Endoskopische Diagnostik, Therapie und Nachsorge von Polypen des oberen Gastrointestinaltrakts
| Autor: | B Meier, K Caca |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Nephrology
medicine.medical_specialty Tumor size medicine.diagnostic_test Esophagogastroduodenoscopy business.industry Endoscopic mucosal resection 030204 cardiovascular system & hematology Hepatology Neuroendocrine tumors medicine.disease 03 medical and health sciences 0302 clinical medicine Diagnosis treatment Internal medicine Internal Medicine medicine Upper gastrointestinal 030212 general & internal medicine Radiology business |
| Zdroj: | Der Internist. 62:145-150 |
| ISSN: | 1432-1289 0020-9554 |
| DOI: | 10.1007/s00108-020-00901-1 |
| Popis: | Polyps occur significantly less frequently in the upper gastrointestinal tract compared to the lower gastrointestinal tract. They are usually incidental findings at esophagogastroduodenoscopy. A distinction is made between epithelial lesions and subepithelial tumors. Endoscopic screening is not recommended in Germany (exception: hereditary risk groups). Polyps are sometimes symptomatic, generally in the case of advanced tumor size. In this case, or in the case of potential for malignant transformation, resection is necessary and can usually be performed endoscopically. Surgical resections are rarely necessary. Epithelial lesions are removed by means of endoscopic mucosal resection (EMR). For subepithelial tumors, advanced procedures such as endoscopic submucosal dissection (ESD), submucosal tunneling endoscopic resection (STER), or endoscopic full-thickness resection are available. These procedures should primarily be performed at centers with appropriate expertise. Endoscopic follow-up is primarily determined by the tumor entity and the resection status. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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