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Endoskopische Interventionen bei Insuffizienzen und Fisteln

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Therapeutische Endoskopie im Gastrointestinaltrakt

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Zusammenfassung

Trotz stetig weiterentwickelter Operationsverfahren führen Anastomoseninsuffizienzen im Gastrointestinaltrakt nach wie vor zu einer relevanten Morbidität und Mortalität. Die Entwicklung der interventionellen Endoskopie hat ein konservativ-interventionelles Management dieser Komplikationen in vielen Fällen möglich gemacht. Bei Anastomoseninsuffizienzen im oberen Gastrointestinaltrakt ist die Stenttherapie in den vergangenen Jahren zum Standard geworden, im Rektum die endoskopische Vakuumtherapie. In letzter Zeit erweitern zwei neue Entwicklungen die Möglichkeiten des endoskopischen Komplikationsmanagements: die endoskopische Vakuumtherapie am oberen Gastrointestinaltrakt, die zunehmend in der Routine Anwendung findet, und der Einsatz des OTSC (Over-the-Scope-Clip) zum Verschluss von Fisteln und Leckagen im oberen und unteren Gastrointestinaltrakt.

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Authors and Affiliations

  1. inik für Allgemein- und Viszeralchirurgie, Universitätsklinik Münster der Westf. Wilhelms-Universität, Albert-Schweitzer-Campus 1, 48149, Münster, Deutschland

    Dr. med. M. Laukötter PD

  2. Klinik für Allgemein- und Viszeralchirurgie, Universitätsklinik Münster der Westf. Wilhelms-Universität, Albert-Schweitzer-Campus 1, 48149, Münster, Deutschland

    Dr. med. R. Mennigen PD

  3. End- und Dickdarmpraxis, Wallisellenstrasse 301 A, 8050, Zürich, Schweiz

    M. Colombo-Benkmann

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  1. Dr. med. R. Mennigen PD
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  2. Dr. med. M. Laukötter PD
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Correspondence to R. Mennigen PD , M. Laukötter PD , M. Colombo-Benkmann , R. Mennigen PD , M. Colombo-Benkmann , M. Laukötter PD or R. Mennigen PD .

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Editors and Affiliations

  1. Universitätsmedizin, Mannheim

    Georg Kähler

  2. Universitätsklinikum, Tübingen

    Martin Götz

  3. Universitätsklinikum, Münster

    Norbert Senninger

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Mennigen, R., Laukötter, M., Colombo-Benkmann, M. (2016). Endoskopische Interventionen bei Insuffizienzen und Fisteln. In: Kähler, G., Götz, M., Senninger, N. (eds) Therapeutische Endoskopie im Gastrointestinaltrakt. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-45194-6_6

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  • DOI: https://doi.org/10.1007/978-3-662-45194-6_6

  • Publisher Name: Springer, Berlin, Heidelberg

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  • Online ISBN: 978-3-662-45194-6

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