Endoskopische Palliation inoperabler Patienten

Zusammenfassung

Etwas ein drittel der Patienten mit kolorektalen Karzinom haben bei Diagnosestellung bereits eine metastasierte Erkrankung. Die Hauptsymptome der Patienten sind die Kolonobstruktion und die Tumorblutung. Es stehen mehrere endoskopische Methoden zur Behandlung dieser Komplikationen zur Verfügung. Die Einlage von selbstexpandierenden Metallstents (SEMS) ist in Zentren aktuell eine gut etablierte Methode zur ­Behandlung der malignen Kolonobstruktion. Die lokale Therapie mit Laser oder Argon-Plasma-Koagulation (APC) kommt bei der Tumorblutung als eine weitere palliative endoskopische Therapiemaßnahme zum Einsatz. In der folgenden Arbeit wird der aktuelle Stand der palliativen endoskopischen Therapie dargestellt. 

Abstract

Approximately one third of patients with colorectal cancer persent with metastatic disease. Many of these patients have symptoms of bleed­ing or obstruction. Severeal endoscopic treatment options are available. The colonic stenting with self expanding metal stents (SEMS) is a well established procedure to treat colonic obstruc­tion. The local treatment with laser or argon plasma coagulation (APC) are well established for this clinical indication. In the following we discuss the palliativ endoscopic treatment options for patients with metastatic colorectal cancer disease. 

Schlüsselwörter

Stenting - Argon-Plasma-Koagulation - Laser - kolorektale Karzinome

Key words

stenting - Argon Plasma Coagulation - Laser - colorectal carcinomas

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