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Z Gastroenterol 2000; 38(7): 597-602
DOI: 10.1055/s-2000-7451
Übersicht
© Karl Demeter Verlag im Georg Thieme Verlag

Die diagnostische und therapeutische Enteroskopie

Aktueller StandC. Benz, J. F. Riemann
  • Medizinische Klinik C (Direktor: Prof. Dr. J. F. Riemann), Klinikum der Stadt Ludwigshafen gGmbH, Ludwigshafen am Rhein
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Publication History

8.9.1999

11.10.1999

Publication Date:
31 December 2000 (online)

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Zusammenfassung

Die Push-Enteroskopie ist eine in vielen Schwerpunktkliniken mittlerweile etablierte endoskopische Untersuchungsmethode des Dünndarms. Dabei bietet dieses Verfahren gegenüber der sog. Sondenenteroskopie den Vorteil einer Interventionsmöglichkeit (z. B. Entnahme von Biopsien, Polypektomie, Blutungsstillungsverfahren), da das Push-Enteroskop über einen Arbeitskanal verfügt. Hauptindikation für die endoskopische Untersuchung des Dünndarms ist nach wie vor die Suche nach einer intestinalen Blutungsquelle nach Ausschluss häufiger Blutungsquellen im Gastrointestinaltrakt. Andere diagnostische und therapeutische Indikationen sind demgegenüber sehr viel seltener.

In dieser Übersicht werden nach einer kurzen Beschreibung des Verfahrens die aktuellen diagnostischen und therapeutischen Aspekte der Push-Enteroskopie beleuchtet und der Stellenwert des Verfahrens im Vergleich zu anderen Untersuchungsmethoden dargelegt.

(The diagnostic and therapeutic push-enteroscopy - an overview)

In many gastroenterological departments, the push-enteroscopy has become a well-established method to investigate the small bowel. Compared to the sonde-enteroscopy, this method has the advantage of offering the opportunity to intervene (e. g., taking biopsies, polypectomy, electrocoagulation) since the push-enteroscope has a working channel. The main indication for an endoscopic procedure is still the search for intestinal sources of bleeding after more frequent sources in the gastrointestinal tract have been ruled out. Other diagnostic and therapeutic indications are less frequent.

In this overview we will first describe the procedure. Then we will review the most recent diagnostic and therapeutic aspects of the push-enteroscopy and compare it to other procedures.

Schlüsselwörter

Push-Enteroskopie - intestinale Blutung - Dünndarmangiodysplasien

Key words

Push-enteroscopy - Intestinal bleeding - angio­dysplasias

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Anschrift für die Verfasser:

Dr. med. Claus A. Benz

Medizinische Klinik C, Klinikum der Stadt Ludwigshafen gGmbH

Bremserstraße 79

67063 Ludwigshafen

Phone: 06 21/5 03 41 00

Fax: 06 21/5 03 41 14

Email: MedCLu@t-online.de