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Endoskopische Diagnostik

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Die Intensivmedizin

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Zusammenfassung

Die Entwicklung von flexiblen Endoskopen in der 2. Hälfte des 20. Jahrhunderts ermöglicht die optische Darstellung aller gastrointestinalen Hohlorgane und des Bronchialbaums. Die Endoskopie ist heute der Goldstandard in der Notfalldiagnostik bei der gastrointestinalen Blutung und hier gleichzeitig die primäre Therapieoption. Die biliäre Pankreatitis und die eitrige Cholangitis stellen Beispiele für Notfälle bei Erkrankungen der Gallenwege dar, die durch endoskopische Methoden zu behandeln sind. Die Untersuchung des oberen Gastrointestinaltrakts (GIT) mit der Ösophagogastroduodenoskopie (ÖGD) und des unteren Intestinaltrakts mit der Koloskopie wird durch Enteroskopieverfahren und die Kapselendoskopie für die Untersuchung des Dünndarms ergänzt. Die endoskopisch retrograde Cholangiopankreatographie (ERCP) und die perkutane transhepatische Cholangiodrainage (PTCD) ermöglichen therapeutische Eingriffe am biliopankreatischen System. Mit speziellen Endoskopen können zudem die Gallenwege und das Pankreasgangsystem direkt endoskopisch inspiziert werden.

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Literatur

  • Albert J (2013) Palliative Endoscopic Procedures. In: Berger AM (Hrsg) Principles and practice of palliative care and supportive oncology. Lippincott Raven, Philadelphia, S 282–295

    Google Scholar 

  • Albert JG, Schulbe R, Hahn L, Heinig D, Schoppmeyer K, Porst H, Lorenz R, Plauth M, Dollinger MM, Mossner J, Caca K, Fleig WE (2008) Impact of capsule endoscopy on outcome in mid-intestinal bleeding: a multicentre cohort study in 285 patients. Eur J Gastroenterol Hepatol 20:971–977

    Article  PubMed  Google Scholar 

  • Ali MA, Lam-Himlin D, Voltaggio L (2012) Eosinophilic esophagitis: a clinical, endoscopic, and histopathologic review. Gastrointest Endosc 76:1224–1237

    Article  PubMed  Google Scholar 

  • Ambe P, Weber SA, Schauer M, Knoefel WT (2012) Swallowed foreign bodies in adults. Dtsch Ärztebl Int 109:869–875

    PubMed Central  PubMed  Google Scholar 

  • Bai Y, Guo JF, Li ZS (2011) Meta-analysis: erythromycin before endoscopy for acute upper gastrointestinal bleeding. Aliment Pharmacol Ther 34:166–171

    Article  CAS  PubMed  Google Scholar 

  • Bakker OJ, van Santvoort HC, van BS, Geskus RB, Besselink MG, Bollen TL, van Eijck CH, Fockens P, Hazebroek EJ, Nijmeijer RM, Poley JW, van RB, Vleggaar FP, Boermeester MA, Gooszen HG, Weusten BL, Timmer R (2012) Endoscopic transgastric vs surgical necrosectomy for infected necrotizing pancreatitis: a randomized trial. JAMA 307: 1053–1061

    Google Scholar 

  • Barkun AN, Bardou M, Martel M, Gralnek IM, Sung JJ (2010) Prokinetics in acute upper GI bleeding: a meta-analysis. Gastrointest Endosc 72:1138–1145

    Article  PubMed  Google Scholar 

  • Berton DC, Kalil AC, Teixeira PJ (2012) Quantitative versus qualitative cultures of respiratory secretions for clinical outcomes in patients with ventilator-associated pneumonia. Cochrane Database Syst Rev 1:CD006482

    PubMed  Google Scholar 

  • Biecker E, Heller J, Schmitz V, Lammert F, Sauerbruch T (2008) Diagnosis and management of upper gastrointestinal bleeding. Dtsch Ärztebl Int 105:85–94

    PubMed Central  PubMed  Google Scholar 

  • Cheng HT, Cheng CL, Lin CH, Tang JH, Chu YY, Liu NJ, Chen PC (2008) Caustic ingestion in adults: the role of endoscopic classification in predicting outcome. BMC Gastroenterol 8:31

    Article  PubMed Central  PubMed  Google Scholar 

  • Christensen M, Matzen P, Schulze S, Rosenberg J (2004) Complications of ERCP: a prospective study. Gastrointest Endosc 60:721–731

    Article  PubMed  Google Scholar 

  • Dafnis G, Ekbom A, Pahlman L, Blomqvist P (2001) Complications of diagnostic and therapeutic colonoscopy within a defined population in Sweden. Gastrointest Endosc 54:302–309

    Article  CAS  PubMed  Google Scholar 

  • Dominitz JA, Eisen GM, Baron TH, Goldstein JL, Hirota WK, Jacobson BC, Johanson JF, Leighton JA, Mallery JS, Raddawi HM, Vargo JJ, Waring JP, Fanelli RD, Wheeler-Harbough J, Faigel DO (2003) Complications of colonoscopy. Gastrointest Endosc 57:441–445

    Article  PubMed  Google Scholar 

  • Fatima J, Baron TH, Topazian MD, Houghton SG, Iqbal CW, Ott BJ, Farley DR, Farnell MB, Sarr MG (2007) Pancreaticobiliary and duodenal perforations after periampullary endoscopic procedures: diagnosis and management. Arch Surg 142:448–454

    Article  PubMed  Google Scholar 

  • Freeman ML (1998) Toward improving outcomes of ERCP. Gastrointest Endosc 48:96–102

    Article  CAS  PubMed  Google Scholar 

  • He H, Ding L, Li F, Zhan Q (2011) Clinical features of invasive bronchial-pulmonary aspergillosis in critically ill patients with chronic obstructive respiratory diseases: a prospective study. Crit Care 15:R5

    Article  PubMed Central  PubMed  Google Scholar 

  • Higuchi D, Sugawa C, Shah SH, Tokioka S, Lucas CE (2003) Etiology, treatment, and outcome of esophageal ulcers: a 10-year experience in an urban emergency hospital. J Gastrointest Surg 7:836–842

    Article  PubMed  Google Scholar 

  • Jelic S, Cunningham JA, Factor P (2008) Clinical review: airway hygiene in the intensive care unit. Crit Care 12:209

    Article  PubMed Central  PubMed  Google Scholar 

  • Lai EC, Mok FP, Tan ES, Lo CM, Fan ST, You KT, Wong J (1992) Endoscopic biliary drainage for severe acute cholangitis. N Engl J Med 326:1582–1586

    Article  CAS  PubMed  Google Scholar 

  • Lammert F, Neubrand MW, Bittner R, Feussner H, Greiner L, Hagenmuller F, Kiehne KH, Ludwig K, Neuhaus H, Paumgartner G, Riemann JF, Sauerbruch T (2007) S3-guidelines for diagnosis and treatment of gallstones. German Society for Digestive and Metabolic Diseases and German Society for Surgery of the Alimentary Tract. Z Gastroenterol 45:971–1001

    Article  CAS  PubMed  Google Scholar 

  • Lee YL, Chen W, Chen LY, Chen CH, Lin YC, Liang SJ, Shih CM (2010) Systemic and bronchoalveolar cytokines as predictors of in-hospital mortality in severe community-acquired pneumonia. J Crit Care 25:176–13

    PubMed  Google Scholar 

  • Luna CM, Sarquis S, Niederman M, Sosa A, Otaola M, Bailleau N, Vay CA, Famiglietti A, Irrazabal C, Capdevila A (2013) Is an endotracheal routine cultures-based strategy the best way to prescribe antibiotics in ventilator-associated pneumonia? Chest

    Google Scholar 

  • Masci E, Toti G, Mariani A, Curioni S, Lomazzi A, Dinelli M, Minoli G, Crosta C, Comin U, Fertitta A, Prada A, Passoni GR, Testoni PA (2001) Complications of diagnostic and therapeutic ERCP: a prospective multicenter study. Am J Gastroenterol 96:417–423

    Article  CAS  PubMed  Google Scholar 

  • Miller G (1987) Complications of endoscopy of the upper gastrointestinal tract. Leber Magen Darm 17:299–304

    CAS  PubMed  Google Scholar 

  • Murgu S, Langer S, Colt H (2012) Bronchoscopic intervention obviates the need for continued mechanical ventilation in patients with airway obstruction and respiratory failure from inoperable non-small-cell lung cancer. Respiration 84:55–61

    Article  PubMed  Google Scholar 

  • Ozden I, Tekant Y, Bilge O, Acarli K, Alper A, Emre A, Rozanes I, Ozsut H, Ariogul O (2005) Endoscopic and radiologic interventions as the leading causes of severe cholangitis in a tertiary referral center. Am J Surg 189:702–706

    Article  PubMed  Google Scholar 

  • Peng YY, Soong WJ, Lee YS, Tsao PC, Yang CF, Jeng MJ (2011) Flexible bronchoscopy as a valuable diagnostic and therapeutic tool in pediatric intensive care patients: a report on 5 years of experience. Pediatr Pulmonol 46:1031–1037

    Article  PubMed  Google Scholar 

  • Phua GC, Wahidi MM (2009) ICU procedures of the critically ill. Respirology 14:1092–1097

    Article  PubMed  Google Scholar 

  • Preetha M, Chung YF, Chan WH, Ong HS, Chow PK, Wong WK, Ooi LL, Soo KC (2003) Surgical management of endoscopic retrograde cholangiopancreatography-related perforations. ANZ J Surg 73:1011–1014

    Article  PubMed  Google Scholar 

  • Rabe C, Appenrodt B, Hoff C, Ewig S, Klehr HU, Sauerbruch T, Nickenig G, Tasci S (2010) Severe respiratory failure due to diffuse alveolar hemorrhage: clinical characteristics and outcome of intensive care. J Crit Care 25:230–235

    Article  PubMed  Google Scholar 

  • Rembacken B, Hassan C, Riemann JF, Chilton A, Rutter M, Dumonceau JM, Omar M, Ponchon T (2012) Quality in screening colonoscopy: position statement of the European Society of Gastrointestinal Endoscopy (ESGE). Endoscopy 44:957–968

    Article  CAS  PubMed  Google Scholar 

  • Scala R, Naldi M, Maccari U (2010) Early fiberoptic bronchoscopy during non-invasive ventilation in patients with decompensated chronic obstructive pulmonary disease due to community-acquired-pneumonia. Crit Care 14:R80

    Article  PubMed Central  PubMed  Google Scholar 

  • Silvis SE, Nebel O, Rogers G, Sugawa C, Mandelstam P (1976) Endoscopic complications. Results of the 1974 American Society for Gastrointestinal Endoscopy Survey. JAMA 235:928–930

    Article  CAS  PubMed  Google Scholar 

  • Sung SH, Jeon SW, Son HS, Kim SK, Jung MK, Cho CM, Tak WY, Kweon YO (2011) Factors predictive of risk for complications in patients with oesophageal foreign bodies. Dig Liver Dis 43:632–635

    Article  PubMed  Google Scholar 

  • Truong S, Willis S, Riesener KP, Seelig M, Botjer A, Schumpelick V (1997) Value of intraluminal intestinal decompression by endoscopic placement of a Dennis tube in therapy of ileus. Retrospective clinical study of 174 patients. Langenbecks Arch Chir 382:216–221

    CAS  PubMed  Google Scholar 

  • van Santvoort HC, Besselink MG, Bakker OJ, Hofker HS, Boermeester MA, Dejong CH, van GH, Schaapherder AF, van Eijck CH, Bollen TL, van RB, Nieuwenhuijs VB, Timmer R, Lameris JS, Kruyt PM, Manusama ER, van der Harst E, van der Schelling GP, Karsten T, Hesselink EJ, van Laarhoven CJ, Rosman C, Bosscha K, de Wit RJ, Houdijk AP, van Leeuwen MS, Buskens E, Gooszen HG (2010) A step-up approach or open necrosectomy for necrotizing pancreatitis. N Engl J Med 362: 1491–1502

    Google Scholar 

  • Weinstock LB, Shatz BA, Thyssen SE (1999) Esophageal food bolus obstruction: evaluation of extraction and modified push techniques in 75 cases. Endoscopy 31:421–425

    Article  CAS  PubMed  Google Scholar 

  • Will U, Thieme A, Fueldner F, Gerlach R, Wanzar I, Meyer F (2007) Treatment of biliary obstruction in selected patients by endoscopic ultrasonography (EUS)-guided transluminal biliary drainage. Endoscopy 39:292–295

    Article  CAS  PubMed  Google Scholar 

  • Zargar SA, Kochhar R, Mehta S, Mehta SK (1991) The role of fiberoptic endoscopy in the management of corrosive ingestion and modified endoscopic classification of burns. Gastrointest Endosc 37:165–169

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Medizinische Klinik 1 - Gastroenterologie, Hepatologie, Pneumologie und Endokrinologie, Universitätsklinikum Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt, Deutschland

    Mireen Friedrich-Rust Prof. Dr. & PD Dr. med. Jörg Albert

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  1. Mireen Friedrich-Rust Prof. Dr.
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  2. PD Dr. med. Jörg Albert
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Editor information

Editors and Affiliations

  1. Klinik für Anästhesiologie, RWTH Aachen Universitätsklinikum Aachen, Aachen, Germany

    Gernot Marx

  2. Klinik für Chirurgie, Universitätsklinikum Schleswig-Holstein Campus Lübeck, Lübeck, Germany

    Elke Muhl

  3. Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie, Goethe-Universität Frankfurt, Frankfurt, Hessen, Germany

    Kai Zacharowski

  4. Medizinische Klinik I, Universitätsklinikum Frankfurt, Frankfurt, Germany

    Stefan Zeuzem

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Friedrich-Rust, M., Albert, J. (2015). Endoskopische Diagnostik. In: Marx, G., Muhl, E., Zacharowski, K., Zeuzem, S. (eds) Die Intensivmedizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54953-3_21

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  • DOI: https://doi.org/10.1007/978-3-642-54953-3_21

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  • Print ISBN: 978-3-642-54952-6

  • Online ISBN: 978-3-642-54953-3

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