Endoskopisches Komplikationsmanagment nach bariatrischen Operationen mit dem Fokus auf die aktuellen endoskopischen Therapien

Zusammenfassung

Komplikationen nach bariatrischer Chirurgie sind selten. Die meisten Komplikationen lassen sich endoskopisch oder mithilfe der Endoskopie therapieren. Das Seltene stellt jedoch im klinischen Alltag eine Herausforderung dar. Damit die Komplikationen bestmöglich versorgt werden und der Schaden für den einzelnen Patienten möglichst gering ist, bedarf es eines Komplikationsmanagements. Der Artikel gibt eine Übersicht über wesentliche Komplikationen und gängige endoskopische Therapieoptionen, mit dem Fokus auf aktuelle publizierte Therapiestrategien der letzten 5 Jahre. Der Artikel soll als Basis dienen für die Etablierung eines eigenen Komplikationsmanagements in den jeweiligen Kliniken.

Abstract

In bariatric surgery, complications are rare. Most of the complications can be managed by endoscopy. Rare complications impose a challenge in everyday clinical work. To optimally treat the complications and to minimise the harm to the patient it is important to implement complication management. This review gives an overview of relevant bariatric complications and endoscopic therapy strategies, focusing on published literature of the last five years. This manuscript could be a starting point for complication management in the clinic.

Schlüsselwörter

Fistel - interdisziplinär - interventionelle Endoskopie - Patientensicherheit - postoperative Komplikation - bariatrische Chirurgie

Keywords

bariatric surgery - postoperative complications - Interventional endoscopy - patients saefty

Publikationsverlauf

Eingereicht: 23. Juni 2022

Angenommen nach Revision: 10. Oktober 2022

Artikel online veröffentlicht:
07. Dezember 2022

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