{"id":55903,"date":"2025-03-24T12:30:06","date_gmt":"2025-03-24T11:30:06","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=55903"},"modified":"2025-03-24T12:30:08","modified_gmt":"2025-03-24T11:30:08","slug":"lekari-chteji-presne-hlasit-komplikace-pri-endoskopii","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=55903","title":{"rendered":"L\u00e9ka\u0159i cht\u011bj\u00ed p\u0159esn\u011b hl\u00e1sit komplikace p\u0159i endoskopii"},"content":{"rendered":"\n

C\u00edlem je kvalitn\u00ed a bezpe\u010dn\u00e1 p\u00e9\u010de o nemocn\u00e9<\/em><\/p>\n\n\n\n

Praha, 24. b\u0159ezna 2025<\/strong>\u2013 Odborn\u00edci na tr\u00e1vic\u00ed trakt usiluj\u00ed o precizn\u00ed sledov\u00e1n\u00ed komplikac\u00ed, kter\u00e9 souvis\u00ed s endoskopick\u00fdmi vy\u0161et\u0159en\u00edmi. C\u00edlem je, aby pacienti dost\u00e1vali stejn\u011b kvalitn\u00ed p\u00e9\u010di bez ohledu na to, kde podstoup\u00ed vy\u0161et\u0159en\u00ed. Podle gastroenterolog\u016f nen\u00ed sou\u010dasn\u00fd syst\u00e9m stoprocentn\u00ed. O tom, jak zlep\u0161it kvalitu vy\u0161et\u0159en\u00ed j\u00edcnu, \u017ealudku, st\u0159ev, \u017elu\u010dov\u00fdch cest \u010di slinivky, l\u00e9ka\u0159i krom\u011b dal\u0161\u00edch t\u00e9mat diskutovali na<\/strong> 46. \u010desk\u00fdch a slovensk\u00fdch endoskopick\u00fdch dnech a Hradeck\u00fdch gastroenterologick\u00fdch dnech.<\/strong><\/p>\n\n\n\n

\u201eN\u011bkdy se komplikace po endoskopii nenahl\u00e1s\u00ed spr\u00e1vn\u011b. M\u016f\u017ee se st\u00e1t, \u017ee jeden l\u00e9ka\u0159 ozna\u010d\u00ed stejn\u00fd probl\u00e9m za m\u00e9n\u011b z\u00e1va\u017en\u00fd ne\u017e jeho kolega v jin\u00e9m centru. To pak vede ke zkreslen\u00ed. P\u0159esn\u011bj\u0161\u00ed hl\u00e1\u0161en\u00ed a jasn\u00e1 klasifikace komplikac\u00ed povede k tomu, \u017ee odhal\u00edme slab\u00e1 m\u00edsta syst\u00e9mu a sou\u010dasn\u011b budeme schopni poskytnout zp\u011btnou vazbu. Pokud bude m\u00edt jedno pracovi\u0161t\u011b velk\u00e9 mno\u017estv\u00ed komplikac\u00ed u stejn\u00e9ho v\u00fdkonu, m\u00e1 \u0161anci zap\u00e1trat, pro\u010d tomu tak je. Chyba m\u016f\u017ee b\u00fdt nap\u0159\u00edklad v nespr\u00e1vn\u00e9m ur\u010den\u00ed, pro koho je z\u00e1krok vhodn\u00fd, v proveden\u00ed a sledov\u00e1n\u00ed po v\u00fdkonu,\u201c<\/em>\u0159\u00edk\u00e1 prof. MUDr. P\u0159emysl Falt, Ph.D., MHA, p\u0159edseda Endoskopick\u00e9 sekce \u010cesk\u00e9 gastroenterologick\u00e9 spole\u010dnosti (\u010cGS). \u201e<\/em>Pokud nebudeme komplikace pe\u010dliv\u011b hl\u00e1sit, ochuzujeme se o d\u016fle\u017eit\u00e1 data, kter\u00e1 n\u00e1m pomohou se zv\u00fd\u0161en\u00edm kvality a efektivity digestivn\u00ed endoskopie. Nejde o hled\u00e1n\u00ed chyb, ale o proces neust\u00e1l\u00e9ho zlep\u0161ov\u00e1n\u00ed se.\u201c<\/em><\/p>\n\n\n\n

\u010ce\u0161t\u00ed gastroenterologov\u00e9 provedou stovky tis\u00edc endoskopick\u00fdch vy\u0161et\u0159en\u00ed ro\u010dn\u011b. Komplikace p\u0159i \u010dist\u011b diagnostick\u00fdch a preventivn\u00edch endoskopi\u00edch jsou velmi vz\u00e1cn\u00e9, p\u0159i l\u00e9\u010debn\u00fdch v\u00fdkonech stoupaj\u00ed a jsou v \u0159\u00e1du jednotek procent. \u201eV\u011bt\u0161inou nejsou \u017eivot ohro\u017euj\u00edc\u00ed a l\u00e9ka\u0159i je \u0159e\u0161\u00ed o\u0161et\u0159en\u00edm p\u0159\u00edmo p\u0159i v\u00fdkonu, prodlou\u017een\u00fdm sledov\u00e1n\u00edm, l\u00e9ky nebo opakovanou endoskopi\u00ed,\u201c<\/em> \u0159\u00edk\u00e1 prof. Falt. Nej\u010dast\u011bji jde o r\u016fzn\u00e9 typy krv\u00e1cen\u00ed, nap\u0159. po odstran\u011bn\u00ed polyp\u016f, z\u00e1n\u011bt slinivky po z\u00e1kroku na \u017elu\u010dov\u00fdch cest\u00e1ch (tzv. ERCP) nebo natr\u017een\u00ed tr\u00e1vic\u00ed trubice.<\/p>\n\n\n\n

Jak p\u0159ipom\u00edn\u00e1 p\u0159edseda \u010desk\u00fdch gastroenterolog\u016f doc. MUDr. Ilja Tachec\u00ed, Ph.D., endoskopie u\u017e v dne\u0161n\u00ed dob\u011b neslou\u017e\u00ed jen k ur\u010den\u00ed diagn\u00f3zy. \u201ePosunuje se v\u00fdrazn\u011bji k l\u00e9\u010db\u011b, \u010dasto jako m\u00e9n\u011b invazivn\u00ed n\u00e1hrada klasick\u00e9 operace. Vyu\u017e\u00edv\u00e1me j\u00ed nap\u0159\u00edklad st\u00e1le \u010dast\u011bji v terapii komplikovan\u00fdch onemocn\u011bn\u00ed slinivky b\u0159i\u0161n\u00ed a \u017elu\u010dov\u00fdch cest. \u010casto tak\u00e9 p\u0159i vy\u0161et\u0159en\u00ed tr\u00e1vic\u00ed trubice, p\u0159edev\u0161\u00edm j\u00edcnu, \u017ealudku a tlust\u00e9ho st\u0159eva, k odstran\u011bn\u00ed p\u0159edn\u00e1dorov\u00fdch polyp\u016f, \u010di dokonce \u010dasn\u00fdch n\u00e1dor\u016f,\u201c<\/em> uv\u00e1d\u00ed doc. Tachec\u00ed, kter\u00fd je prezidentem kongresu v Hradci.<\/p>\n\n\n\n

Endoskopie je metoda, p\u0159i kter\u00e9 l\u00e9ka\u0159i pomoc\u00ed tenk\u00e9 ohebn\u00e9 hadi\u010dky s kamerou nahl\u00ed\u017eej\u00ed do vnit\u0159n\u00edch org\u00e1n\u016f pacienta. Nej\u010dast\u011bj\u0161\u00edm z\u00e1krokem je diagnostick\u00e1 kolonoskopie s preventivn\u00edm odstran\u011bn\u00edm polyp\u016f.<\/p>\n\n\n\n

Specializovan\u00e9 v\u00fdkony se soust\u0159ed\u00ed do s\u00edt\u011b center vysoce specializovan\u00e9 p\u00e9\u010de pro digestivn\u00ed endoskopie. Zde se prov\u00e1d\u011bj\u00ed nejkomplikovan\u011bj\u0161\u00ed v\u00fdkony nap\u0159\u00edklad v oblasti \u017elu\u010dov\u00fdch cest a slinivky b\u0159i\u0161n\u00ed a pokro\u010dil\u00e9 techniky resekce n\u00e1dor\u016f tr\u00e1vic\u00ed trubice. Pr\u00e1v\u011b tyto v\u00fdkony na kongresu koleg\u016fm prezentovali l\u00e9ka\u0159i II. intern\u00ed gastroenterologick\u00e9 kliniky a zahrani\u010dn\u00ed host\u00e9.<\/p>\n","protected":false},"excerpt":{"rendered":"

C\u00edlem je kvalitn\u00ed a bezpe\u010dn\u00e1 p\u00e9\u010de o nemocn\u00e9 Praha, 24. b\u0159ezna 2025\u2013 Odborn\u00edci na tr\u00e1vic\u00ed trakt usiluj\u00ed o precizn\u00ed sledov\u00e1n\u00ed komplikac\u00ed, kter\u00e9 souvis\u00ed s endoskopick\u00fdmi […]<\/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-55903","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\/55903","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=55903"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/55903\/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=55903"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=55903"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=55903"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}