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Erschienen in: Wiener klinisches Magazin 5/2014

01.11.2014 | Gastroenterologie

Die Wertigkeit der diagnostischen und interventionellen Koloproktoskopie aus der Sicht des Viszeralchirurgen

verfasst von: Heinz Bacher, Herwig Cerwenka, Azab El Shabrawi, Doris Wagner, Georg Werkgartner, o.Univ. Prof. Dr. Hans-Jörg Mischinger

Erschienen in: Wiener klinisches Magazin | Ausgabe 5/2014

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Zusammenfassung

Die klinische Gastroenterologie bietet ein weites Feld der interdisziplinären Kooperation. Der vorliegende Artikel soll die enorme Bedeutung der diagnostischen und interventionellen Koloproktoskopie für den Viszeralchirurgen aufzeigen. Die Autoren versuchen, die Wertigkeit der Endoskopie anhand zahlreicher Beispiele aus dem chirurgischen Alltag zu belegen. Neben der klassischen „Adenom-Karzinom-Sequenz“, wird ein erst in den letzten Jahren erkannter, neuer Weg der Karzinogenese bei den sessilen, serratierten Adenomen beschrieben. Da sich dabei kleine Adenome auf dem „serratierten Weg“ schneller zu Karzinomen entwickeln können, ist derzeit die vollständige Polypektomie aller entdeckter Polypen zu empfehlen. Die interventionelle Koloskopie wird wahrscheinlich in Zukunft, aufgrund der schonenderen, patientenfreundlicheren, minimal-invasiven Technik traditionelle chirurgische Therapien ergänzen oder gar ersetzen. Hierbei muss sich der Viszeralchirurg seiner alten Tradition und der damit verbundenen Kompetenz in der Therapie von Kolorektalkarzinomen bewusst sein und sich aktiv in die neue interdisziplinäre Entwicklung der Koloproktoskopie einbringen.
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Metadaten
Titel
Die Wertigkeit der diagnostischen und interventionellen Koloproktoskopie aus der Sicht des Viszeralchirurgen
verfasst von
Heinz Bacher
Herwig Cerwenka
Azab El Shabrawi
Doris Wagner
Georg Werkgartner
o.Univ. Prof. Dr. Hans-Jörg Mischinger
Publikationsdatum
01.11.2014
Verlag
Springer Vienna
Erschienen in
Wiener klinisches Magazin / Ausgabe 5/2014
Print ISSN: 1869-1757
Elektronische ISSN: 1613-7817
DOI
https://doi.org/10.1007/s00740-014-0004-7