Cholezystolithiasis und intestinale Bypassverfahren
Zusammenfassung Bei steigender Anzahl adipositaschirurgischer Eingriffe steigt auch die Zahl assoziierter Komplikationen wie Gallensteinleiden nach bariatrischem Eingriff. Die Inzidenz einer postbariatrischen symptomatischen Cholezystolithiasis liegt bei 5–10 %, die Zahl der schwerwiegenden Komplika...
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| Published in: | Chirurgie (Heidelberg, Germany) Vol. 94; no. 6; pp. 512 - 517 |
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| Main Authors: | , , |
| Format: | Journal Article |
| Language: | German |
| Published: |
Heidelberg
Springer Medizin
01.06.2023
Springer Nature B.V |
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| ISSN: | 2731-6971, 2731-698X |
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| Abstract | Zusammenfassung
Bei steigender Anzahl adipositaschirurgischer Eingriffe steigt auch die Zahl assoziierter Komplikationen wie Gallensteinleiden nach bariatrischem Eingriff. Die Inzidenz einer postbariatrischen symptomatischen Cholezystolithiasis liegt bei 5–10 %, die Zahl der schwerwiegenden Komplikationen ist jedoch gering ebenso wie die Wahrscheinlichkeit einer notwendigen Gallensteinextraktion. Eine simultane oder präoperative Cholezystektomie sollte aus diesem Grund nur bei symptomatischen Patienten durchgeführt werden. Eine Therapie mit Ursodesoxycholsäure reduziert das Risiko einer Gallensteinbildung in randomisierten Studien, jedoch nicht das Risiko einer gallensteinbedingten Komplikation bei schon bestehenden Gallensteinen. Der häufigste Zugangsweg zu den Gallenwegen nach intestinalen Bypassverfahren ist der laparoskopische Zugang über den Restmagen. Weitere mögliche Zugangswege sind der enteroskopische Zugang sowie die endosonographisch gesteuerte Punktion des Restmagens. |
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| AbstractList | Bei steigender Anzahl adipositaschirurgischer Eingriffe steigt auch die Zahl assoziierter Komplikationen wie Gallensteinleiden nach bariatrischem Eingriff. Die Inzidenz einer postbariatrischen symptomatischen Cholezystolithiasis liegt bei 5–10 %, die Zahl der schwerwiegenden Komplikationen ist jedoch gering ebenso wie die Wahrscheinlichkeit einer notwendigen Gallensteinextraktion. Eine simultane oder präoperative Cholezystektomie sollte aus diesem Grund nur bei symptomatischen Patienten durchgeführt werden. Eine Therapie mit Ursodesoxycholsäure reduziert das Risiko einer Gallensteinbildung in randomisierten Studien, jedoch nicht das Risiko einer gallensteinbedingten Komplikation bei schon bestehenden Gallensteinen. Der häufigste Zugangsweg zu den Gallenwegen nach intestinalen Bypassverfahren ist der laparoskopische Zugang über den Restmagen. Weitere mögliche Zugangswege sind der enteroskopische Zugang sowie die endosonographisch gesteuerte Punktion des Restmagens. Zusammenfassung Bei steigender Anzahl adipositaschirurgischer Eingriffe steigt auch die Zahl assoziierter Komplikationen wie Gallensteinleiden nach bariatrischem Eingriff. Die Inzidenz einer postbariatrischen symptomatischen Cholezystolithiasis liegt bei 5–10 %, die Zahl der schwerwiegenden Komplikationen ist jedoch gering ebenso wie die Wahrscheinlichkeit einer notwendigen Gallensteinextraktion. Eine simultane oder präoperative Cholezystektomie sollte aus diesem Grund nur bei symptomatischen Patienten durchgeführt werden. Eine Therapie mit Ursodesoxycholsäure reduziert das Risiko einer Gallensteinbildung in randomisierten Studien, jedoch nicht das Risiko einer gallensteinbedingten Komplikation bei schon bestehenden Gallensteinen. Der häufigste Zugangsweg zu den Gallenwegen nach intestinalen Bypassverfahren ist der laparoskopische Zugang über den Restmagen. Weitere mögliche Zugangswege sind der enteroskopische Zugang sowie die endosonographisch gesteuerte Punktion des Restmagens. |
| Author | Belle, S. Blank, S. Otto, M. |
| Author_xml | – sequence: 1 givenname: S. surname: Blank fullname: Blank, S. email: susanne.blank@umm.de organization: Chirurgische Klinik, Universitätsmedizin Mannheim, Medizinische Fakultät Mannheim, Universität Heidelberg – sequence: 2 givenname: M. surname: Otto fullname: Otto, M. organization: Chirurgische Klinik, Universitätsmedizin Mannheim, Medizinische Fakultät Mannheim, Universität Heidelberg – sequence: 3 givenname: S. surname: Belle fullname: Belle, S. organization: Medizinische Klinik II, Universitätsmedizin Mannheim, Medizinische Fakultät Mannheim, Universität Heidelberg |
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| Cites_doi | 10.1007/s11695-014-1529-y 10.1007/s00535-022-01886-4 10.3390/life12101646 10.1016/j.soard.2014.10.015 10.1007/s11695-020-04848-y 10.1016/S2468-1253(21)00301-0 10.1016/j.soard.2021.10.004 10.1007/s11695-020-04862-0 10.1055/a-1139-9313 10.1007/s11695-019-04366-6 10.1381/096089203322190862 10.1007/s11695-017-2924-y 10.1007/s11695-012-0710-4 10.1016/j.gie.2011.11.019 10.1007/s11695-019-03882-9 10.1007/s11695-021-05798-9 10.1016/j.soard.2013.04.019 10.1002/bjs.10666 10.1007/s11695-016-2264-3 10.1007/s00464-019-07323-7 10.1016/j.amjsurg.2015.07.003 10.1007/s11894-021-00808-3 10.1007/s00464-022-09018-y 10.1007/s11695-018-3443-1 10.1016/j.gie.2012.10.015 10.1016/j.gie.2018.04.2356 |
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| Keywords | Endoscopic retrograde cholangiopancreatography Ursodesoxycholsäure Laparoscopic access Endoskopisch retrograde Cholangiopankreatikographie Simultane Cholezystektomie Roux-en‑Y gastric bypass Simultaneous cholecystectomy Roux-Y-Magenbypass Laparoskopischer Zugang Ursodeoxycholic acid |
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gastrogastrostomy-assisted ERCP versus enteroscopy-assisted ERCP in patients with Roux-en-Y gastric bypass anatomy publication-title: Gastrointest Endosc doi: 10.1016/j.gie.2018.04.2356 – volume: 10 start-page: 64 issue: 1 year: 2014 ident: 1834_CR8 publication-title: Surg Obes Relat Dis doi: 10.1016/j.soard.2013.04.019 – volume: 6 start-page: 993 issue: 12 year: 2021 ident: 1834_CR19 publication-title: Lancet Gastroenterol Hepatol doi: 10.1016/S2468-1253(21)00301-0 – volume: 23 start-page: 10 issue: 7 year: 2021 ident: 1834_CR26 publication-title: Curr Gastroenterol Rep doi: 10.1007/s11894-021-00808-3 – volume: 52 start-page: 654 issue: 8 year: 2020 ident: 1834_CR22 publication-title: Endoscopy doi: 10.1055/a-1139-9313 – volume: 25 start-page: 1171 issue: 7 year: 2015 ident: 1834_CR9 publication-title: Obes Surg doi: 10.1007/s11695-014-1529-y – volume: 57 start-page: 529 issue: 8 year: 2022 ident: 1834_CR15 publication-title: J Gastroenterol doi: 10.1007/s00535-022-01886-4 – volume: 31 start-page: 179 issue: 1 year: 2021 ident: 1834_CR13 publication-title: Obes Surg doi: 10.1007/s11695-020-04862-0 – volume: 27 start-page: 148 issue: 1 year: 2017 ident: 1834_CR6 publication-title: Obes Surg doi: 10.1007/s11695-016-2264-3 – volume: 30 start-page: 846 issue: 3 year: 2020 ident: 1834_CR7 publication-title: Obes Surg doi: 10.1007/s11695-019-04366-6 – volume: 75 start-page: 748 issue: 4 year: 2012 ident: 1834_CR21 publication-title: Gastrointest Endosc doi: 10.1016/j.gie.2011.11.019 – volume: 27 start-page: 3021 issue: 11 year: 2017 ident: 1834_CR17 publication-title: OBES SURG doi: 10.1007/s11695-017-2924-y – volume: 86 start-page: 1000 issue: 8 year: 1991 ident: 1834_CR2 publication-title: Am J Gastroenterol – volume: 36 start-page: 6868 issue: 9 year: 2022 ident: 1834_CR27 publication-title: Surg Endosc doi: 10.1007/s00464-022-09018-y – volume: 32 start-page: 295 issue: 2 year: 2022 ident: 1834_CR14 publication-title: Obes Surg doi: 10.1007/s11695-021-05798-9 – volume: 12 start-page: 1646 issue: 10 year: 2022 ident: 1834_CR20 publication-title: Life doi: 10.3390/life12101646 – volume: 30 start-page: 4474 issue: 11 year: 2020 ident: 1834_CR1 publication-title: OBES SURG doi: 10.1007/s11695-020-04848-y – volume: 210 start-page: 1010 issue: 6 year: 2015 ident: 1834_CR10 publication-title: Am J Surg doi: 10.1016/j.amjsurg.2015.07.003 – volume: 28 start-page: 3312 issue: 10 year: 2018 ident: 1834_CR12 publication-title: Obes Surg doi: 10.1007/s11695-018-3443-1 – volume: 105 start-page: 121 issue: 1 year: 2018 ident: 1834_CR11 publication-title: Br J Surg doi: 10.1002/bjs.10666 – volume: 34 start-page: 5331 issue: 12 year: 2020 ident: 1834_CR18 publication-title: Surg Endosc doi: 10.1007/s00464-019-07323-7 – volume: 77 start-page: 593 issue: 4 year: 2013 ident: 1834_CR23 publication-title: Gastrointest Endosc doi: 10.1016/j.gie.2012.10.015 – volume: 13 start-page: 625 issue: 4 year: 2003 ident: 1834_CR3 publication-title: OBES SURG doi: 10.1381/096089203322190862 – volume: 18 start-page: 77 issue: 1 year: 2022 ident: 1834_CR16 publication-title: Surg Obes Relat Dis doi: 10.1016/j.soard.2021.10.004 – volume: 29 start-page: 2005 issue: 6 year: 2019 ident: 1834_CR24 publication-title: Obes Surg doi: 10.1007/s11695-019-03882-9 – volume: 11 start-page: 779 issue: 4 year: 2015 ident: 1834_CR5 publication-title: Surg Obes Relat Dis doi: 10.1016/j.soard.2014.10.015 – volume: 22 start-page: 1594 issue: 10 year: 2012 ident: 1834_CR4 publication-title: OBES SURG doi: 10.1007/s11695-012-0710-4 – volume: 88 start-page: 486 issue: 3 year: 2018 ident: 1834_CR25 publication-title: Gastrointest Endosc doi: 10.1016/j.gie.2018.04.2356 |
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| Snippet | Zusammenfassung
Bei steigender Anzahl adipositaschirurgischer Eingriffe steigt auch die Zahl assoziierter Komplikationen wie Gallensteinleiden nach... Bei steigender Anzahl adipositaschirurgischer Eingriffe steigt auch die Zahl assoziierter Komplikationen wie Gallensteinleiden nach bariatrischem Eingriff. Die... |
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| StartPage | 512 |
| SubjectTerms | Abdominal Surgery General Surgery Leitthema Medicine Medicine & Public Health Minimally Invasive Surgery Surgery Thoracic Surgery Transplant Surgery |
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| Title | Cholezystolithiasis und intestinale Bypassverfahren |
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