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Perkutane Intervention der Gallenwege und der Gallenblase

Percutaneous biliary and gallbladder interventions

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Zusammenfassung

Klinisches Problem

Perkutane Interventionen der Gallenwege und der Gallenblase sind fester Bestandteil in der Diagnostik und Therapie von Gallenwegerkrankungen.

Leistungsfähigkeit

Sie zeigen mit technischen Erfolgsraten von bis zu 99 % sowie Komplikationsraten von max. 26 % gute Ergebnisse. Die Indikationen reichen dabei von der Darstellung der Gallenwege bis hin zu therapeutischen Eingriffen wie Drainagen und Stents.

Bewertung

Angewendet werden perkutane Interventionen, wenn endoskopische Verfahren nicht möglich oder ausgeschöpft sind. Dieser Übersichtsartikel gibt einen Überblick über den aktuellen Stand sowie die Bandbreite perkutaner Interventionen der Gallenwege/Gallenblase und beschreibt die technische Durchführung der grundlegenden Gallenweginterventionen.

Empfehlung für die Praxis

Interventionen der Gallenwege und der Gallenblase sind sichere und effektive Verfahren in der Behandlung von benignen und malignen Gallenwegstrikturen, postoperativen Komplikationen sowie Risikopatienten mit Cholezystitis.

Abstract

Clinical issue

Percutaneous transhepatic biliary and gall bladder interventions play an important role in the diagnosis and therapy of biliary tract diseases.

Performance

With technical success rates up to 99% as well as complications rates up to a maximum of 26% they showed good results. Indications were opacification of the biliary tree as well as treatment of biliary system pathologies, such as drainage and stents.

Achievements

Interventions were used if endoscopic approaches are not possible or exploited. We describe the current state of knowledge and the range for percutaneous biliary/gall bladder interventions and give an overview of technical approaches for fundamental interventional procedures, including percutaneous transhepatic biliary drainage.

Practical recommendations

Percutaneous transhepatic biliary and gall bladder interventions are safe and effective treatments for benign and malignant stenosis, postoperative complications and risk patients with cholecystitis.

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Authors and Affiliations

  1. Institut und Poliklinik für Diagnostische und Interventionelle Radiologie, Universitätsklinikum Carl-Gustav-Carus, TU Dresden, Fetscherstraße 74, Haus 27, 01307, Dresden, Deutschland

    C. Radosa, F. Schaab, T. Hofmockel, J. P. Kühn & R. T. Hoffmann

  2. Institut für Diagnostische und Interventionelle Radiologie, Universitätsmedizin Greifswald, Greifswald, Deutschland

    J. P. Kühn

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  1. C. Radosa
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  2. F. Schaab
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  3. T. Hofmockel
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  4. J. P. Kühn
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  5. R. T. Hoffmann
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Corresponding author

Correspondence to C. Radosa.

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Interessenkonflikt

C. Radosa, F. Schaab, T. Hofmockel, J.P. Kühn und R.T. Hoffmann geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Radosa, C., Schaab, F., Hofmockel, T. et al. Perkutane Intervention der Gallenwege und der Gallenblase. Radiologe 59, 342–347 (2019). https://doi.org/10.1007/s00117-019-0506-9

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  • DOI: https://doi.org/10.1007/s00117-019-0506-9

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