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Postoperativer Ileus

Pathophysiologie und Prävention

Postoperative ileus

Pathophysiology and prevention

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Zusammenfassung

Kontinuierliche Verbesserungen chirurgischer und auch anästhesiologischer Techniken haben zu einer wesentlichen Reduktion perioperativer Komplikationen geführt. Der postoperative Verlauf viszeralchirurgischer Patienten, deren individuelle postoperative Rekonvaleszenz und letztendlich auch die Dauer des stationären Aufenthaltes werden mehr und mehr durch das klinische Bild des postoperativen Ileus bestimmt. In der vorliegenden Arbeit werden die möglichen Einflussgrößen diskutiert. Darüber hinaus werden die Möglichkeiten der Prävention und Therapie des postoperativen Ileus kurz dargestellt.

Abstract

Continuous improvements in surgical technique and anaesthesia for ileus have resulted in a significant reduction of perioperative complications. Postoperative outcome of surgical patients is increasingly dependent on the severity of postoperative ileus, which often determines morbidity and length of hospital stay. In the present article we discuss possible variables influencing this disease. Furthermore, means of prevention and therapeutic strategies for postoperative ileus are briefly presented.

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Authors and Affiliations

  1. Abteilung für Allgemein-, Viszeral- und Unfallchirurgie, Chirurgische Klinik, Universität Heidelberg, Im Neuenheimer Feld 110, 69120 , Heidelberg, Deutschland

    J. Köninger, C. N. Gutt, M. N. Wente, H. Friess &  M. W. Büchler

  2. Klinik für Anästhesiologie, Universität Heidelberg, Heidelberg, Deutschland

    E. Martin

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  1. J. Köninger
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  2. C. N. Gutt
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  3. M. N. Wente
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  4. H. Friess
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  5. E. Martin
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  6. M. W. Büchler
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Correspondence to M. W. Büchler.

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Köninger, J., Gutt, C.N., Wente, M.N. et al. Postoperativer Ileus. Chirurg 77, 904–912 (2006). https://doi.org/10.1007/s00104-006-1234-z

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  • DOI: https://doi.org/10.1007/s00104-006-1234-z

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