{"id":388455,"date":"2026-03-07T17:00:23","date_gmt":"2026-03-07T16:00:23","guid":{"rendered":"https:\/\/gastroenterologie-brunk.de\/?p=388455"},"modified":"2026-03-07T17:00:23","modified_gmt":"2026-03-07T16:00:23","slug":"outpatient-surgery-4","status":"publish","type":"post","link":"https:\/\/gastroenterologie-brunk.de\/en\/outpatient-surgery-4\/","title":{"rendered":"Outpatient surgery"},"content":{"rendered":"

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Neuer Erfolg in der Darmkrebsvorsorge: <\/b><\/h1>\n

Heilung ohne Skalpell durch Vollwandresektion<\/em><\/h3>\n

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Ein komplizierter Befund im Darm bedeutete fr\u00fcher oft eine gro\u00dfe Operation. Wir zeigen an einem aktuellen Fall, wie wir durch modernste Technik (cFTRD) ein verbliebenes Karzinom-Risiko ambulant, sicher und ohne Schnitt l\u00f6sen konnten \u2013 und warum diese Spitzenmedizin aktuell noch eine H\u00fcrde bei den Krankenkassen hat.<\/p>\n

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Die Herausforderung: Wenn Reste bleiben<\/h3>\n

K\u00fcrzlich behandelten wir einen Patienten, bei dem zuvor ein gro\u00dfer Darmpolyp in mehreren Teilen entfernt worden war (sogenannte Piece-Meal-Technik). Die feingewebliche Untersuchung ergab jedoch einen kritischen Befund: ein hochgradig dysplastisches Adenom \u2013 eine direkte Vorstufe zum Krebs (Carcinoma in situ).
Das Problem bei der Abtragung in mehreren Teilen ist das Risiko, dass mikroskopisch kleine Reste verbleiben, aus denen sich erneut ein b\u00f6sartiger Tumor entwickeln kann. Um absolute Sicherheit und Heilung zu garantieren, mussten wir die betroffene Stelle der Darmwand \u201eam St\u00fcck\u201c und in ihrer gesamten Tiefe entfernen.<\/p>\n

Die L\u00f6sung: Das cFTRD-System<\/h3>\n

Fr\u00fcher h\u00e4tte dies eine Bauchoperation unter Vollnarkose mit mehrt\u00e4gigem Krankenhausaufenthalt bedeutet. Dank des modernen cFTRD-Systems<\/strong> konnten wir den Eingriff jedoch rein endoskopisch \u2013 also im Rahmen einer Darmspiegelung \u2013 durchf\u00fchren.<\/p>\n

So funktioniert es:<\/h3>\n

\u00dcber das Endoskop wird eine spezielle Metallklammer (Clip) an der betroffenen Stelle platziert.
Das Gewebe wird sicher gefasst und kontrolliert entfernt, w\u00e4hrend der Clip die Stelle sofort luft- und wasserdicht verschlie\u00dft. Es entsteht keine offene Wunde im Bauchraum.<\/p>\n

Das Ergebnis:<\/h3>\n

Vollst\u00e4ndige Heilung
Der Eingriff verlief technisch vollkommen komplikationslos. Unser Patient blieb w\u00e4hrend und nach der Behandlung beschwerdefrei und konnte die Praxis nach einer kurzen \u00dcberwachungsphase wieder verlassen.<\/p>\n

Das Wichtigste:<\/h3>\n

Die anschlie\u00dfende Laboruntersuchung best\u00e4tigte, dass kein Restgewebe des Adenoms mehr nachweisbar ist. Der Patient gilt damit als geheilt.<\/p>\n

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<\/h3>\n

Ein Wermutstropfen bei der Verg\u00fctung<\/h3>\n

Trotz des medizinischen Erfolgs und der enormen Vorteile f\u00fcr den Patienten \u2013 keine Operation, keine Narben, schnelle Erholung \u2013 gibt es eine b\u00fcrokratische H\u00fcrde:<\/p>\n

Wichtiger Hinweis:<\/strong> Dieser innovative Eingriff wird aktuell leider nicht von den gesetzlichen Krankenkassen im ambulanten Bereich verg\u00fctet<\/strong>. Momentan k\u00f6nnen wir diese Leistung daher nur f\u00fcr Privatversicherte oder als Selbstzahlerleistung anbieten.<\/p>\n

Wir setzen uns weiterhin daf\u00fcr ein, dass solche modernen und patientenschonenden Verfahren in Zukunft allen Patienten unkompliziert zug\u00e4nglich gemacht werden.<\/p>\n

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In our practice, we rely on modern and patient-friendly treatment methods to offer you the best possible medical care – now also for patients with health insurance. <\/p>\n","protected":false},"author":7,"featured_media":228423,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[39,40],"tags":[],"class_list":["post-388455","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-aktuelles","category-latest-news"],"yoast_head":"\nOutpatient surgery - Gastroenterologie Dr. Brunk | Berlin Sch\u00f6neberg und Karlshorst<\/title>\n<meta name=\"description\" content=\"In our practice, we rely on modern and patient-friendly treatment methods to provide you with the best possible...\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" 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