{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,1,11]],"date-time":"2024-01-11T00:19:27Z","timestamp":1704932367393},"reference-count":29,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2023,10,5]],"date-time":"2023-10-05T00:00:00Z","timestamp":1696464000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,10,5]],"date-time":"2023-10-05T00:00:00Z","timestamp":1696464000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Medizinische Hochschule Hannover (MHH)"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["HNO"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund<\/jats:title>\n                <jats:p>Zur Einsch\u00e4tzung des Penetrations- oder Aspirationsrisikos bei Dysphagien hat sich unter anderem die flexible endoskopische Evaluation des Schluckakts (FEES) etabliert. Sie gilt als komplikationsarmes Verfahren, ist jedoch bei angelegter Nasogastralsonde (NGS) erschwert durchf\u00fchrbar und k\u00f6nnte mit einer h\u00f6heren Rate akzidenteller Schleimhautl\u00e4sionen einhergehen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Zielsetzung<\/jats:title>\n                <jats:p>In dieser Studie sollte ermittelt werden, ob eine erh\u00f6hte Pr\u00e4valenz von Schleimhautl\u00e4sionen vorliegt, wenn die FEES bei liegender NGS und damit unter erschwerten Untersuchungsbedingungen durchgef\u00fchrt wird. Pr\u00e4existente L\u00e4sionen sollten ebenfalls erfasst werden.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methodik<\/jats:title>\n                <jats:p>In einer retrospektiven, monozentrischen Studie wurden insgesamt 918 videodokumentierte FEES-Untersuchungen, die zu diagnostischen Zwecken bei station\u00e4ren Patient*innen mit angelegter Nasogastralsonde von Januar 2014 bis M\u00e4rz 2019 an einer Universit\u00e4tsklinik durchgef\u00fchrt wurden, ausgewertet. Erfasst wurden Anzahl und Auspr\u00e4gungen von Schleimhautl\u00e4sionen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>In keinem der hier analysierten F\u00e4lle trat eine endoskopiebedingte Verletzung auf. Bei 48,6\u202f% der analysierten Endoskopien konnten jedoch pr\u00e4existente L\u00e4sionen in Nase und\/oder Nasopharynx festgestellt werden, die h\u00e4ufig als Mehrfachverletzungen vorlagen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Schlussfolgerung<\/jats:title>\n                <jats:p>Die Ergebnisse der Studie zeigen, dass die FEES hinsichtlich der Gefahr einer akzidentellen Schleimhautverletzung auch bei in situ befindlicher NGS eine sichere und risikoarme Untersuchungsmethode ist. Bemerkenswert ist jedoch die sehr hohe Zahl pr\u00e4existenter Schleimhautl\u00e4sionen, die mit hoher Wahrscheinlichkeit in Zusammenhang mit dem zuvor erfolgten Legen einer NGS stehen. Die H\u00e4ufigkeit pr\u00e4existenter L\u00e4sionen l\u00e4sst es ratsam erscheinen, Strategien zur Verletzungsminimierung beim Legen von Nasogastralsonden zu entwickeln.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00106-023-01361-3","type":"journal-article","created":{"date-parts":[[2023,10,5]],"date-time":"2023-10-05T14:01:36Z","timestamp":1696514496000},"page":"25-31","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Pr\u00e4valenz von Schleimhautl\u00e4sionen bei Durchf\u00fchrung der transnasalen endoskopischen Dysphagiediagnostik und angelegter Nasogastralsonde","Prevalence of mucosal injuries during flexible endoscopic evaluation of swallowing in the presence of a\u00a0nasogastric tube"],"prefix":"10.1007","volume":"72","author":[{"given":"Kira-Milena","family":"Heise","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simone","family":"Miller","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Ptok","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Jungheim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2023,10,5]]},"reference":[{"key":"1361_CR1","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1002\/1097-0347(200101)23:1<59::AID-HED9>3.0.CO;2-A","volume":"23","author":"LW Apostolakis","year":"2001","unstructured":"Apostolakis\u00a0LW, Funk\u00a0GF, Urdaneta\u00a0LF et\u00a0al (2001) The nasogastric tube syndrome: two case reports and review of the literature. 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F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien. Es wurde eine retrospektive Analyse von videoendoskopischen Schluckuntersuchungen durchgef\u00fchrt. Die Auswertung des Datenmaterials wurde von der lokalen Ethikkommission genehmigt (8096_BO_K_2018).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}