Zusammenfassung
Hintergrund
Die effektive Resektion neoplastischer Kolonläsionen kann wesentlich zur Senkung der Inzidenz und Mortalität des kolorektalen Karzinoms (KRK) beitragen.
Fragestellung
Für welche neoplastische Kolonläsion ist welches resezierende Verfahren am besten geeignet?
Material und Methoden
Beschreibung und Bewertung der verschiedenen Resektionsverfahren, Diskussion aktueller Leitlinien, Übersichtsarbeiten und Originalarbeiten.
Schlussfolgerung
Die effektive Resektion neoplastischer Kolonläsionen kann heutzutage mehrheitlich endoskopisch erfolgen. Im Falle einer fortgeschrittenen Tiefeninfiltration müssen chirurgisch-onkologische Resektionsverfahren zum Einsatz kommen.
Abstract
Background
The effective resection of neoplastic colonic lesions can significantly reduce the incidence and mortality of colorectal cancer (CRC).
Question
Which resection procedure is best suited for which neoplastic colonic lesion?
Material and methods
Description and evaluation of the various resection techniques, discussion of current guidelines, reviews and original articles.
Conclusion
The effective resection of neoplastic colonic lesions can nowadays be carried out endoscopically in the majority of cases. In the case of advanced deep infiltration, surgical oncological resection procedures have to be performed.
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C. Schlag erhielt Vortrags- und Beraterhonorare von BostonScientific, Medtronic und Olympus. D. Wilhelm gibt an, dass kein Interessenkonflikt besteht.
Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.
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A. Dechêne, Nürnberg
M. Fried, Zürich
A. Riphaus, Frankfurt am Main
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Schlag, C., Wilhelm, D. Resektion neoplastischer Kolonläsionen. Gastroenterologe 15, 376–386 (2020). https://doi.org/10.1007/s11377-020-00469-0
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DOI: https://doi.org/10.1007/s11377-020-00469-0
Schlüsselwörter
- Polypen
- Kolorektales Karzinom
- Kaltschlinge
- Endoskopische Mukosaresektion
- Endoskopische Submukosadissektion