Skip to main content
SpringerLink
Log in

Endoskopische Untersuchungsmethoden beim akuten Abdomen

  • Chapter
Akutes Abdomen

  • 5018 Accesses

Zusammenfassung

Die endoskopische Untersuchung spielt in der Abklärung des akuten Abdomens eine wichtige Rolle als Bindeglied zwischen Diagnose und Therapie. Akute Blutungen im oberen und unteren Gastrointestinaltrakt sind klassische Indikationen zur Notfallendoskopie, in vielen Fällen ist dabei auch eine erfolgreiche Hämostase möglich. Ein eingeklemmter Papillenstein erfordert ein dringliches endoskopisches Vorgehen mit Papillotomie und Steinextraktion. Außerdem sind akute endoskopische Eingriffe auch zur Fremdkörperentfernung, zur Dekompression und zur Beseitigung von Stenosen mittels Stents (bridge-to-surgery oder palliativ) von großer Bedeutung.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 269.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 349.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Literatur

  • Adler DG, Baron TH (2002) Endoscopic palliation of colorectal cancer. Hematol Oncol Clin North Am 16: 1015–1029

    Article  PubMed  Google Scholar 

  • Ali M, Ul Haq T, Salam B et al (2013) Treatment of nonvariceal gastrointestinal hemorrhage by transcatheter embolization. Radiol Res Pract 2013: 60432–8

    Google Scholar 

  • Appenrodt B, Sauerbruch T (2007) Antibiotic therapy and prophylaxis in liver cirrhosis and infection. Dtsch Med Wochenschr 132: 623–626

    Article  CAS  PubMed  Google Scholar 

  • Bacher H, Mischinger HJ, Werkgartner G et al (1997) Local nitroglycerin for treatment of anal fissures: an alternative to lateral sphincterotomy? Dis Colon Rectum 40: 840–845

    Article  CAS  PubMed  Google Scholar 

  • Barnert J, Messmann H (2008) Management of lower gastrointestinal tract bleeding. Best practice & research. Clin Gastroenterol 22: 295–312

    CAS  Google Scholar 

  • Bertolini D, De Saussure P, Chilcott M et al (2007) Severe delayed complication after percutaneous endoscopic colostomy for chronic intestinal pseudo-obstruction: a case report and review of the literature. World J Gastroenterol 13: 2255–2257

    Article  PubMed  PubMed Central  Google Scholar 

  • Biecker E (2013) Portal hypertension and gastrointestinal bleeding: diagnosis, prevention and management. World J Gastroenterol 19: 5035–5050

    Article  PubMed  PubMed Central  Google Scholar 

  • Blatchford O, Murray WR, Blatchford M (2000) A risk score to predict need for treatment for upper-gastrointestinal haemorrhage. Lancet 356: 1318–1321

    Article  CAS  PubMed  Google Scholar 

  • Bokhari M, Vernava AM, Ure T, Longo WE (1996) Diverticular hemorrhage in the elderly - is it well tolerated? Dis Colon Rectum 39: 191–195

    Article  CAS  PubMed  Google Scholar 

  • Bryant RV, Kuo P, Williamson K et al (2013) Performance of the Glasgow-Blatchford score in predicting clinical outcomes and intervention in hospitalized patients with upper GI bleeding. Gastrointest Endosc 78(4): 576–583

    Article  PubMed  Google Scholar 

  • Camilleri M, Parkman HP, Shafi MA et al; American College of Gastroenterology (2013) Clinical guideline: management of gastroparesis. Am J Gastroenterol 108: 18-37; quiz 38

    Google Scholar 

  • Chiu PW, Lam CY, Lee SW et al (2003) Effect of scheduled second therapeutic endoscopy on peptic ulcer rebleeding: a prospective randomised trial. Gut 52: 1403–1407

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Committee ASOP, Ikenberry SO, Jue TL et al (2011) Management of ingested foreign bodies and food impactions. Gastrointest Endosc 73: 1085–1091

    Article  Google Scholar 

  • De Franchis R (2005) Evolving consensus in portal hypertension. Report of the Baveno IV consensus workshop on methodology of diagnosis and therapy in portal hypertension. J Hepatol 43: 167–176

    Article  PubMed  Google Scholar 

  • De Giorgio R, Knowles CH (2009) Acute colonic pseudo-obstruction. Br J Surg 96: 229–239

    Article  CAS  PubMed  Google Scholar 

  • Deans GT, Krukowski ZH, Irwin ST (1994) Malignant obstruction of the left colon. Br J surgery 81: 1270–1276

    Article  CAS  PubMed  Google Scholar 

  • Einwachter H, Hellerhoff P, Neu B et al (2006) Percutaneous endoscopic colostomy in a patient with chronic intestinal pseudo-obstruction and massive dilation of the colon. Endoscopy 38: 54–7

    Article  Google Scholar 

  • Farner R, Lichliter W, Kuhn J, Fisher T (1999) Total colectomy versus limited colonic resection for acute lower gastrointestinal bleeding. Am J Surg 178: 587–591

    Article  CAS  PubMed  Google Scholar 

  • Farrell JJ, Friedman LS (2005) Review article: the management of lower gastrointestinal bleeding. Aliment Pharmacol Ther 21: 1281–1298

    Article  CAS  PubMed  Google Scholar 

  • Fernandez-Esparrach G, Bordas JM, Giraldez MD et al (2010) Severe complications limit long-term clinical success of self-expanding metal stents in patients with obstructive colorectal cancer. Am J Gastroenterol 105: 1087–1093

    Article  PubMed  Google Scholar 

  • Finan PJ, Campbell S, Verma R et al (2007) The management of malignant large bowel obstruction: ACPGBI position statement. Colorectal Dis 9(Suppl 4): 1–17

    Article  PubMed  Google Scholar 

  • Forrest JA, Finlayson ND, Shearman DJ (1974) Endoscopy in gastrointestinal bleeding. Lancet 2: 394–397

    Article  CAS  Google Scholar 

  • Forshaw MJ, Sankararajah D, Stewart M, Parker MC (2006) Self-expanding metallic stents in the treatment of benign colorectal disease: indications and outcomes. Colorectal Dis 8: 102–111

    Article  CAS  PubMed  Google Scholar 

  • Frossard JL, Spahr L, Queneau PE et al (2002) Erythromycin intravenous bolus infusion in acute upper gastrointestinal bleeding: a randomized, controlled, double-blind trial. Gastroenterology 123: 17–23

    Article  CAS  PubMed  Google Scholar 

  • Garcia-Pagan JC, Feu F, Bosch J, Rodes J (1991) Propranolol compared with propranolol plus isosorbide-5-mononitrate for portal hypertension in cirrhosis. A randomized controlled study. Ann Intern Med 114: 869–873

    Article  CAS  PubMed  Google Scholar 

  • Green BT, Rockey DC, Portwood G et al (2005) Urgent colonoscopy for evaluation and management of acute lower gastrointestinal hemorrhage: a randomized controlled trial. Am J Gastroenterol 100: 2395–2402

    Article  PubMed  Google Scholar 

  • Hartog CS, Welte T, Schlattmann P, Reinhart K (2013) Fluid replacement with hydroxyethyl starch in critical care - a reassessment. Dtsch Ärztebl Int 110: 443–450

    PubMed  PubMed Central  Google Scholar 

  • Hauser H, Pfeifer J, Uranus S, Klimpfinger M (1994) Perforation of the cecum by a toothpick. Case report and review of the literature. Langenbecks Arch Chir 379: 229–232

    Article  CAS  PubMed  Google Scholar 

  • Hoedema RE, Luchtefeld MA (2005) The management of lower gastrointestinal hemorrhage. Dis Colon Rectum 48: 2010–2024

    Article  PubMed  Google Scholar 

  • Jain A, Vargas HD (2012) Advances and challenges in the management of acute colonic pseudo-obstruction (ogilvie syndrome). Clin Colon Rectal Surg 25: 37–45

    Article  PubMed  PubMed Central  Google Scholar 

  • Jensen DM, Machicado GA (1988) Diagnosis and treatment of severe hematochezia. The role of urgent colonoscopy after purge. Gastroenterology 95: 1569–1574

    Article  CAS  PubMed  Google Scholar 

  • Jensen DM, Machicado GA, Jutabha R, Kovacs TO (2000) Urgent colonoscopy for the diagnosis and treatment of severe diverticular hemorrhage. N Engl J Med 342: 78–82

    Article  CAS  PubMed  Google Scholar 

  • Jimenez-Perez J, Casellas J, Garcia-Cano J et al (2011) Colonic stenting as a bridge to surgery in malignant large-bowel obstruction: a report from two large multinational registries. Am J Gastroenterol 106: 2174–2180

    Article  CAS  PubMed  Google Scholar 

  • Laine L, Jensen DM (2012) Management of patients with ulcer bleeding. Am J Gastroenterol 107: 345-360; quiz 361

    Article  CAS  PubMed  Google Scholar 

  • Laine L, Peterson WL (1994) Bleeding peptic ulcer. N Engl J Med 331: 717–727

    Article  CAS  PubMed  Google Scholar 

  • Lammert F, Neubrand MW, Bittner R et al; Deutsche Gesellschaft für Verdauungs-und Stoffwechselkrankheiten (DVGS); Deutsche Gesellschaft für Viszeralschirurgie (DGVC) (2008) Short version of the updated S3

    Google Scholar 

  • (level 3) guidelines for diagnosis and treatment of gallstones of the German Society for Digestive and Metabolic Diseases and the German Society for the Surgery of the Alimentary Tract. Dtsch Med Wochenschr 133(7): 311–316

    Google Scholar 

  • Li KW, Zhang XW, Ding J et al (2009) A prospective study of the efficacy of endoscopic biliary stenting on common bile duct stones. J Dig Dis 10: 328–331

    Article  PubMed  Google Scholar 

  • Lin S, Rockey DC (2005) Obscure gastrointestinal bleeding. Gastroenterol Clin North Am 34: 679–698

    Article  PubMed  Google Scholar 

  • Longstreth GF (1997) Epidemiology and outcome of patients hospitalized with acute lower gastrointestinal hemorrhage: a population-based study. Am J Gastroenterol 92: 419–424

    PubMed  CAS  Google Scholar 

  • Lynch CR, Jones RG, Hilden K et al (2006) Percutaneous endoscopic cecostomy in adults: a case series. Gastrointest Endosc 64: 279–282

    Article  PubMed  Google Scholar 

  • Mcguire HH Jr (1994) Bleeding colonic diverticula. A reappraisal of natural history and management. Ann Surg 220: 653–656

    Article  PubMed  PubMed Central  Google Scholar 

  • Nugent KP, Daniels P, Stewart B et al (1999) Quality of life in stoma patients. Dis Colon Rectum 42: 1569–1574

    Article  CAS  PubMed  Google Scholar 

  • Ohyama T, Sakurai Y, Ito M et al (2000) Analysis of urgent colonoscopy for lower gastrointestinal tract bleeding. Digestion 61: 189–192

    Article  CAS  PubMed  Google Scholar 

  • Pardi DS, Loftus EV Jr, Tremaine WJ et al (1999) Acute major gastrointestinal hemorrhage in inflammatory bowel disease. Gastrointest Endosc 49: 153–157

    Article  CAS  PubMed  Google Scholar 

  • Pennazio M (2005) Diagnosis of small-bowel diseases in the era of capsule endoscopy. Expert Rev Med Devices 2: 587–598

    Article  PubMed  Google Scholar 

  • Peura DA, Lanza FL, Gostout CJ, Foutch PG (1997) The American College of Gastroenterology Bleeding Registry: preliminary findings. Am J Gastroenterol 92: 924–928

    PubMed  CAS  Google Scholar 

  • Pommergaard HC, Vilmann P, Jakobsen HL, Achiam MP (2009) A clinical evaluation of endoscopically placed self-expanding metallic stents in patients with acute large bowel obstruction. Scandinavian J Sur 98(3): 143–147

    Article  CAS  Google Scholar 

  • Poza Cordon J, Froilan Torres C, Burgos Garcia A et al (2012) Endoscopic management of esophageal varices. World J Gastrointest Endosc 4: 312–322

    Article  Google Scholar 

  • Prakash C, Zuckerman GR (2003) Acute small bowel bleeding: a distinct entity with significantly different economic implications compared with GI bleeding from other locations. Gastrointest Endosc 58: 330–335

    PubMed  Google Scholar 

  • Renzulli P, Maurer CA, Netzer P et al (2002) Subtotal colectomy with primary ileorectostomy is effective for unlocalized, diverticular hemorrhage. Langenbecks Arch Surg 387: 67–71

    Article  PubMed  Google Scholar 

  • Rockall TA, Logan RF, Devlin HB, Northfield TC (1996) Selection of patients for early discharge or outpatient care after acute upper gastrointestinal haemorrhage. National Audit of Acute Upper Gastrointestinal Haemorrhage. Lancet 347: 1138–1140

    Article  CAS  Google Scholar 

  • Saida Y, Enomoto T, Takabayashi K et al (2011) Outcome of 141 cases of selfexpandable metallic stent placements for malignant and benign colorectal strictures in a single center. Surg Endosc 25: 1748–1752

    Article  PubMed  Google Scholar 

  • Sato R, Watari J, Tanabe H et al (2008) Transnasal ultrathin endoscopy for placement of a long intestinal tube in patients with intestinal obstruction. Gastrointest Endosc 67: 953–957

    Article  PubMed  Google Scholar 

  • Saunders MD (2007) Acute colonic pseudo-obstruction. Best practice & research. Clin Gastroenterol 21: 671–687

    Google Scholar 

  • Schepke M, Kleber G, Nurnberg D et al; German Study Group for the Primary Prophylaxis of Variceal B (2004) Ligation versus propranolol for the primary prophylaxis of variceal bleeding in cirrhosis. Hepatology 40: 65–72

    Google Scholar 

  • Sebastian S, Johnston S, Geoghegan T et al (2004) Pooled analysis of the efficacy and safety of self-expanding metal stenting in malignant colorectal obstruction. American J Gastroenterol 99: 2051–2057

    Article  Google Scholar 

  • Small AJ, Young-Fadok TM, Baron TH (2008) Expandable metal stent placement for benign colorectal obstruction: outcomes for 23 cases. Surg Endosc 22: 454–462

    Article  CAS  PubMed  Google Scholar 

  • Smothers L, Hynan L, Fleming J et al (2003) Emergency surgery for colon carcinoma. Dis Colon Rectum 46: 24–30

    Article  PubMed  Google Scholar 

  • Stanley AJ, Ashley D, Dalton HR et al (2009) Outpatient management of patients with low-risk upper-gastrointestinal haemorrhage: multicentre validation and prospective evaluation. Lancet 373: 42–47

    Article  CAS  PubMed  Google Scholar 

  • Sung JJ, Chung SC, Ling TK et al (1995) Antibacterial treatment of gastric ulcers associated with Helicobacter pylori. N Engl J Med 332: 139–142

    Article  CAS  PubMed  Google Scholar 

  • Tahir F, Riaz H, Riaz T et al (2013) The new oral anti-coagulants and the phase 3 clinical trials - a systematic review of the literature. Thromb J 11: 1–8

    Article  CAS  Google Scholar 

  • Tan KK, Wong D, Sim R (2008) Superselective embolization for lower gastrointestinal hemorrhage: an institutional review over 7 years. World J Surg 32: 2707–2715

    Article  PubMed  Google Scholar 

  • Teriaky A, Gregor J, Chande N (2012) Percutaneous endoscopic gastrostomy tube placement for end-stage palliation of malignant gastrointestinal obstructions. Saudi J Gastroenterol 18: 95–98

    Article  PubMed  PubMed Central  Google Scholar 

  • Van Gossum A (2001) Obscure digestive bleeding. Best practice & research. Clin Gastroenterol 15: 155–174

    CAS  Google Scholar 

  • Van Hooft JE, Fockens, Marinelli AW et al; Dutch Colorectal Stent G (2008) Early closure of a multicenter randomized clinical trial of endoscopic stenting versus surgery for stage IV left-sided colorectal cancer. Endoscopy 40: 184–191

    Article  CAS  PubMed  Google Scholar 

  • Van Hooft JE, Bemelman WA, Oldenburg B et al; Collaborative Dutch Stent-in Study G (2011) Colonic stenting versus emergency surgery for acute left-sided malignant colonic obstruction: a multicentre randomised trial. Lancet Oncol 12: 344–352

    Google Scholar 

  • Zingg U, Vorburger S, Metzger U (2000) Perforation of Meckel's diverticulum by a toothpick. Chirurg 71: 841–843

    Article  CAS  PubMed  Google Scholar 

  • Zuckerman GR, Prakash C (1999) Acute lower intestinal bleeding. Part II: etiology, therapy, and outcomes. Gastrointest Endosc 49: 228–238

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Klinische Abteilung für Allgemeinchirurgie, Medizinische Universität Graz, Auenbruggerplatz 29, A-8036, Graz

    Univ.-Prof. Dr. med. Heinz Bacher

  2. Universitätsklinik für Chirurgie, LKH-Universitätsklinikum Graz, Auenbruggerplatz 29, A-8036, Graz

    Dr. med. Azab El Shabrawi

  3. Chirurgische Universitätsklinik, Medizinische Universität Graz, Auenbruggerplatz 29, A-8036, Graz

    Univ.-Prof. Dr. med. Herwig Cerwenka

Authors
  1. Univ.-Prof. Dr. med. Heinz Bacher
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Dr. med. Azab El Shabrawi
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Univ.-Prof. Dr. med. Herwig Cerwenka
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. LKH Graz Süd-West, Chirurgie, Graz, Österreich

    Hubert Hauser

  2. DGAV e.V., Berlin, Deutschland

    Heinz Johannes Buhr

  3. Universitätsklinik für Chirurgie, Graz, Österreich

    Hans-Jörg Mischinger

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer-Verlag Wien

About this chapter

Cite this chapter

Bacher, H., El Shabrawi, A., Cerwenka, H. (2016). Endoskopische Untersuchungsmethoden beim akuten Abdomen. In: Hauser, H., Buhr, H., Mischinger, HJ. (eds) Akutes Abdomen. Springer, Vienna. https://doi.org/10.1007/978-3-7091-1473-5_11

Download citation

  • DOI: https://doi.org/10.1007/978-3-7091-1473-5_11

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-1472-8

  • Online ISBN: 978-3-7091-1473-5

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics

Search

Navigation