Joachim Labenz

Joachim Labenz
Diakonie Klinikum jung-stilling · Internal Medicine

Professor, MD

About

481
Publications
23,485
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
9,589
Citations
Citations since 2016
135 Research Items
2109 Citations
20162017201820192020202120220100200300
20162017201820192020202120220100200300
20162017201820192020202120220100200300
20162017201820192020202120220100200300

Publications

Publications (481)
Article
Full-text available
Background: Burnout in the field of gastroenterology is an under-researched phenomenon. So far, only a few studies have dealt with this topic. There are large geographical variations in burnout rates with 16–20% of gastroenterologists in Mexico and Germany being at risk or having burnout, 30–40% in the United Kingdom, and 50–55% in South Korea, Can...
Article
Full-text available
Background: Burnout in the field of gastroenterology is an under-researched phenomenon. So far, only a few studies have dealt with this topic. There are large geographical variations in burnout rates with 16–20% of gastroenterologists in Mexico and Germany being at risk or having burnout, 30–40% in the United Kingdom, and 50–55% in South Korea, Can...
Article
Eosinophilic esophagitis (EoE) is the most common cause of esophageal food impaction (EFI). Approaches to management of EFI due to EoE have not been well characterized. We conducted a web-based survey to understand approaches to management of EFI due to EoE among endoscopists. Questions focused on management of patients from presentation to post-en...
Article
Zusammenfassung Hintergrund Eine repräsentative Beschreibung der aktuellen Arbeitsbedingungen, Änderungen und Perspektiven in nicht-universitären gastroenterologischen Kliniken/Abteilungen in Deutschland, insbesondere auch im zeitlichen Verlauf der Corona-Krise, ist bisher nicht vorhanden. Die Arbeitsgemeinschaft Leitender Gastroenterologischer Kra...
Article
Zusammenfassung In jüngster Zeit wurden in der Therapie der eosinophilen Ösophagitis (EoE) und insbesondere im Bereich der topischen Corticosteroide erhebliche Fortschritte erreicht. Neue EoE-spezifische Darreichungsformen wurden entwickelt und haben in Form der orodispersiblen Budesonid-Tablette zu der ersten in Deutschland und anderen europäische...
Article
Zusammenfassung Hintergrund Arbeitskräfte im medizinischen Bereich sind mit immer größer werdenden Herausforderungen konfrontiert. Zudem besteht vielerorts ein Fachkräftemangel, sodass immer mehr auch das Endoskopiefachpersonal dem Risiko ausgesetzt ist, Burnout-Symptome zu entwickeln. Über die Arbeitszufriedenheit und Burnout-Prävalenz bei Endosko...
Article
Zusammenfassung Die gastroösophageale Refluxkrankheit (GERD) ist häufig. Protonenpumpeninhibitoren (PPI) gelten als Mittel der ersten Wahl für alle klinischen Manifestationen. Sie wirken allerdings bei mindestens 30% der Patienten unzureichend, zudem werden sie gelegentlich auch nicht vertragen. Einige Patienten wünschen sich auch eine therapeutisc...
Article
Background Healthcare workers are facing ever-increasing challenges. Moreover, in many areas, there is a shortage of skilled personnel, so endoscopy staff are also increasingly exposed to the risk of developing burnout symptoms. Little is known about job satisfaction and burnout prevalence among endoscopy staff. The present study investigates the r...
Article
Full-text available
There is evidence that intake of proton pump inhibitors (PPI) increases the risk for spontaneous bacterial peritonitis (SBP) in patients with liver cirrhosis. However, data regarding the impact of PPI intake on occurrence of infections other than SBP are still lacking.We hypothesized that PPI use is associated with a higher rate of infections other...
Chapter
Die Vorsorgekoloskopie ist in Deutschland seit vielen Jahren fest etabliert und eine Erfolgsgeschichte. Erkrankungen mit malignem Potential sind auch im oberen Verdauungstrakt häufig anzutreffen. Zu nennen sind hier in erster Linie die gastroösophageale Refluxkrankheit (GERD) sowie die autoimmune (Typ A) und die bakterielle Gastritis (Typ B) hervor...
Article
Gastro-oesophageal reflux disease (GORD), a highly prevalent disease, is defined by troublesome symptoms and/or oesophageal lesions caused by reflux of gastric content. A diagnostic gold standard does not exist. A reliable diagnosis may be difficult in individual cases. Patients’ history, endoscopic findings and pH-impedance monitoring contribute t...
Article
Background Non-selective β-blockers (NSBB) are frequently used for the treatment of portal hypertension and gastroesophageal varices in patients with liver cirrhosis; however prospective studies investigating the potential association between NSBB use and hepatic encephalopathy (HE) are still scarce. We investigated the potential association betwee...
Article
Introduction: Frailty is a common but often underestimated complication in patients with liver cirrhosis. The Clinical Frailty Scale (CFS) allows the assessment of frailty within a short period of time but has only been investigated in a Canadian cohort of outpatients. The aim of the current study was to evaluate the ability of the CFS to predict...
Article
Background: Irritable bowel syndrome (RDS) is one of the most common functional disorders of the gastrointestinal tract in primary care. As pathophysiology is still insufficiently understood and there is no causal therapeutic approach, therapy is still a challenge in daily practice. Method: As part of a nationwide survey in written form, primary...
Article
ZUSAMMENFASSUNG Hintergrund Immer mehr Ärzte sind mit ihren Arbeitsbedingungen nicht zufrieden und laufen Gefahr, Burnout-Symptome zu entwickeln. Über die Arbeitszufriedenheit und Burnout-Prävalenz bei Gastroenterologen in Deutschland liegen bislang keine Daten vor. Die vorliegende Studie untersucht das Burnout-Risiko sowie die Arbeitszufriedenheit...
Article
Introduction: Despite the negative impact of covert hepatic encephalopathy on the outcome of patients with liver cirrhosis, data regarding the ability of different testing strategies to predict overt hepatic encephalopathy (OHE) development and mortality are limited. This study aimed to compare the ability of Psychometric Hepatic Encephalopathy Sc...
Article
Background Hepatic encephalopathy (HE) is a severe complication of liver cirrhosis with impairment of quality of life and prognosis. Management patterns among physicians have not been investigated yet. Methods A questionnaire containing 17 questions was sent out to 1468 gastroenterologists and 120 general practitioners (GPs). It included questions...
Article
Full-text available
Introduction: Hepatic encephalopathy (HE) represents a frequent complication of liver cirrhosis with negative effects on patients' lives. The prevalence of clinical HE is estimated to be between 30-45 %. Regardless of its clinical and prognostic relevance HE is considered to be underdiagnosed. Methods: Beyond a systematic analysis of mortality o...
Article
Es gibt heute zahlreiche wissenschaftliche Untersuchungen zu oralen Probiotika bei unterschiedlichen Erkrankungen sowie zu deren Wirkmechanismen. Inzwischen ist bekannt, dass die Wirksamkeit von probiotischen Bakterien sowohl stamm- als auch krankheitsspezifisch ist.
Article
Full-text available
Background: Systemic inflammation is a driving force for the development of hepatic encephalopathy and recent studies demonstrated that elevated Interleukin-6 (IL-6) serum levels are associated with the presence of minimal hepatic encephalopathy in patients with liver cirrhosis. Aim: To test the hypothesis that IL-6 is a suitable marker to ident...
Article
Introduction: Robotic-assisted surgery continues to evolve. Technical advantages are reported for intracorporal suturing, a technique with a long learning curve in conventional laparoscopy. The success of laparoscopic fundoplication relies on precise suturing at the hiatus and of the fundal wrap. Therefore, robotic assistance can be a useful tool...
Article
Background: Shortage of general practitioners (GPs), especially in rural areas, is an increasing problem for the German healthcare system. Different approaches are pursued to counteract this development. The study HaMEdSi (Hausärzte (GPs) for Medical Education in Siegen-Wittgenstein) among other things examines the occupational perspectives of the...
Article
Auf dem amerikanischen Gastroenterologie-Kongress (Digestive Disease Week, DDW), der 2019 in San Diego, CA, stattfand, wurden in diesem Jahr zahlreiche Informationen aus Studien, Vorträgen und Abstracts zu bekannten Problemen sowie aktuellen und neuen Therapieverfahren des Ösophagus und des Magens vorgestellt. In einer Serie von Artikeln werden in...
Article
Background: Eosinophilic esophagitis (EoE) is an increasingly recognized immune-mediated esophageal disease and a common cause for dysphagia and food bolus obstruction. The aim of this study was to evaluate the current clinical management of EoE among adult gastroenterologists in Germany. Methods: We performed a cross-sectional study of 1393 adu...
Article
Full-text available
Zusammenfassung Die Leitlinie Komplikationen der Leberzirrhose der Deutschen Gesellschaft für Gastroenterologie, Verdauungs- und Stoffwechselkrankheiten (DGVS) ersetzt die Leitlinie aus dem Jahr 2011. Sie basiert auf den Empfehlungen der Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften (AWMF) für eine evidenzbasierte Kons...
Article
Background The influence of singing activities and breathing exercises on the presence of gastroesophageal reflux disease (GERD) symptoms is not clear. While an Austrian study found symptom reduction, an Italian study showed more symptoms in professional opera choristers. These contradictory results may be due to differential intensity of the singi...
Article
BACKGROUND About 5% of all GP consultations are made for symptoms of functional dyspepsia. The definition of functional dyspepsia is in a state of flux, pathophysiology is poorly understood, and current diagnostic and therapeutic algorithms are not available. AIM Evaluation of the frequency and the practical procedure in the diagnosis and therapy...
Article
Full-text available
Adarkwah CC, Schwaffertz A, Labenz J, Becker A, Hirsch O. Psychol Res Behav Manag. 2018;11:483–494.On page 493, Table S1 should read as follows: [see Corrigendum file for revised table]On page 494, the missing reference for reference 1 should read as follows:Reference1. Maslach C and Jackson SE. MBI: human services survey. Available from: https://w...
Article
Auf der europäischen United European Gastroenterology Week (UEGW), die 2018 in Wien stattfand, erfuhren mehr als 13.000 Teilnehmer alles zu aktuellen Standards, Neuigkeiten und möglichen Entwicklungen bei Erkrankungen von Ösophagus und Magen. Die Referenten des UEGW-Updates sichten Beiträge und fassen Informationen aus Studien, Vorträgen und Abstra...
Article
Objectives: Diagnosis of covert hepatic encephalopathy (CHE) is challenging and often neglected in clinical practice. The aim of this study was to develop an easy-to-perform score to predict CHE in patients with cirrhosis. Methods: For the development or validation cohort of the proposed clinical CHE score, 142 or 96 consecutive patients with ci...
Article
Full-text available
Background The establishment of a medical education program in the rural area of Siegen is planned to be the first step against a shortage of physicians in this region. General practitioners (GPs) will be extensively involved in this program as Family Medicine (Allgemeinmedizin) will become a core subject in the curriculum nationwide. Based on this...
Article
Zusammenfassung In der Leitlinie zur gastroösophagealen Refluxkrankheit sind die Prinzipien von Diagnostik und Therapie aufgrund bestehender Evidenz definiert. Grundlage der Diagnostik ist eine ausführliche Anamnese, ergänzt durch eine Gastroskopie, während funktionsdiagnostische Untersuchungen mittels pH-Metrie oder (besser) Impedanz-pH-Metrie bes...
Article
Full-text available
Einleitung Chronische Reflux-Patienten mit Langzeit-PPI-Therapie haben häufig persistierende Symptome. Eine wesentliche Ursache hierfür ist die Acid-Pocket, die lokal durch Alginate wirksam behandelt werden kann. Methoden In einer prospektiven, multizentrischen, nicht randomisierten, nicht interventionellen und unkontrollierten Studie in hausärztli...
Article
Full-text available
Background An increasing number of general practitioners (GPs) are not satisfied with their working conditions and are at risk of developing burnout symptoms. As family medicine is becoming a major subject within the medical curriculum in Germany, practicing GPs need to meet higher demands in the future, ie, treating patients and taking part in the...
Article
Full-text available
The progression of gastroesophageal reflux disease (GERD) in patients who are taking proton pump inhibitors (PPIs) has been reported by several investigators, leading to concerns that PPI therapy does not address all aspects of the disease. Patients who are at risk of progression need to be identified early in the course of their disease in order t...
Article
Background The symptoms of gastroesophageal reflux disease (GERD) are very common. Despite the fact that 40% of patients continue to suffer under conservative treatment, only approximately 1% of affected patients are operated on in Germany. Until recently, antireflux surgery was performed nearly exclusively in the form of a Nissen fundoplication or...
Article
Hintergrund Singaktivitäten und Atemübungen können über eine Kräftigung der Zwerchfellschenkel den unteren Ösophagussphinkter stärken und, wie in einer kleinen Grazer Studie gezeigt, auch Refluxsymptome lindern. Anderer-seits berichten zahlreiche Fallstudien und eine Kohortenstudie über vermehrten Reflux insbesondere bei professionellen Opernsänger...
Article
Auf dem amerikanischen Gastroenterologie-Kongress (Digestive Disease Week, DDW), der vom 18. bis 21. Mai in Washington DC stattfand, wurden in diesem Jahr zahlreiche Informationen aus Studien, Vorträgen und Abstracts zu bekannten Problemen, aber auch neuen Krankheiten des Ösophagus sowie des Magens vorgestellt. In einer Serie von Artikeln werden in...
Article
Full-text available
Irritable bowel syndrome (IBS) and functional dyspepsia (FD) are common functional gastrointestinal disorders with overlapping symptoms. Effectiveness and safety of Menthacarin (Menthacarin® is the active ingredient of the product Carmenthin® [Dr. Willmar Schwabe GmbH & Co. KG, Karlsruhe, Germany]) in FD treatment were already demonstrated. We asse...
Article
Background: Functional dyspepsia (FD) is one of the more common functional disorders, with a prevalence of 10-20%. It affectsthe gastrointestinal tract. Methods: This article is based on publications retrieved by a selective search of PubMed, with special attention to controlled trials, guidelines, and reviews. Results: Typical dyspeptic sympt...