Loske G, Müller C T
Klinik für Allgemein‑, Viszeral‑, Thorax und Gefäßchirurgie, Katholisches Marienkrankenhaus Hamburg gGmbH, Alfredstr. 9, 22087, Hamburg, Deutschland.
Chirurg. 2018 Nov;89(11):887-895. doi: 10.1007/s00104-018-0715-1.
Endoscopic negative-pressure therapy (ENPT) is becoming a valuable tool in surgical complication management of transmural intestinal defects and wounds in the upper and lower gastrointestinal tract. Innovative materials for drains have been developed, endoscopic techniques adapted, and new indications for ENPT have been found. Based on our broad clinical experience, numerous tips and tricks are described, which contribute to the safety of dealing with the new therapy. The aim of this work is to present these methods. The focus is on describing the treatment in the esophagus.
内镜负压治疗(ENPT)正成为上、下消化道透壁性肠缺损和伤口手术并发症管理中的一种重要工具。已开发出用于引流的创新材料,调整了内镜技术,并发现了ENPT的新适应症。基于我们广泛的临床经验,描述了许多有助于安全应对这种新疗法的技巧和窍门。这项工作的目的是介绍这些方法。重点是描述食管的治疗。