Vnitr Lek 2018, 64(6):693-704 | DOI: 10.36290/vnl.2018.095

Therapeutic digestive endoscopy II

Ondřej Urban^1,*, Přemysl Falt^1,2

¹ II. interní klinika - gastroenterologická a hepatologická LF UP a FN Olomouc

² II. interní gastroenterologická klinika LF UK v Hradci Králové

Digestive endoscopy today is able to examine the whole gastrointestinal tract. On the basis of the originally purely diagnostic procedures a range of therapeutic modalities was developed over years, which in some indications have taken the place of surgical procedures and methods of invasive radiology. Apart from the methods of endoscopic resection of early neoplasms of the digestive tract, digestive endoscopy plays an important role in diagnosing and treatment of bleeding and stenoses of the gastrointestinal tract. Plastic or self-expansible metal stents are introduced in the treatment of stenoses. Endoscopic retrograde cholangiopancreatography is a combined procedure capable of probing and intervening in the bile ducts and pancreatic duct under skiascopic control. Their direct visualization is possible with the method of oral cholangiopancreatoscopy. Endosonography-guided drainage and subsequent endoscopic necrectomy have become mini-invasive alternatives in the treatment of peripancreatic fluid collections.

Keywords: digestive endoscopy; endoscopic dilatation; endoscopic hemostasis; endoscopic retrograde cholangiopancreatography; endosonography; cholangiopancreatography; stents

Received: October 30, 2017; Accepted: April 18, 2018; Published: June 1, 2018  Show citation