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Perioperační ezofagogastroduodenoskopie v prevenci a terapii anastomotických komplikací – přehledový článek


Autoři: Stašek M. 1;  Aujeský R. 1;  Vrba R. 1;  Chudáček J. 1;  Klos D. 1;  Khan Ahmad H. 1;  Holm S. 2;  Neoral Č. 1
Působiště autorů: I. chirurgická klinika LF UP a FN Olomouc 1;  Oddělení plastické a maxilofaciální chirurgie, Univerzitní nemocnice Uppsala, Švédsko 2
Vyšlo v časopise: Gastroent Hepatol 2020; 74(3): 217-227
Kategorie: Digestivní endoskopie: přehledová práce
doi: https://doi.org/10.14735/amgh2020217

Souhrn

Současný rozvoj endoskopických a minimálně invazivních metod přináší nové modality pro řešení časných anastomotických komplikací v oblasti horního gastrointestinálního traktu. Cílem práce je souhrn současných vědomostí o endoskopických metodách a jejich poměru k chirurgickému řešení, timingu použití, alternativách postupu a výsledcích dosavadních studií. Hlavními diskutovanými modalitami jsou endoskopická vakuová terapie (EVAC), použití stentů a klipů, zejména over-the-scope varianty (OTSC). Významnou možností je intraoperační použití endoskopie a její využití v navigaci chirurgického výkonu a kombinované chirurgické a endoskopické terapii. Součástí práce je zhodnocení přínosu jednotlivých metod u komplikací ezofagogastrické a ezofagojejunální anastomózy a dále v bariatrické chirurgii (sleeve gastrektomie, gastrický bypass).

Klíčová slova:

gastroskopie – vakuová terapie ran – samoexpandibilní metalický stent – anastomotický leak – klipy – bariatrické chirurgické výkony


Zdroje

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Štítky
Dětská gastroenterologie Gastroenterologie a hepatologie Chirurgie všeobecná

Článek vyšel v časopise

Gastroenterologie a hepatologie

Číslo 3

2020 Číslo 3
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