{"id":40539,"date":"2023-06-27T19:39:26","date_gmt":"2023-06-27T17:39:26","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=40539"},"modified":"2023-06-27T19:39:26","modified_gmt":"2023-06-27T17:39:26","slug":"endoskopie-odstrani-casne-nalezene-nadory","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=40539","title":{"rendered":"Endoskopie odstran\u00ed \u010dasn\u011b nalezen\u00e9 n\u00e1dory"},"content":{"rendered":"\n

Komplikace akutn\u00edch z\u00e1n\u011bt\u016f slinivky b\u0159i\u0161n\u00ed, onemocn\u011bn\u00ed \u017elu\u010dov\u00fdch cest nebo l\u00e9\u010dba \u010dasn\u00fdch karcinom\u016f tr\u00e1vic\u00ed trubice. S\u00a0t\u00edm v\u0161\u00edm si dnes u\u017e dok\u00e1\u017ee poradit endoskopie. V\u00a0mnoha p\u0159\u00edpadech dokonce nahrazuje tradi\u010dn\u00ed operace. Pro pacienta je podle odborn\u00edk\u016f na tr\u00e1vic\u00ed trakt \u2013 gastroenterolog\u016f \u2013 endoskopick\u00fd p\u0159\u00edstup \u010dast\u011bji v\u00fdrazn\u011b \u0161etrn\u011bj\u0161\u00ed a p\u0159in\u00e1\u0161\u00ed m\u00e9n\u011b rizik ne\u017e otev\u0159en\u00e9 chirurgick\u00e9 metody. Pr\u00e1v\u011b o tom, kde v\u0161ude se endoskopie stane krom\u011b vy\u0161et\u0159ovac\u00ed i l\u00e9\u010debnou metodou, diskutovaly stovky gastroenterolog\u016f na 44. \u010desk\u00fdch a slovensk\u00fdch endoskopick\u00fdch dnech v\u00a0Olomouci \u2013 nejv\u011bt\u0161\u00edm tuzemsk\u00e9m gastroenterologick\u00e9m kongresu leto\u0161n\u00edho roku.<\/strong><\/p>\n\n\n\n

Velk\u00fd rozvoj zaznamen\u00e1v\u00e1 endoskopie nap\u0159\u00edklad v\u00a0l\u00e9\u010db\u011b komplikac\u00ed onemocn\u011bn\u00ed slinivky b\u0159i\u0161n\u00ed a\u00a0\u017elu\u010dov\u00fdch cest. \u201eV\u00a0p\u0159\u00edpad\u011b akutn\u00edho z\u00e1n\u011btu slinivky b\u0159i\u0161n\u00ed dok\u00e1\u017ee ultrazvuk spojen\u00fd s\u00a0endoskopem vy\u010distit a odstranit nekr\u00f3zy v\u00a0oblasti slinivky b\u0159i\u0161n\u00ed tunelem vytvo\u0159en\u00fdm p\u0159es st\u011bnu tr\u00e1vic\u00ed trubice. Pacienti d\u00edky tomu nemus\u00ed na operaci, kter\u00e1 je v\u00a0t\u011bchto p\u0159\u00edpadech extr\u00e9mn\u011b rizikov\u00e1,\u201c <\/em>popisuje doc.\u00a0MUDr. Ilja Tachec\u00ed, p\u0159edseda v\u00fdboru \u010cesk\u00e9 gastroenterologick\u00e9 spole\u010dnosti a p\u0159ednosta II. intern\u00ed gastroenterologick\u00e9 kliniky LF UK a FN Hradec Kr\u00e1lov\u00e9. \u201eEndoskopicky se daj\u00ed dr\u00e9novat tak\u00e9 abscesy \u010di dutiny v\u00a0okol\u00ed nebo propojovat org\u00e1ny.<\/em> Pokud nap\u0159\u00edklad n\u00e1dor zablokuje dvan\u00e1ctn\u00edk, dok\u00e1\u017eeme ud\u011blat endoskopicky spojku p\u0159\u00edmo mezi \u017ealudkem a tenk\u00fdm st\u0159evem pomoc\u00ed speci\u00e1ln\u00ed v\u00fdztu\u017ee \u2013 takzvan\u00e9ho stentu,\u201c<\/em> dod\u00e1v\u00e1.<\/p>\n\n\n\n

Z\u00e1sadn\u00ed roli hraje endoskopie tak\u00e9 v l\u00e9\u010db\u011b \u010dasn\u00fdch karcinom\u016f tr\u00e1vic\u00ed trubice. Odborn\u00edci um\u00ed pomoc\u00ed endoskopick\u00fdch metod odstranit \u010dasn\u00e9 n\u00e1dory j\u00edcnu, \u017ealudku nebo tenk\u00e9ho a tlust\u00e9ho st\u0159eva, kter\u00e9 se je\u0161t\u011b neroz\u0161\u00ed\u0159ily d\u00e1le do t\u011bla. V tomto p\u0159\u00edpad\u011b stoj\u00ed tzv. digestivn\u00ed endoskopie \u00fapln\u011b na za\u010d\u00e1tku stanoven\u00ed onkologick\u00fdch diagn\u00f3z. \u201eDruh\u00e1 mo\u017enost jej\u00edho vyu\u017eit\u00ed je u pacient\u016f v\u00a0pokro\u010dil\u00e9m stadiu rakoviny. L\u00e9ka\u0159i d\u00edky endoskopick\u00fdm metod\u00e1m um\u00ed zlep\u0161it a prodlou\u017eit \u017eivot pacient\u016f, kter\u00e9 nen\u00ed mo\u017en\u00e9 operovat. Typick\u00e9 je to pr\u00e1v\u011b pro oblast slinivky, \u017elu\u010dn\u00edku nebo \u017elu\u010dov\u00fdch cest,\u201c<\/em> p\u0159ibli\u017euje doc. MUDr. Ond\u0159ej Urban, p\u0159ednosta II. intern\u00ed kliniky \u2013 gastroenterologick\u00e9 a geriatrick\u00e9 Fakultn\u00ed nemocnice Olomouc.<\/p>\n\n\n\n

S\u00a0nemocemi tr\u00e1vic\u00edho traktu se v\u00a0\u010cesku pot\u00fdkaj\u00ed miliony lid\u00ed. O ty, co maj\u00ed obzvl\u00e1\u0161t\u011b komplikovan\u00e9 n\u00e1lezy, se od za\u010d\u00e1tku leto\u0161n\u00edho roku star\u00e1 \u0161estn\u00e1ct Center vysoce specializovan\u00e9 p\u00e9\u010de pro digestivn\u00ed endoskopii. O jejich schv\u00e1len\u00ed usilovali gastroenterologov\u00e9 \u0159adu let a podm\u00ednkou akreditace byly nap\u0159\u00edklad dostate\u010dn\u00e9 zku\u0161enosti pracovi\u0161t\u011b s\u00a0pokro\u010dilou endoskopi\u00ed \u010di p\u0159\u00edtomnost zvl\u00e1\u0161\u0165 pro\u0161kolen\u00fdch odborn\u00edk\u016f. Centra se zapojuj\u00ed do ambici\u00f3zn\u00edch projekt\u016f s\u00a0mo\u017en\u00fdm celon\u00e1rodn\u00edm dopadem. Jedn\u00edm z\u00a0nich je program v\u010dasn\u00e9ho vyhled\u00e1v\u00e1n\u00ed rakoviny slinivky b\u0159i\u0161n\u00ed u osob ve vysok\u00e9m riziku tohoto onemocn\u011bn\u00ed. <\/p>\n\n\n\n

\u201eKa\u017ed\u00e9 takov\u00e9 centrum mus\u00ed spl\u0148ovat \u0159adu krit\u00e9ri\u00ed, a\u0165 u\u017e se jedn\u00e1 o dostate\u010dn\u00fd po\u010det specializovan\u00fdch l\u00e9ka\u0159\u016f a jimi proveden\u00fdch zdravotn\u00edch \u00fakon\u016f, nebo vybaven\u00ed na \u0161pi\u010dkov\u00e9 \u00farovni,\u201c<\/em> popisuje doc. Ilja Tachec\u00ed. \u201eMinisterstvo zdravotnictv\u00ed chce vytvo\u0159it s\u00ed\u0165 30\u201335 center se specializovanou endoskopickou p\u00e9\u010d\u00ed. Tato pracovi\u0161t\u011b by m\u011bla pokr\u00fdt celou \u010ceskou republiku,\u201c <\/em>dod\u00e1v\u00e1. <\/p>\n\n\n\n

D\u016fvodem, pro\u010d tato centra vznikaj\u00ed, je, aby se pacient\u016fm dostalo co nejkvalitn\u011bj\u0161\u00ed a z\u00e1rove\u0148 dostupn\u00e9 vysoce specializovan\u00e9 endoskopick\u00e9 p\u00e9\u010de. \u201e\u010casto se jedn\u00e1 o hodn\u011b specifick\u00e9 a n\u00e1ro\u010dn\u00e9 z\u00e1kroky, kter\u00e9 vy\u017eaduj\u00ed dostate\u010dn\u00e9 zku\u0161enosti. Pr\u00e1v\u011b proto se pacienti se\u00a0slo\u017eit\u00fdmi n\u00e1lezy soust\u0159e\u010fuj\u00ed v\u00a0nov\u011b vznikl\u00fdch centrech,\u201c<\/em> vysv\u011btluje doc. Ond\u0159ej Urban.<\/p>\n\n\n\n

Ve specializovan\u00fdch centrech pro digestivn\u00ed endoskopii se klade velk\u00fd d\u016fraz nejenom na l\u00e9\u010dbu pacient\u016f, ale i na efektivitu a kvalitu p\u00e9\u010de. Centra by m\u011bla nap\u0159\u00ed\u010d celou \u010ceskou republikou garantovat \u010dasovou dostupnost u diagn\u00f3z, kde hroz\u00ed nebezpe\u010d\u00ed z\u00a0prodlen\u00ed. Nem\u00e9n\u011b\u00a0d\u016fle\u017eit\u00fdm \u00fakolem specializovan\u00fdch pracovi\u0161\u0165 je tak\u00e9 posilov\u00e1n\u00ed ka\u017edodenn\u00ed mezioborov\u00e9 spolupr\u00e1ce. \u201eV\u00a0ka\u017ed\u00e9m centru se nach\u00e1z\u00ed odborn\u00edci r\u016fzn\u00fdch specializac\u00ed \u2013 nejenom gastroenterologov\u00e9, ale i chirurgov\u00e9, onkologov\u00e9, radiologov\u00e9, anesteziologov\u00e9 \u010di patologov\u00e9. To v\u0161e zvy\u0161uje kvalitu poskytovan\u00e9 p\u00e9\u010de. O tom, co je pro pacienta v\u00a0danou chv\u00edli nejvhodn\u011bj\u0161\u00ed, toti\u017e nerozhoduje jednotlivec, ale cel\u00fd odborn\u00fd t\u00fdm,\u201c<\/em> zd\u016fraz\u0148uje doc.\u00a0MUDr.\u00a0P\u0159emysl Falt, z\u00e1stupce p\u0159ednosty pro l\u00e9\u010debnou p\u00e9\u010di II. intern\u00ed kliniky \u2013 gastroenterologick\u00e9 a geriatrick\u00e9 Fakultn\u00ed nemocnice Olomouc.<\/p>\n\n\n\n

<\/p>\n\n\n\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

Komplikace akutn\u00edch z\u00e1n\u011bt\u016f slinivky b\u0159i\u0161n\u00ed, onemocn\u011bn\u00ed \u017elu\u010dov\u00fdch cest nebo l\u00e9\u010dba \u010dasn\u00fdch karcinom\u016f tr\u00e1vic\u00ed trubice. S\u00a0t\u00edm v\u0161\u00edm si dnes u\u017e dok\u00e1\u017ee poradit endoskopie. V\u00a0mnoha p\u0159\u00edpadech dokonce […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":40540,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-40539","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/40539","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=40539"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/40539\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/40540"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=40539"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=40539"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=40539"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}