Kähler Georg, Kouladouros Konstantinos
Zentrale Interdisziplinäre Endoskopie, Universitätsklinikum Mannheim, Medizinische Fakultät Mannheim, Universität Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Deutschland.
Chirurgie (Heidelb). 2023 Apr;94(4):382-390. doi: 10.1007/s00104-022-01710-y. Epub 2022 Sep 6.
Even when wide-ranging measures for avoidance of complications by improved techniques, training and many other activities are undertaken, postoperative and postinterventional complications still represent a daily problem in clinical medicine. The outcome of the patient is not uncommonly decided by the management of the complications. The failure to rescue or to control complications is increasingly recognized as being decisive for the success of treatment. This article therefore provides a current overview of the endoscopic management of complications of the upper and lower gastrointestinal tract. It describes when endoscopy can be used to detect or exclude a complication. The most important principles of treatment including the indications, limits of performance and technique are presented.
即便通过改进技术、培训及开展许多其他活动来采取广泛的措施以避免并发症，但术后及介入后并发症在临床医学中仍是日常面临的问题。患者的预后常常由并发症的处理情况决定。越来越多的人认识到，未能挽救或控制并发症是治疗成功与否的决定性因素。因此，本文提供了上、下消化道并发症内镜治疗的当前概述。它描述了何时可使用内镜检查来检测或排除并发症。文中还介绍了包括适应证、操作限度及技术在内的最重要的治疗原则。
