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Aktuelle Entwicklungen im Bereich der Videokapselendoskopie 视频胶囊内窥镜检查领域的最新进展
Q4 Medicine
Gastroenterologe
Pub Date : 2022-01-14 DOI: 10.1007/s11377-021-00593-5
Thomas Brunk
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引用次数: 0
Critical Incident Reporting System – Sicherheit und Umgang mit kritischen Ereignissen bei der Endoskopie 重大事件报告系统——内窥镜检查中重大事件的安全和处理
Q4 Medicine
Gastroenterologe
Pub Date : 2022-01-14 DOI: 10.1007/s11377-021-00583-7
J. Siegel, U. Rosien
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引用次数: 0
Update endoskopische Dünndarmdiagnostik 更新内镜小肠诊断
Q4 Medicine
Gastroenterologe
Pub Date : 2022-01-14 DOI: 10.1007/s11377-021-00588-2
B. Lewerenz
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引用次数: 0
Endoskopische Resektion von Frühkarzinomen im Gastrointestinaltrakt 胃肠道早期癌的内镜切除术
Q4 Medicine
Gastroenterologe
Pub Date : 2022-01-13 DOI: 10.1007/s11377-021-00591-7
T. Blasberg, E. Wedi
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引用次数: 0
29-jähriger Patient mit blutigen Diarrhöen 29岁患有带血的病人
Q4 Medicine
Gastroenterologe
Pub Date : 2022-01-11 DOI: 10.1007/s11377-021-00587-3
Florian Alexander Michael, I. Blumenstein, M. Friedrich-Rust, M. Jung
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引用次数: 1
Stellenwert moderner Aufbereitungsverfahren in der gastrointestinalen Endoskopie 现代治疗方法在胃肠镜检查中的重要性
Q4 Medicine
Gastroenterologe
Pub Date : 2022-01-07 DOI: 10.1007/s11377-021-00580-w
U. Beilenhoff, H. Martiny
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引用次数: 0
[Postoperative leaks in the gastrointestinal tract-diagnosis and treatment]. 【术后胃肠道渗漏——诊断与治疗】。
Q4 Medicine
Gastroenterologe
Pub Date : 2022-01-01 Epub Date: 2022-01-10 DOI: 10.1007/s11377-021-00584-6
G Loske, S Hornoff, M Mende, C Müller, S Faiss

Postoperative leaks following esophageal, gastric, colonic or rectal resection represent a life-threatening complication that is associated with high morbidity and mortality. Leaks are generally diagnosed with a combination of the following: recognition of clinical deterioration, laboratory results, endoscopic and radiological imaging. In case of intraperitoneal leaks, surgery is mandatory. In case of mediastinal or retroperitoneal anastomotic insufficiencies, treatment mainly comprises interventional endoscopic procedures in an interdisciplinary approach. For endoscopic therapy, there are mainly two different methods described: closure of the defect with fully covered self-expandable stents with external drainage and closure of the defect with simultaneously internal drainage by endoscopic vacuum therapy.

食管、胃、结肠或直肠切除术后的术后泄漏是一种危及生命的并发症，具有高发病率和死亡率。泄漏的诊断通常结合以下几点:临床恶化的识别、实验室结果、内窥镜和放射成像。如果腹膜内渗漏，手术是必须的。在纵隔或腹膜后吻合口不全的情况下，治疗主要包括跨学科的介入内镜手术。对于内镜治疗，主要描述了两种不同的方法:用全覆盖自膨胀支架封闭缺损并外引流和内镜真空治疗封闭缺损并同时内引流。
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引用次数: 2
[Hygiene and safety in gastroenterology]. [胃肠病学的卫生与安全]。
Q4 Medicine
Gastroenterologe
Pub Date : 2022-01-01 Epub Date: 2022-01-28 DOI: 10.1007/s11377-021-00579-3
Axel Eickhoff, Dieter Schilling
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引用次数: 0
[Single-use products in endoscopy-from consumables to single-use scopes]. 【内窥镜中的一次性产品，从耗材到一次性内窥镜】。
Q4 Medicine
Gastroenterologe
Pub Date : 2022-01-01 Epub Date: 2022-01-07 DOI: 10.1007/s11377-021-00581-9
Mark Ellrichmann, Axel Eickhoff

Clinically relevant infections triggered by the use of flexible endoscopes and respective consumables have become the focus of clinical and scientific interest in the literature. Endoscopy-associated infections can be assigned to one of two groups: (i) endogenous infections are triggered by the spread of the patient's own local flora and (ii) exogenous infections result from transmission of contaminated material or endoscopes. The number of reported infectious complications in flexible endoscopy is low but likely underestimated due to inadequate surveillance strategies and lack of clinical symptoms. To prevent exogenous infections, single-use endoscopes were brought to the market. Single-use bronchoscope have been part of routine clinical care for years, while single-use duodenoscopes have only recently been approved. The increased patient safety and economic costs were clearly evaluated for the single-use bronchoscopes, but this still needs to be studied for single-use duodenoscopes. The use of single-use endoscopes-at first glance-represents an additional financial burden on the healthcare system. However, in addition to the material costs of disposable endoscopes, the costs that are avoided by them (e.g., prolonged hospitalization, intensive care treatment, and follow-up interventions) must also be included in the overall calculation.

使用柔性内窥镜和相应的耗材引发的临床相关感染已成为文献中临床和科学关注的焦点。内窥镜相关感染可分为两组：（i）内源性感染由患者自身局部菌群的传播引发，（ii）外源性感染由受污染物质或内窥镜的传播引起。柔性内窥镜检查中报告的感染性并发症数量较低，但由于监测策略不足和缺乏临床症状，可能被低估了。为了防止外源性感染，一次性内窥镜被推向市场。多年来，一次性使用支气管镜一直是常规临床护理的一部分，而一次性使用十二指肠镜直到最近才被批准。一次性支气管镜增加的患者安全性和经济成本得到了明确的评估，但一次性十二指肠镜仍需对此进行研究。乍一看，一次性内窥镜的使用给医疗系统带来了额外的经济负担。然而，除了一次性内窥镜的材料成本外，它们所避免的成本（例如，长期住院、重症监护治疗和后续干预）也必须包括在总体计算中。
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引用次数: 1
Mitteilungen der Gesellschaft für Gastroenterologie in NRW 北威州胃花鸭学协会的消息
Q4 Medicine
Gastroenterologe
Pub Date : 2021-11-25 DOI: 10.1007/s11377-021-00573-9
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引用次数: 0
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