• Der Anaesthesist · Nov 2021

    [Endoscopy on the surgical intensive care unit].

    • Georg Braun and Alexander Mück.
    • Medizinische Klinik 3 am Universitätsklinikum Augsburg, Klinik für Anästhesiologie und Operative Intensivmedizin, Stenglinstr. 2, 86156, Augsburg, Deutschland. georg.braun@uk-augsburg.de.
    • Anaesthesist. 2021 Nov 1; 70 (11): 977-990.

    AbstractEndoscopy is most frequently performed in intensive care units (ICU) for gastrointestinal bleeding; however, there are other indications for performing an endoscopy on the ICU. This article shows the indications for this, the background and the peri-interventional and postinterventional management. The endoscopic placement of a postpyloric feeding tube is a well-established procedure. For anastomotic leakage in the esophagus and rectum, the endoscopic vacuum therapy is the treatment of choice. Gastrointestinal motility disorders are a frequent phenomenon in critically ill patients and are associated with increased mortality. With a cecal diameter > 9-12 mm, endoscopic decompression can be performed; however, this is associated with an increased risk of perforation and should only be carried out after the failure of conservative treatment.© 2021. Springer Medizin Verlag GmbH, ein Teil von Springer Nature.

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