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Zentralbl Chir 2022; 147(06): 539-546
DOI: 10.1055/a-1962-6910
Übersicht

Endoskopisches Komplikationsmanagment nach bariatrischen Operationen mit dem Fokus auf die aktuellen endoskopischen Therapien

Management of Endoscopic Complications after Bariatric Surgery: Focus on Current Endoscopic Therapy
Sebastian Belle
1   Zentrale Interdisziplinäre Endoskopie (ZIE), Universitätsmedizin Mannheim, Medizinische Fakultät Mannheim, Universität Heidelberg, Mannheim, Deutschland
,
Konstantinos Kouladouros
2   Chirurgie, Universitätsmedizin Mannheim, Medizinische Fakultät Mannheim, Universität Heidelberg, Mannheim, Deutschland
,
Georg Kähler
2   Chirurgie, Universitätsmedizin Mannheim, Medizinische Fakultät Mannheim, Universität Heidelberg, Mannheim, Deutschland
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Zusammenfassung

Komplikationen nach bariatrischer Chirurgie sind selten. Die meisten Komplikationen lassen sich endoskopisch oder mithilfe der Endoskopie therapieren. Das Seltene stellt jedoch im klinischen Alltag eine Herausforderung dar. Damit die Komplikationen bestmöglich versorgt werden und der Schaden für den einzelnen Patienten möglichst gering ist, bedarf es eines Komplikationsmanagements. Der Artikel gibt eine Übersicht über wesentliche Komplikationen und gängige endoskopische Therapieoptionen, mit dem Fokus auf aktuelle publizierte Therapiestrategien der letzten 5 Jahre. Der Artikel soll als Basis dienen für die Etablierung eines eigenen Komplikationsmanagements in den jeweiligen Kliniken.

Abstract

In bariatric surgery, complications are rare. Most of the complications can be managed by endoscopy. Rare complications impose a challenge in everyday clinical work. To optimally treat the complications and to minimise the harm to the patient it is important to implement complication management. This review gives an overview of relevant bariatric complications and endoscopic therapy strategies, focusing on published literature of the last five years. This manuscript could be a starting point for complication management in the clinic.

Schlüsselwörter

Fistel - interdisziplinär - interventionelle Endoskopie - Patientensicherheit - postoperative Komplikation - bariatrische Chirurgie

Keywords

bariatric surgery - postoperative complications - Interventional endoscopy - patients saefty


Publication History

Received: 23 June 2022

Accepted after revision: 10 October 2022

Article published online:
07 December 2022

© 2022. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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