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Endoskopische Diagnostik und Therapie der gastrointestinalen Blutung

Endoscopic diagnosis and therapy for gastrointestinal bleeding

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Zusammenfassung

Die gastrointestinale Blutung stellt unveränderte einen der häufigsten medizinischen Notfälle dar. Obwohl die Mortalität in den letzten Jahren durch Verbesserung der endoskopischen Diagnostik und Therapie leicht gesenkt werden konnte, liegt sie immer noch bei 15%. Zahlreiche Publikationen zu neuen Techniken und Therapiestrategien zeigen kontroverse Ergebnisse, so dass der Endoskopiker in seinen Therapienentscheidungen häufig auf seine persönliche Erfahrung angewiesen ist. Daher werden in diesem Artikel, neben einer neuerer Literaturanalyse zu diesem Thema, Therapieempfehlungen für die Praxis aus dem eigenen Erfahrungsbereich gegeben.

Abstract

Gastrointestinal bleeding is still one of the most frequent medical emergencies. Despite improvements in endoscopic diagnosis and therapy, mortality from bleeding is still high (15%). Since conclusive trials are lacking, the endoscopist often has to rely on personal experience in the selection of therapeutic options. Therefore this article gives an overview of new publications in this field and recommendations based on personal experience.

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Authors and Affiliations

  1. Department Gastroenterology and Hepatology, Centre Hospitalier Universitaire Vaudois, Lausanne, Schweiz

    M.-A. Ortner & G. Dorta

  2. Department Gastroenterology and Hepatology, Centre Hospitalier Universitaire Vaudois, Rue du Bugnon 46, 1011, Lausanne, Schweiz

    M.-A. Ortner

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  1. M.-A. Ortner
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  2. G. Dorta
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Correspondence to M.-A. Ortner.

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Ortner, MA., Dorta, G. Endoskopische Diagnostik und Therapie der gastrointestinalen Blutung . Chirurg 77, 111–116 (2006). https://doi.org/10.1007/s00104-006-1151-1

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  • DOI: https://doi.org/10.1007/s00104-006-1151-1

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