Neue Endoskopische Verfahren

Die Endoskopie hat sich jenseits der reinen Diagnostik zu einem etablierten Schwerpunkt in der Therapie gastroenterologischer Krankheitsbilder entwickelt. Dies betrifft neben den therapeutischen Eingriffen an den Gallenwegen und Pankreasgang insbesondere die resektiven Verfahren bei Frühneoplasien des GI-Traktes. Zusätzlich haben sich mit der endoskopischen peroralen Myotomie (POEM) neue therapeutische Indikationsfelder für Ösophagusmotilitätsstörungen eröffnet. Der aktuelle Review beleuchtet daher insbesondere die therapeutischen endoskopischen Verfahren und deren aktuellen Stellenwert.

In addition to diagnostic purposes endoscopy in gastroenterology has developed a main focus in therapeutic procedures. This applies mainly endoscopic resection of early GI - Neoplasia and pancreato-biliary procedures. Peroral endoscopic myotomy (POEM) has opened a new field for therapy of oesophageal motility disorders. This review highlights especially therapeutic endoscopic procedures and their significance for the future.

Key words

Endoskopic resection - full thickness resection - Peroral endoscopic myotomy (POEM) - transoral fundoplikation (TIF) - endosonographically (EUS) controlled bilary and pancreatic drainage - pancreatitis associated fluid accumulation

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