{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T09:02:32Z","timestamp":1765357352693},"reference-count":16,"publisher":"Georg Thieme Verlag KG","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Gastroenterol"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n            Hintergrund Die Entfernung einer Bolusobstruktion im \u00d6sophagus ist eine Indikation zur Notfallendoskopie. In der aktuellen Leitlinie der European Society of Gastrointestinal Endoscopy (ESGE) wird u. a der Vorschub des Bolus in den Magen empfohlen, was von vielen Endoskopikern aufgrund der erh\u00f6hten Komplikationsgefahr kritisch gesehen wird. Auch wird die Endoskop-Aufsetzkappe als M\u00f6glichkeit der Bolusentfernung nicht aufgef\u00fchrt.<\/jats:p><jats:p>\n            Methode In einer retrospektiven Analyse wurden 66 Erwachsene und 11 Kinder mit einer akuten Bolusobstruktion im \u00d6sophagus von 2017 bis 2021 retrospektiv analysiert.<\/jats:p><jats:p>\n            Ergebnisse Eine eosinophile \u00d6sophagitis, Reflux\u00f6sophagitis \/ peptische Stenose bzw. Schatzki-Ringe waren f\u00fcr 57,6%, \u00d6sophagus- bzw. Bronchialkarzinome f\u00fcr 18%, \u00d6sophagusmotilit\u00e4tsst\u00f6rungen f\u00fcr 4,5%, ein Zenker\u02bcsches Divertikel bzw. eine Strahlen\u00f6sophagitis f\u00fcr je 1,5% der Bolusobstruktionen verantwortlich. In 16,7% konnte keine Ursache gefunden werden. Bei den Kindern zeigte sich ein vergleichbares Spektrum, wobei in 2 F\u00e4llen eine Stenose bei \u00d6sophagusatresie vorkam. In 2 F\u00e4llen konnte keine Ursache gefunden werden. Eine Bolusentfernung war bei Erwachsenen in 92,4% und bei Kindern in 100% der F\u00e4lle m\u00f6glich. Der Bolusverschluss konnte bei Erwachsenen in 57,6% und bei Kindern in 75% ausschlie\u00dflich mit der Endoskop-Aufsetzkappe sicher entfernt werden. In nur 9% der F\u00e4lle war es m\u00f6glich, den Bolus ohne vorherige Desintegration unter Sicht kontrolliert in den Magen vorzuschieben.<\/jats:p><jats:p>\n            Schlussfolgerung Die flexible Endoskopie ist eine effektive Notfallma\u00dfnahme zur Bolusentfernung aus dem \u00d6sophagus. Ein unkontrolliertes blindes Vorschieben des Bolus in den Magen kann nicht empfohlen werden. Die Endoskop-Aufsetzkappe ist eine sehr gute Erg\u00e4nzung zur sicheren Bolusentfernung.<\/jats:p>","DOI":"10.1055\/a-2029-6468","type":"journal-article","created":{"date-parts":[[2023,3,29]],"date-time":"2023-03-29T23:34:41Z","timestamp":1680132881000},"page":"1603-1607","source":"Crossref","is-referenced-by-count":1,"title":["Bolusobstruktionen im \u00d6sophagus \u2013 Eine Analyse \u00fcber 5 Jahre"],"prefix":"10.1055","volume":"61","author":[{"given":"J\u00fcrgen","family":"Heise","sequence":"additional","affiliation":[{"name":"Medizinische Klinik II, HELIOS Klinikum Krefeld, Krefeld, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Kreysel","sequence":"additional","affiliation":[{"name":"Medizinische Klinik II, HELIOS Klinikum Krefeld, Krefeld, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Blank","sequence":"additional","affiliation":[{"name":"Medizinische Klinik II, HELIOS Klinikum Krefeld, Krefeld, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philipp","family":"Euler","sequence":"additional","affiliation":[{"name":"Medizinische Klinik II, HELIOS Klinikum Krefeld, Krefeld, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ilka","family":"Melchior","sequence":"additional","affiliation":[{"name":"Medizinische Klinik II, HELIOS Klinikum Krefeld, Krefeld, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michaela","family":"Johnen","sequence":"additional","affiliation":[{"name":"Medizinische Klinik II, HELIOS Klinikum Krefeld, Krefeld, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manfred","family":"Planker","sequence":"additional","affiliation":[{"name":"Medizinische Klinik II, HELIOS Klinikum Krefeld, Krefeld, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antje","family":"Ballauff","sequence":"additional","affiliation":[{"name":"Zentrum f\u00fcr Kinder- und Jugendmedizin, HELIOS Klinikum Krefeld, Krefeld, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martina","family":"Czypull","sequence":"additional","affiliation":[{"name":"Medizinische Klinik II, HELIOS Klinikum Krefeld, Krefeld, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Frieling","sequence":"additional","affiliation":[{"name":"Medizinische Klinik II, HELIOS Klinikum Krefeld, Krefeld, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,3,29]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1055\/s-0042-105270","article-title":"Indikationen zur gastroenterologischen Notfallendoskopie: Welche Untersuchung ist am Wochenende gerechtfertigt?","volume":"32","author":"T Z\u00f6pf","year":"2016","journal-title":"Endo-Praxis"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1496","DOI":"10.1055\/s-0041-109598","article-title":"S2k guideline: quality requirements for gastrointestinal endoscopy, AWMF registry no. 021 \u2013 022","volume":"53","author":"U Denzer","year":"2015","journal-title":"Z Gastroenterol"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"883","DOI":"10.1055\/s-0043-116856","article-title":"S2k-Leitlinie Gastrointestinale Blutung. 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