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05.07.2023 | Diagnostik in der Gastroenterologie | CME

Interventionelle Endoskopie in der Gastroenterologie

verfasst von: PD Dr. med. Marcus Hollenbach, Dr. med. Kien Vu Trung, Prof. Dr. med. Albrecht Hoffmeister

Erschienen in: Die Innere Medizin | Ausgabe 8/2023

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Zusammenfassung

Wesentliche Innovationen in der interventionellen Endoskopie haben das therapeutische Armamentarium in der Gastroenterologie deutlich erweitert. Therapie und Komplikationsmanagement bei intraepithelialen Neoplasien und Frühkarzinomen werden immer häufiger primär endoskopisch adressiert. Bei endoluminalen Läsionen ohne Risiko von Lymphknoten- oder Fernmetastasen haben sich die endoskopische Mukosaresektion und die endoskopische Submukosadissektion als Standard etabliert. Bei breitbasig wachsenden Adenomen sollte die Koagulation der Resektionsränder im Falle einer Piecemeal-Resektion angewendet werden. Submukosale Läsionen sind durch Tunnelungstechniken erreich- und resezierbar. Die perorale endoskopische Myotomie bei Achalasie stellt eine Option für hypertensive und hyperkontraktile Motilitätsstörungen dar. Auch bei Gastroparese gibt es vielversprechende Daten für diese Interventionstechnik. Im vorliegenden Beitrag werden neue Resektionstechniken sowie die sogenannte Third-space-Endoskopie dargestellt und kritisch diskutiert.

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Titel: Interventionelle Endoskopie in der Gastroenterologie
verfasst von: PD Dr. med. Marcus Hollenbach
Dr. med. Kien Vu Trung
Prof. Dr. med. Albrecht Hoffmeister
Publikationsdatum: 05.07.2023
Verlag: Springer Medizin
Schlagwörter: Diagnostik in der Gastroenterologie
Endoskopie des Bauches und der Verdauungsorgane
Adenokarzinom des ösophagogastralen Übergangs
Magenkarzinom
Duodenalulkusperforation
Ösophagusvarizen
Motilitätsstörungen
Motilitätsstörungen
Dysphagie
Achalasie
Gastrointestinale Erkrankungen in der Hausarztpraxis
Endoskopie
Innere Medizin
Erschienen in: Die Innere Medizin / Ausgabe 8/2023
Print ISSN: 2731-7080
Elektronische ISSN: 2731-7099
DOI: https://doi.org/10.1007/s00108-023-01565-3

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