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DOI: 10.1055/a-1832-4090
Moderne endoskopische Resektionen im Kolorektum: Möglichkeiten, Perspektiven, Grenzen
Current endoscopic resection techniques in the colorectum: possibilities, perspectives, limitations![](https://www.thieme-connect.de/media/dmw/202303/lookinside/thumbnails/dmw-18324090_10-1055-a-1832-4090-1.jpg)
Die meisten Polypen im unteren Gastrointestinaltrakt sind klein und technisch einfach zu resezieren. Doch auch ausgedehnte Polypen, frühe Karzinome oder subepitheliale Läsionen können heutzutage mit modernen Techniken sicher endoskopisch entfernt werden. Minimalinvasive endoskopische Resektionen ersetzen heute immer häufiger operative Eingriffe und bieten damit die Möglichkeit einer organerhaltenden Therapie. In diesem Beitrag werden die verschiedenen Techniken vorgestellt und deren Einsatzgebiete und Limitationen diskutiert.
Abstract
Since the first endoscopic polypectomies have been performed, the resection of premalignant lesions during colonoscopy has become a success story in the field of gastroenterology: Incidence and mortality of colorectal cancer have been significantly reduced with the implementation of screening programs. Most polyps in the lower gastrointestinal tract are small and easy to remove. However, larger polyps, early carcinomas and subepithelial lesions can be removed with modern endoscopic resection techniques as well. Minimally invasive endoscopic resections offer an organ-preserving alternative to surgery in a growing number of patients. In this review, we discuss the advantages and limitations of traditional and novel endoscopic resection techniques, including endoscopic mucosal resection, endoscopic submucosal dissection and endoscopic full thickness resection.
Publication History
Article published online:
23 January 2023
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