Therapeutic Endoscopy in the Gastrointestinal Tract PDF
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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 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recita- tion, broadcasting, reproduction on microfilms or in any other physical way, and transmission or infor- mation storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publica- tion does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland 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]
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