Perioperační ezofagogastroduodenoskopie v prevenci a terapii anastomotických komplikací – přehledový článek

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Authors: Stašek M. ¹; Aujeský R. ¹; Vrba R. ¹; Chudáček J. ¹; Klos D. ¹; Khan Ahmad H. ¹; Holm S. ²; Neoral Č. ¹
Authors‘ workplace: I. chirurgická klinika LF UP a FN Olomouc ¹; Oddělení plastické a maxilofaciální chirurgie, Univerzitní nemocnice Uppsala, Švédsko ²
Published in: Gastroent Hepatol 2020; 74(3): 217-227
Category: Digestive Endoscopy: Review Article
doi: https://doi.org/10.14735/amgh2020217

Overview

Současný rozvoj endoskopických a minimálně invazivních metod přináší nové modality pro řešení časných anastomotických komplikací v oblasti horního gastrointestinálního traktu. Cílem práce je souhrn současných vědomostí o endoskopických metodách a jejich poměru k chirurgickému řešení, timingu použití, alternativách postupu a výsledcích dosavadních studií. Hlavními diskutovanými modalitami jsou endoskopická vakuová terapie (EVAC), použití stentů a klipů, zejména over-the-scope varianty (OTSC). Významnou možností je intraoperační použití endoskopie a její využití v navigaci chirurgického výkonu a kombinované chirurgické a endoskopické terapii. Součástí práce je zhodnocení přínosu jednotlivých metod u komplikací ezofagogastrické a ezofagojejunální anastomózy a dále v bariatrické chirurgii (sleeve gastrektomie, gastrický bypass).

Klíčová slova:

gastroskopie – vakuová terapie ran – samoexpandibilní metalický stent – anastomotický leak – klipy – bariatrické chirurgické výkony

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