{"id":"https://openalex.org/W7204456888","doi":"https://doi.org/10.1055/s-0046-1826972","title":"Prospektive laparoskopische Quantifizierung der Sigmal\u00e4nge: Korrelation mit Obstipation und abdominellen Schmerzen und Definition eines intraoperativen Cut-offs f\u00fcr das Dolichosigma","display_name":"Prospektive laparoskopische Quantifizierung der Sigmal\u00e4nge: Korrelation mit Obstipation und abdominellen Schmerzen und Definition eines intraoperativen Cut-offs f\u00fcr das Dolichosigma","publication_year":2026,"publication_date":"2026-08-01","ids":{"openalex":"https://openalex.org/W7204456888","doi":"https://doi.org/10.1055/s-0046-1826972"},"language":"de","primary_location":{"id":"doi:10.1055/s-0046-1826972","doi":"https://doi.org/10.1055/s-0046-1826972","is_oa":false,"landing_page_url":"https://doi.org/10.1055/s-0046-1826972","pdf_url":null,"source":{"id":"https://openalex.org/S189922908","display_name":"Zeitschrift f\u00fcr Gastroenterologie","issn_l":"0044-2771","issn":["0044-2771","1439-7803"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-3"],"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Zeitschrift f\u00fcr Gastroenterologie","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5059721727","display_name":"Jamal Driouch","orcid":"https://orcid.org/0000-0003-0620-3127","observed_orcids":["https://orcid.org/0000-0003-0620-3127"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"J Driouch","raw_affiliation_strings":["Elisabeth Hospital Iserlohn, Allgemein- und Viszeralchirurgie, Iserlohn, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Elisabeth Hospital Iserlohn, Allgemein- und Viszeralchirurgie, Iserlohn, Germany","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5146808752","display_name":"Mustafa Abbas Abdulqader","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"M A Abdulqader","raw_affiliation_strings":["Elisabeth Hospital Iserlohn, Allgemein- und Viszeralchirurgie, Iserlohn, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Elisabeth Hospital Iserlohn, Allgemein- und Viszeralchirurgie, Iserlohn, Germany","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5115882873","display_name":"Shazadi Sajid","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"S Sajid","raw_affiliation_strings":["Elisabeth Hospital Iserlohn, Allgemein- und Viszeralchirurgie, Iserlohn, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Elisabeth Hospital Iserlohn, Allgemein- und Viszeralchirurgie, Iserlohn, Germany","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5016432022","display_name":"Nikolaos Kapellas","orcid":"https://orcid.org/0000-0003-1961-2974","observed_orcids":["https://orcid.org/0000-0003-1961-2974"]},"institutions":[{"id":"https://openalex.org/I4210126089","display_name":"Marien Hospital Witten","ror":"https://ror.org/041fcgy60","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4210126089"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"N Kapellas","raw_affiliation_strings":["Marien Hospital Witten, Allgemein- und Viszeralchirurgie, Witten, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Marien Hospital Witten, Allgemein- und Viszeralchirurgie, Witten, Germany","institution_ids":["https://openalex.org/I4210126089"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5146773641","display_name":"Qais Riyal","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210088550","display_name":"Universit\u00e4tsklinik Marien Hospital Herne","ror":"https://ror.org/004h6mc53","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I2799784675","https://openalex.org/I4210088550"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Q Riyal","raw_affiliation_strings":["Marien Hospital Herne, Allgemein- und Viszeralchirurgie, Herne, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Marien Hospital Herne, Allgemein- und Viszeralchirurgie, Herne, Germany","institution_ids":["https://openalex.org/I4210088550"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5053645357","display_name":"M. Senkal","orcid":"https://orcid.org/0000-0002-3966-7158","observed_orcids":["https://orcid.org/0000-0002-3966-7158"]},"institutions":[{"id":"https://openalex.org/I4210126089","display_name":"Marien Hospital Witten","ror":"https://ror.org/041fcgy60","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4210126089"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"M Senkal","raw_affiliation_strings":["Marien Hospital Witten, Allgemein- und Viszeralchirurgie, Witten, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Marien Hospital Witten, Allgemein- und Viszeralchirurgie, Witten, Germany","institution_ids":["https://openalex.org/I4210126089"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"64","issue":"08","first_page":"e560","last_page":"e560"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10365","display_name":"Gastrointestinal motility and disorders","score":0.600600004196167,"subfield":{"id":"https://openalex.org/subfields/2715","display_name":"Gastroenterology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10365","display_name":"Gastrointestinal motility and disorders","score":0.600600004196167,"subfield":{"id":"https://openalex.org/subfields/2715","display_name":"Gastroenterology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12150","display_name":"Intestinal Malrotation and Obstruction Disorders","score":0.2460000067949295,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10418","display_name":"Pelvic floor disorders treatments","score":0.07370000332593918,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/chronic-constipation","display_name":"chronic constipation","score":0.8309999704360962},{"id":"https://openalex.org/keywords/abdominal-pain","display_name":"abdominal pain","score":0.722000002861023},{"id":"https://openalex.org/keywords/sigmoid-volvulus","display_name":"sigmoid volvulus","score":0.42800000309944153},{"id":"https://openalex.org/keywords/sigmoidectomy","display_name":"sigmoidectomy","score":0.3310000002384186}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8320000171661377},{"id":"https://openalex.org/C2989005","wikidata":"https://www.wikidata.org/wiki/Q214963","display_name":"Nuclear medicine","level":1,"score":0.25589999556541443},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.2540999948978424},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.2485000044107437},{"id":"https://openalex.org/C29456083","wikidata":"https://www.wikidata.org/wiki/Q1221899","display_name":"Gynecology","level":1,"score":0.20730000734329224},{"id":"https://openalex.org/C2780047204","wikidata":"https://www.wikidata.org/wiki/Q675754","display_name":"Laparoscopy","level":2,"score":0.16410000622272491},{"id":"https://openalex.org/C2781074409","wikidata":"https://www.wikidata.org/wiki/Q158716","display_name":"Rectum","level":2,"score":0.16249999403953552},{"id":"https://openalex.org/C2776805002","wikidata":"https://www.wikidata.org/wiki/Q614984","display_name":"Fluoroscopy","level":2,"score":0.14749999344348907},{"id":"https://openalex.org/C2780007028","wikidata":"https://www.wikidata.org/wiki/Q2343082","display_name":"Stenosis","level":2,"score":0.1460999995470047},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.14470000565052032}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1055/s-0046-1826972","doi":"https://doi.org/10.1055/s-0046-1826972","is_oa":false,"landing_page_url":"https://doi.org/10.1055/s-0046-1826972","pdf_url":null,"source":{"id":"https://openalex.org/S189922908","display_name":"Zeitschrift f\u00fcr Gastroenterologie","issn_l":"0044-2771","issn":["0044-2771","1439-7803"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-3"],"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Zeitschrift f\u00fcr Gastroenterologie","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.98580002784729,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W7140227226","https://openalex.org/W2041782630","https://openalex.org/W2464590631","https://openalex.org/W2509383947","https://openalex.org/W1777600767","https://openalex.org/W3160700242","https://openalex.org/W7171852193","https://openalex.org/W2944191984","https://openalex.org/W2747178287","https://openalex.org/W1974049008"],"abstract_inverted_index":{"Einleitung:":[0],"Das":[1],"Dolichosigma":[2,253],"wird":[3],"als":[4,92,245],"morphologische":[5],"Ursache":[6],"chronischer":[7],"Obstipation":[8,89,122,128,131,166],"diskutiert,":[9],"prospektive":[10],"intraoperative":[11],"Daten":[12],"fehlen":[13],"jedoch":[14],"weitgehend.":[15],"Eine":[16,104,232],"standardisierte":[17],"Definition":[18],"eines":[19],"klinisch":[20,251],"relevanten":[21],"L\u00e4ngenschwellenwertes":[22],"existiert":[23],"nicht":[24],"([":[25,110],"Abb.":[26,29],"1":[27,30,112,115],"]).":[28,113],"Sigmal\u00e4nge":[31,40,74,116,134,152,160,197],"nach":[32],"Obstipations-":[33],"und":[34,50,100,117,123,184,198,239,243],"Schmerzstatus.":[35],"Ziele:":[36],"Prospektive":[37],"Quantifizierung":[38],"der":[39,46,84],"bei":[41,69,168],"erwachsenen":[42],"Patienten":[43,172,202],"sowie":[44,83],"Analyse":[45],"Korrelation":[47,195],"mit":[48,53,203,237,262],"Obstipationsschwere":[49,238],"abdominellen":[51,124,204,240],"Schmerzen":[52,125,146,149,205,241],"dem":[54],"Ziel,":[55],"einen":[56,219],"praktikablen":[57],"intraoperativen":[58],"Cut-off":[59,109,221],"zu":[60],"definieren.":[61],"Methodik:":[62],"In":[63],"einer":[64],"prospektiven":[65],"Zwei-Zentren-Studie":[66],"(01/2023\u201312/2025)":[67],"wurde":[68,90],"178":[70],"konsekutiven":[71],"Erwachsenen":[72],"die":[73,266],"standardisiert":[75],"laparoskopisch":[76],"gemessen.":[77],"Erfasst":[78],"wurden":[79],"demographische":[80],"Daten,":[81],"Komorbidit\u00e4ten":[82],"Wexner":[85,139],"Constipation":[86],"Score":[87,140],"(WCS).":[88],"definiert":[91],"Selbstangabe":[93],"und/oder":[94],"WCS>5.":[95],"Gruppenvergleiche":[96],"erfolgten":[97],"mittels":[98],"Welch-t-Test":[99],"\u03c7":[101],"2":[102],"-Test.":[103],"ROC-Analyse":[105,217],"bestimmte":[106],"den":[107],"optimalen":[108,220],"Tab.":[111,114],"Wexner-Score":[118],"in":[119],"Abh\u00e4ngigkeit":[120],"von":[121,222],"(n=178)":[126],"Parameter":[127,144],"(n=67)":[129],"Keine":[130,148],"(n=111)":[132],"p-Wert":[133,151],"(cm)":[135,153],"32.6\u00b112.9":[136],"29.2\u00b111.6":[137],"0.006":[138],"11.5\u00b15.5":[141],"3.5\u00b13.3":[142],"<0.001":[143],"Abdominelle":[145],"(n=135)":[147],"(n=43)":[150],"31.4\u00b112.5":[154],"27.4\u00b110.9":[155],"0.031":[156],"Ergebnisse:":[157],"Die":[158,216,255],"mittlere":[159],"betrug":[161],"30,5\u00b112,2":[162],"cm":[163,179,211,224,234],"(10\u2013120":[164],"cm).":[165],"lag":[167],"37,6%":[169],"vor.":[170],"Obstipierte":[171],"wiesen":[173],"signifikant":[174,236],"l\u00e4ngere":[175,208],"Sigmoide":[176,209],"auf":[177],"(32,6\u00b112,9":[178],"vs.":[180,188,212],"29,2\u00b111,6":[181],"cm;":[182,214],"p=0,006)":[183],"h\u00f6here":[185],"WCS-Werte":[186],"(11,5\u00b15,5":[187],"3,5\u00b13,3;":[189],"p<0,001).":[190,201],"Es":[191],"bestand":[192],"eine":[193],"positive":[194],"zwischen":[196],"WCS":[199],"(r=0,26;":[200],"zeigten":[206],"ebenfalls":[207],"(31,4\u00b112,5":[210],"27,4\u00b110,9":[213],"p=0,031).":[215],"ergab":[218],"33":[223],"(AUC":[225],"0,68;":[226],"Sensitivit\u00e4t":[227],"0,52;":[228],"Spezifit\u00e4t":[229],"0,76).":[230],"Schlussfolgerung:":[231],"Sigmal\u00e4nge\u226533\u201335":[233],"ist":[235],"assoziiert":[242],"kann":[244],"pragmatischer":[246],"intraoperativer":[247],"Schwellenwert":[248],"f\u00fcr":[249,258,265],"ein":[250,259],"relevantes":[252],"dienen.":[254],"Ergebnisse":[256],"sprechen":[257],"anatomisch-funktionelles":[260],"Kontinuum":[261],"direkter":[263],"Relevanz":[264],"viszeralchirurgische":[267],"Entscheidungsfindung.":[268],"Publication":[269],"History":[270],"Article":[271],"published":[272],"online:":[273],"27":[274],"August":[275],"2026":[276],"\u00a9":[277],"2026.":[278],"Thieme.":[279],"All":[280],"rights":[281],"reserved.":[282],"Georg":[283],"Thieme":[284],"Verlag":[285],"KG":[286],"Oswald-Hesse-Stra\u00dfe":[287],"50,":[288],"70469":[289],"Stuttgart,":[290],"Germany":[291]},"counts_by_year":[],"updated_date":"2026-10-12T09:40:04.860316","created_date":"2026-08-28T00:00:00"}