Zusammenfassung
Die flexible endoskopische Untersuchung ist heute über 50 Jahre alt und nimmt einen zentralen Stellenwert bei der Diagnostik des oberen und unteren Gastrointestinaltrakts ein. Sie steht oft am Anfang einer Untersuchungsreihe gastrointestinaler Tumoren und ist häufig die entscheidende Untersuchung, da sie zur histologischen Sicherung der Diagnose führt. In den letzten Jahren hat sich durch hochauflösende optische Verfahren die Möglichkeit eröffnet, feingewebliche Veränderungen der Schleimhaut zu erkennen, die bislang nur dem Pathologen vorbehalten war. Die verfeinerte CCD-Chip- Technologie und neue Techniken der Chromo- und Zoomendoskopie erlauben somit eine neue Dimension zuverlässiger und komplikationsarmer Diagnostik. Der stetige Fortschritt von endoskopischen Verfahren erweitert die therapeutische Intervention vor allem im Bereich maligner Erkrankungen. Der therapeutisch interventionellen Endoskopie als Grenzgebiet zwischen Gastroenterologen und Viszeralchirurgen wird ein weiteres Kapitel gewidmet. Hier wird zunächst nur auf die rein diagnostischen Möglichkeiten der Endoskopie als endoluminales lokales Staging eingegangen.
Dr. Dittler†, dem Autor der Vorauflage, gewidmet.
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Burian, M., Yahagi, N., Sauer, P. (2010). Diagnostische Endoskopie. In: Siewert, J.R., Rothmund, M., Schumpelick, V. (eds) Praxis der Viszeralchirurgie Onkologische Chirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-03808-2_11
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