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Gastroenterologie
a hepatologie

Gastroenterology and Hepatology

Gastroent Hepatol 2020; 74(3): 217–227. doi:10.14735/amgh2020217.

Perioperační ezofagogastroduodenoskopie v prevenci a terapii anastomotických komplikací – přehledový článek

Martin Stašek1, René Aujeský Orcid.org  , Josef Chudáček Orcid.org  2, Dušan Klos, Čestmír Neoral Orcid.org  3, Radek Vrba1, Hamza Ahmad Khan1

+ Pracoviště

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, bariatrické chirurgické výkony, samoexpandibilní metalický stent, anastomotický leak, klip

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