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Rektumchirurgie stellen schwerwiegende chirurgische Komplikationen mit einer hohen Morbidit\u00e4t und Mortalit\u00e4t dar. Leckagen werden zumeist durch eine Kombination aus klinischer Beobachtung, Infektionsparametern sowie endoskopischen und schnittbildgebenden Verfahren diagnostiziert. Die Therapie ist bei intraperitonealen Leckagen chirurgisch, bei retroperitonealen bzw. mediastinalen Leckagen in einem interdisziplin\u00e4ren Setting \u00fcberwiegend interventionell endoskopisch. Hier stehen der Defektverschluss durch die Abdichtung mittels selbstexpandierender gecoverter Stents mit gleichzeitiger externer extraluminaler Drainage sowie der Defektverschluss mit simultaner innerer Drainage und endoskopischer Unterdrucktherapie als vorrangige Methoden zur Verf\u00fcgung.<\/jats:p>","DOI":"10.1007\/s11377-021-00584-6","type":"journal-article","created":{"date-parts":[[2022,1,10]],"date-time":"2022-01-10T12:02:50Z","timestamp":1641816170000},"page":"47-56","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Postoperative Leckagen im Gastrointestinaltrakt\u00a0\u2013 Diagnostik und Therapie","Postoperative leaks in the gastrointestinal tract\u2014diagnosis and treatment"],"prefix":"10.1007","volume":"17","author":[{"given":"G.","family":"Loske","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Hornoff","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Mende","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"M\u00fcller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Faiss","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,1,10]]},"reference":[{"key":"584_CR1","doi-asserted-by":"publisher","first-page":"805","DOI":"10.21037\/jtd.2018.11.55","volume":"11","author":"SW Moon","year":"2019","unstructured":"Moon\u00a0SW, Kim\u00a0JJ, Cho\u00a0DG et\u00a0al (2019) Early detection of complications: anastomotic leakage. 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KG.\u00a0\u2013 B.\u00a0Nichtfinanzielle Interessen: angestellter Chirurg, Marienkrankenhaus gGmbH Hamburg, Oberarzt Katholisches Marienkrankenhaus Hamburg gGmbH, Klinik f\u00fcr Allgemein\u2011, Viszeral\u2011, Thorax- und Gef\u00e4\u00dfchirurgie; Oberarzt interdisziplin\u00e4re Endoskopie | Mitgliedschaften: Vereinigung Norddeutscher Chirurgen, Deutsche Gesellschaft f\u00fcr Allgemein- und Viszeralchirurgie, Deutsche Gesellschaft f\u00fcr Endoskopie und Bildgebende Verfahren, Berufsverband der Deutschen Chirurgen. <b>S.\u00a0Hornoff<\/b>: A.\u00a0Finanzielle Interessen: S.\u00a0Hornoff gibt an, dass kein finanzieller Interessenkonflikt besteht.\u00a0\u2013 B.\u00a0Nichtfinanzielle Interessen: Oberarzt Endoskopieabteilung, Klinik f\u00fcr Innere Medizin\u00a0I, SANA Klinikum Berlin-Lichtenberg. <b>M.\u00a0Mende<\/b>: A.\u00a0Finanzielle Interessen: M.\u00a0Mende gibt an, dass kein finanzieller Interessenkonflikt besteht.\u00a0\u2013 B.\u00a0Nichtfinanzielle Interessen: Oberarzt Endoskopieabteilung, Klinik f\u00fcr Innere Medizin\u00a0I, SANA Klinikum Berlin-Lichtenberg | Mitgliedschaften: DGVS, DGE-BV, GGHBB. <b>C.\u00a0M\u00fcller<\/b>: A.\u00a0Finanzielle Interessen: C.\u00a0M\u00fcller gibt an, dass kein finanzieller Interessenkonflikt besteht.\u00a0\u2013 B.\u00a0Nichtfinanzielle Interessen: Chefarzt der Klinik f\u00fcr Allgemein\u2011, Viszeral\u2011, Thorax- und Gef\u00e4\u00dfchirurgie | Mitgliedschaften: Deutsche Gesellschaft f\u00fcr Chirurgie (DGC), Deutsche Gesellschaft f\u00fcr Allgemein- und Viszeralchirurgie (DGAV), Deutsche Gesellschaft f\u00fcr Thoraxchirurgie (DGT), Berufsverband Deutscher. 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F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"Der Verlag"}}]}}