Therapeutic Endoscopy in the Gastrointestinal Tract

256 Pages·2018·24.69 MB·English

by  Georg Kähler

Therapeutic
Endoscopy in the
Gastrointestinal Tract
Georg Kähler
Martin Götz
Norbert Senninger
Editors
123
Therapeutic Endoscopy in the Gastrointestinal Tract
Georg Kähler
Martin Götz
Norbert Senninger
Editors
Therapeutic
Endoscopy in the
Gastrointestinal
Tract
Editors
Georg Kähler Martin Götz
Medical Center Mannheim University Medical Center
University of Heidelberg Interdisciplinary Endoscopy
Head of Endoscopy Department I. Medical Clinic
Mannheim Tübingen
Germany Germany
Norbert Senninger
Clinic of General and Visceral Surgery
University of Münster
Clinic of General and Abdominal Surgery
Münster
Germany
Translation from the German language edition:
Therapeutische Endoskopie im Gastrointestinaltrakt edited by Georg Kähler, Martin Götz and
Norbert Senninger Copyright © Springer-Verlag Berlin Heidelberg 2016
Springer is part of Springer Nature. All Rights Reserved.
ISBN 978-3-319-55467-9 ISBN 978-3-319-55468-6 (eBook)
https://doi.org/10.1007/978-3-319-55468-6
Library of Congress Control Number: 2017958786
© Springer International Publishing AG 2018
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V
Foreword
Are books still adequate contemporary opinion as an extract of evidence
media? In particular, teaching books with a (including myself).
didactic claim, since everyone may down- 2. Seek an exchange about whatever you
load all sorts of contents from the Internet, have read with colleagues who are
where innumerable experts are assembled equally engaged in their daily work, and
with an impetuous desire for self-m arketing? compare the items in the article you have
Please, time-consuming reading is not up to read with your own everyday experience;
date. The evidence for our medical actions, maybe you will find benefits for both
which is so important and is deemed crucial those involved in the discussion. By the
as the basis of our decision-making (toward way, the recently published guidelines of
insurers, lawyers, whomever, maybe even our society DGVS on the quality of
toward patients), is brought to us as summa- endoscopic examinations and interven-
ries of summaries of summaries from virtu- tions is an excellent example of compro-
ally all directions. Is the duty of reading and mises and the strive for evidence-b ased
thinking taken away from us? and practical interpretation.
3. And: read a book again. For example,
Critique of our current culture indicated? this one. I liked it a lot because of its
Not at all. But you have to provide your practical and graphical approach, with
own horizon by yourself. Here are some nice pictures, sketches, and practical
suggestions: recommendations while keeping the
1. Restart by reading a scientific publica- ball of evidence rather flat; it does not
tion yourself (best a good one in a deliver a pseudo-meta-analysis! And,
good journal), and get an idea by as said before — may I recommend
yourself, even with regard to small- that you really read several of the cited
print information. Try to forget papers yourself.
meta-analyses, and meta-analyses of
meta-analyses, and overview presenta- I hope you will enjoy this book as much
tions, where experts present their own as I did.
Thomas Rösch
Hamburg, Germany
Preface to the English Edition
While the intentions with this book are This ongoing international exchange has
clearly described in the preceding fore- stimulated both the editors and the chap-
word, the launch of an English version ter authors to better communicate our
deserves an additional preface. experience to the English-speaking world
of endoscopy. It is our desire to share our
European researchers and clinicians, and expertise with you, our colleagues world-
among those numerous colleagues from wide.
German institutions, have been pioneers
of endoscopic techniques. Meanwhile, We sincerely hope that you will enjoy
developments in this field have to be seen reading and profit from it in your daily
in a global perspective, with similar tech- work.
nical challenges all over the world.
Georg Kähler
Mannheim, Germany
Martin Götz
Tübingen, Germany
Norbert Senninger
Münster, Germany
February 2017
VII
Preface to the German Edition
Therapeutic endoscopy of the gastroin- disciplines in visceral medicine. «Pheno-
testinal tract is part of the practical art type before genotype» – this recognition
of healing where scientific foundations should bring together surgical and inter-
and manual dexterity, but also modern nist specialists with the interdisciplinary
instrumentation techniques, personal potential of oncology, pediatrics, radiol-
experience, and patient-related care, have ogy, nuclear medicine, and pathology.
to be professionally amalgamated. Due to Additional aspects are determined by the
a constant evolutionary progress in medi- interaction with intensive care, nutritional
cine as a whole, this demanding method medicine, hospital hygiene, and medicine
has not only been shown to be indispens- law. This book specifically addresses the
able for diagnostics but also for therapy assistance personnel in endoscopy, an
in a wide range of activities previously indispensable partner. Only by means of a
deemed impossible. Improvements in opti- well- orchestrated cooperation between all
cal presentation, digital techniques, and disciplines involved is success possible and
optimized instruments, combined with further development achievable.
radiological techniques and genetic «pro-
filing,» have induced a maturation process, «Therapeutic endoscopy» relates to the
both for diagnostics and therapy, which has basis and indications for frequently applied
placed therapeutic endoscopy into the cen- endoscopic procedures in a structured and
ter of interest of GI medicine as a whole. data-based way. Personnel, instrumenta-
tion, and forensic requirements as well as
Specifically, endoscopy in its double nature the technical execution of all interventions
as a method both for diagnostic and thera- are described in detail. Last but not least,
peutic procedures is benefitting from a sources of error and complication man-
close interrelation with gastroenterology agement are extensively presented. By
and visceral surgery. Therapeutic endos- means of numerous sketches and pictures
copy not only complements but increas- and practical recommendations, the
ingly replaces classical surgical procedures. authors present their vast experience based
Benefit for the patient mandates the use of on the background of scientific evidence.
these methods in an interdisciplinary and
evidence-based manner. We hope sincerely to help our readers find
impulses for adequate orientation for their
This book pays tribute to the close inter- endoscopic practical work and to success-
action of operative and conservative fully strive for further solid improvements.
Georg Kähler
Mannheim, Germany
Martin Götz
Tübingen, Germany
Norbert Senninger
Münster, Germany
IX
Contents
1 Endoscopic Resection Methods ........................................................................................... 1
Georg Kähler
2 E ndoscopic Recanalization Techniques .......................................................................... 25
Jan Krahn and Axel Eickhoff
3 Endoscopic Bleeding Control ................................................................................................ 49
Johannes Wilhelm Rey, Arthur Hoffman, Daniel Teubner, and Ralf Kiesslich
4 E RCP ....................................................................................................................................................... 71
Alexander Meining and Martin Götz
5 EUS-Guided Interventions: Indications, Contraindications, and Risks ..... 101
Stefan Hollerbach and Christian Jürgensen
6 Endoscopic Interventions for Anastomotic Leaks and Fistulas ...................... 125
Rudolf Mennigen, Mario Colombo-Benkmann, and Mike Laukötter
7 E ndoscopic Feeding Techniques ......................................................................................... 149
Arno J. Dormann
8 Endoscopic Extraction of Foreign Bodies ..................................................................... 189
Peter Collet
9 P roctological Interventions ................................................................................................... 197
Rüdiger Prosst
10 Combined Laparoscopic–Endoscopic Procedures .................................................. 223
Dirk Wilhelm, Alexander Meining, and Hubertus Feussner
S upplementary Information
Appendix A: Analgosedation ........................................................................................................... 246
Appendix B: Blood Coagulation and Anticoagulatory Therapy ............................................ 248
Contributors
Peter Collet Arthur Hoffman
Facharzt für Chirurgie Horst Schmidt Kliniken GmbH
EDZ Nordhessen Klinikum der Landeshauptstadt Wiesbaden
Neue Mitte 6 und der HELIOS Kliniken Gruppe
35415, Pohlheim, Germany Klinik für Innere Medizin II
[email protected] Gastroenterologie Hepatologie
und Endokrinologie
Mario Colombo-Benkmann Ludwig- Erhard-Straße 100
Facharzt für Chirurgie 65199, Wiesbaden, Germany
End- und Dickdarmpraxis [email protected]
Wallisellenstrasse 301 A
8050, Zürich, Switzerland Stefan Hollerbach
m.colombo.benkmann@uni- muenster.de Allgemeines Krankenhaus Celle
Klinik für Gastroenterologie/GI-Onkologie
Arno J. Dormann Siemensplatz 4
Kliniken der Stadt Köln 29223, Celle, Germany
Akademisches Lehrkrankenhaus [email protected]
der Universität Köln
Neufelder Straße 32 Christian Jürgensen
51067, Köln, Germany Campus Charité Mitte (CCM)
[email protected] Klinik für Gastroenterologie
Charitéplatz 1
Axel Eickhoff 10117, Berlin, Germany
Klinik für Gastroenterologie [email protected]
Diabetologie und Infektiologie
Leimenstraße 20 Georg Kähler
63450, Hanau, Germany Universitätsmedizin Mannheim
[email protected] Medizinische Fakultät Mannheim
der Universität Heidelberg Zentrale
Hubertus Feussner Interdisziplinäre Endoskopie
Klinikum rechts der Isar Theodor-Kutzer-Ufer 1–3
der Technischen Universität München 68167, Mannheim, Germany
Chirurgische Klinik und Poliklinik [email protected]
Ismaninger Straße 22
81675, Munich, Germany Ralf Kiesslich
[email protected] Horst Schmidt Kliniken GmbH
Klinikum der Landeshauptstadt Wiesbaden
Martin Götz und der HELIOS Kliniken Gruppe
Universitätsklinikum Tübingen Klinik für Innere Medizin II
Interdisziplinäre Endoskopie Gastroenterologie Hepatologie
Innere Medizin I und Endokrinologie
Ottfried-Müller–Straße 10 Ludwig- Erhard-Straße 100
72076, Tübingen, Germany 65199, Wiesbaden, Germany
[email protected] [email protected]
XI
Contributors
Jan Krahn Johannes Wilhelm Rey
Klinikum Hanau GmbH Horst Schmidt Kliniken GmbH
Medizinische Klinik II Klinikum der Landeshauptstadt Wiesbaden
Leimenstraße 20 und der HELIOS Kliniken Gruppe
63450, Hanau, Germany Klinik für Innere Medizin II
[email protected] Gastroenterologie Hepatologie
und Endokrinologie
Mike Laukötter Ludwig- Erhard-Straße 100
Universitätsklinik Münster 65199, Wiesbaden, Germany
der Westf. Wilhelms–Universität [email protected]
Klinik für Allgemein- und Viszeralchirurgie
Albert- Schweitzer-Campus 1 Norbert Senninger
48149, Münster, Germany Universitätsklinik Münster
[email protected] der Westf. Wilhelms–Universität
Klinik für Allgemein- und Viszeralchirurgie
Alexander Meining Albert-Schweitzer-Campus 1,
Klinik für Innere Medizin I 48149, Münster, Germany
Universität Ulm Zentrum für Innere Medizin [email protected]
Albert- Einstein–Allee 23
89070, Ulm, Germany Daniel Teubner
[email protected] Horst Schmidt Kliniken GmbH
Klinikum der Landeshauptstadt Wiesbaden
Rudolf Mennigen und der HELIOS Kliniken Gruppe
Universitätsklinik Münster Klinik für Innere Medizin II
der Westf. Wilhelms–Universität Gastroenterologie Hepatologie
Klinik für Allgemein- und Viszeralchirurgie und Endokrinologie
Albert- Schweitzer-Campus 1 Ludwig- Erhard-Straße 100
48149, Münster, Germany 65199, Wiesbaden, Germany
[email protected] [email protected]
Rüdiger Prosst Dirk Wilhelm
Proktologisches Institut Stuttgart Klinikum rechts der Isar
Esslinger Strasse 40 der Technischen Universität München
70182, Stuttgart, Germany Chirurgische Klinik und Poliklinik
[email protected] Ismaninger Straße 22
81675, Munich, Germany
[email protected]