in which the compressibility of tissue is studied, and 3D ultrasonography, which to date, however, has only achieved a narrow clinical importance.
Session 2 Role of Endoscopy Chair: J. Devière, Brussels H. Lochs, Berlin Gastroesophageal reflux disease – Will tomorrow’s therapy be endoscopic? According to J. Mössner (Leipzig), endoscopy plays a central role in the diagnosis of gastroesophageal reflux disease (GERD), although only about 50% of GERD patients actually exhibit endoscopically recognizable lesions in the esophagus. Obtaining a baseline examination early in the disease is important and provides a basis for assessing the subsequent disease course, as well as for work-up of a Barrett’s esophagus. In addition, an emergent endoscopic examination is indicated in any patient reporting alarm systems Fig. 11 I Barrett’s esophagus (J. Mössner, Leipzig) Congress Short Report Falk Symposium 152 J. Mössner such as dysphagia, weight loss or hemorrhage. Finally, patients with reflux symptoms who do not respond promptly to standard therapy with a proton pump inhibitor (PPI) represent a further indication for endoscopy. According to J. Mössner, the role of the newer techniques, such as chromoendoscopy, zoom endoscopy and narrow band imaging for the diagnosis of GERD cannot be definitively assessed at this time. However, he does expect significant progress from the application of high-resolution endoscopy in the identification of high-grade dysplasias and early carcinomas in patients with Barrett’s esophagus (figure 11). In this area, he 13
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