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Techniken und Komplikationen im postinterventionellen und Langzeitintervall der Sondenernährung

Techniques and complications in post-interventional and long-term enteral nutrition

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Zusammenfassung

Für die enterale Sondenernährung stehen verschiedene technische Möglichkeiten und Lösungen zur Verfügung. Perkutane Ernährungssonden können einfach und komplikationsarm gelegt werden. Die perkutane endoskopische Gastrostomie (PEG) ist eine weit verbreitete therapeutische Option zur Langzeiternährung von Patienten. Unter Beachtung der Indikationen, Kontraindikationen, standardisierter Verfahren der Platzierungstechnik sowie Prinzipien der Nachsorge können Komplikationen erfolgreich minimiert und nahezu vollständig ausgeschlossen werden. Die enterale Sondenernährung kann jedoch nicht rehabilitationsmedizinische Maßnahmen im multimodalen Behandlungskonzept der Patienten ersetzen.

Abstract

Enteral nutrition in patients is a well established procedure. Percutaneous endoscopic gastrostomy has been widely used to maintain long-term enteral nutrition and has become the method of choice. Under careful observation of indication, contraindication and technique the risk of complication of PEG is reduced drastically. The enteral nutrition via PEG is a step of the multimodal treatment in critically ill patients.

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  1. Medizinische Klinik C, Klinikum der Stadt Ludwigshafen gGmbH, Bremserstraße 79, 67063, Ludwigshafen am Rhein, Deutschland

    J. Teichmann & J.F. Riemann

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  1. J. Teichmann
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  2. J.F. Riemann
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Correspondence to J. Teichmann.

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Teichmann, J., Riemann, J. Techniken und Komplikationen im postinterventionellen und Langzeitintervall der Sondenernährung. Internist 48, 1076–1083 (2007). https://doi.org/10.1007/s00108-007-1936-4

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