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Endoskopische Therapie postoperativer biliärer Komplikationen

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Komplikationsmanagement in der Chirurgie

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Zusammenfassung

Biliäre Komplikationen sind typische, aber relativ seltene Komplikationen – meist als Leckagen – nach Cholezystektomie und Leberteilresektionen. Komplikationen der Gallenwege treten jedoch bei etwa 30% aller Lebertransplantationen (LTx) auf. Sie sind damit die häufigste Komplikation nach LTx und resultieren in einer signifikanten Morbidität, Mortalität und Notwendigkeit der Retransplantation. Das Spektrum biliärer Komplikationen nach Lebertransplantation umfasst Gallelecks, Stenosen sowie Obstruktion durch „biliary cast“ und Konkremente. Die meisten Komplikationen können endoskopisch auch langfristig gut behandelt werden. Der Erfolg der endoskopischen Therapie hängt jedoch von der Art, der Lokalisation und dem Umfang der Schädigung sowie dem Zeitpunkt des Auftretens nach der Operation und der konsequenten Durchführung der endoskopischen Therapie ab.

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Authors and Affiliations

  1. Klinik für Allgemeine Innere Medizin, HELIOS Klinikum Berlin-Buch, Schwanebecker Chaussee 50, 13125, Berlin, Deutschland

    Frank Kolligs Prof. Dr. med. (Leiter der Interdisziplinären Endoskopie)

  2. Medizinische Poliklinik II, Klinikum der Universität München, Campus Großhadern, Marchioninistraße 15, 81377, München, Deutschland

    Jörg Schirra Prof. Dr. med.

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  1. Frank Kolligs Prof. Dr. med.
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  2. Jörg Schirra Prof. Dr. med.
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Correspondence to Frank Kolligs Prof. Dr. med. .

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Editors and Affiliations

  1. Chirurgische Klinik und Poliklinik, Klinikum Großhadern der Universität München, München, Bayern, Germany

    Markus Rentsch

  2. Chirurgische Klinik und Poliklinik, Klinikum Großhadern der Universität München, München, Bayern, Germany

    Andrej Khandoga

  3. Chirurgische Klinik und Poliklinik, Klinikum Großhadern der Universität München, München, Bayern, Germany

    Martin Angele

  4. Chirurgische Klinik und Poliklinik, Klinikum Großhadern der Universität München, München, Germany

    Jens Werner

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Kolligs, F., Schirra, J. (2015). Endoskopische Therapie postoperativer biliärer Komplikationen. In: Rentsch, M., Khandoga, A., Angele, M., Werner, J. (eds) Komplikationsmanagement in der Chirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-43475-8_7

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  • DOI: https://doi.org/10.1007/978-3-662-43475-8_7

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-43474-1

  • Online ISBN: 978-3-662-43475-8

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