{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:33:43Z","timestamp":1740126823976,"version":"3.37.3"},"reference-count":37,"publisher":"Georg Thieme Verlag KG","issue":"09","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Gastroenterol"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Die Cholezystektomie ist der Goldstandard in der Behandlung der akuten Cholezystitis, hat aber bei multimorbiden Patienten oder bei schwerem Verlauf der akuten Cholezystitis ein deutlich erh\u00f6htes OP-Risiko. In solchen F\u00e4llen kann eine Drainage der entz\u00fcndeten Gallenblase in Kombination mit antibiotischer Therapie der prim\u00e4ren Operation \u00fcberlegen sein. Die Drainage kann entweder als sonografisch gef\u00fchrte perkutan transhepatische Gallenblasendrainage, als EUS-gef\u00fchrte transmurale Stentplatzierung oder endoskopisch-transpapill\u00e4re Gallenblasendrainage erfolgen. Diese minimalinvasiven Alternativen zur Cholezystektomie k\u00f6nnen sowohl als Langzeittherapie bei dauerhaft inoperablen Patienten als auch vor\u00fcbergehend bei Patienten eingesetzt werden, bei denen die Cholezystektomie nach Verbesserung des Allgemeinzustands angestrebt wird.<\/jats:p><jats:p>In dieser \u00dcbersicht werden die verschiedenen Drainagemethoden im Hinblick auf technische Anforderungen sowie klinische Sofort- und Langzeitergebnisse und Komplikationen diskutiert. Mit Fortschritten im Stentdesign entwickelt sich die EUS-gef\u00fchrte transmurale Stentplatzierung von Magen oder Duodenum in die Gallenblase zur bevorzugten Methode der Gallenblasendrainage in Zentren mit entsprechender Expertise.<\/jats:p>","DOI":"10.1055\/a-1540-8019","type":"journal-article","created":{"date-parts":[[2021,9,10]],"date-time":"2021-09-10T23:00:45Z","timestamp":1631314845000},"page":"983-990","source":"Crossref","is-referenced-by-count":1,"title":["Akute Cholezystitis bei hohem OP-Risiko: sonografische und endoskopische Therapieoptionen"],"prefix":"10.1055","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3616-5574","authenticated-orcid":false,"given":"Manuela","family":"G\u00f6tzberger","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Gastroenterologie und Hepatologie, M\u00fcnchen Klinik Neuperlach und Harlaching, M\u00fcnchen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natascha","family":"N\u00fcssler","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Allgemein - und Viszeralchirurgie, M\u00fcnchen Klinik Neuperlach, M\u00fcnchen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara","family":"Braden","sequence":"additional","affiliation":[{"name":"Translational Gastroenterology Unit, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom of Great Britain and Northern Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6015-6347","authenticated-orcid":false,"given":"Christoph F.","family":"Dietrich","sequence":"additional","affiliation":[{"name":"Allgemeine Innere Medizin (DAIM) Kliniken Beau Site, Salem und Permanence, Kliniken Hirslanden Beau Site, Salem und Permanence, Bern, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"M\u00fcller","sequence":"additional","affiliation":[{"name":"Medizinische Klinik II, St Josefs Hospital Wiesbaden GmbH, Wiesbaden, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,9,10]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"912","DOI":"10.1055\/a-0644-2972","article-title":"Aktualisierte S3-Leitlinie der Deutschen Gesellschaft f\u00fcr Gastroenterologie, Verdauungs- und Stoffwechselkrankheiten (DGVS) und der Deutschen Gesellschaft f\u00fcr Allgemein- und Viszeralchirurgie (DGAV) zur Pr\u00e4vention, Diagnostik und Behandlung von Gallensteinen. 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