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Gastrointestinale Symptome bei Tumorpatienten

Gastrointestinal symptoms in patients with tumours

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Zusammenfassung

Gastrointestinale Symptome treten bei Patienten mit gastrointestinalen Tumoren häufig auf, sind jedoch oft auch Begleiterscheinungen anderer onkologischer Erkrankungen. Auslöser der Symptome können das fortschreitende Stadium der Erkrankung, sich entwickelnde Komplikationen und Folgen des Leidens oder aber Nebenwirkungen therapeutischer Maßnahmen sein. Zu den Beschwerden vieler Tumorpatienten zählen z. B. Anorexie — häufig noch verstärkt durch Erbrechen und Übelkeit —, Singultus aufgrund Überdehnung des Magens, Ikterus, Aszites, Obstipation sowie mechanischer und paralytischer Ileus. Auch in der Palliativmedizin ist für eine sinnvolle Therapie eine möglichst genaue Kenntnis der Entstehungsursache der Beschwerden notwendig.

Abstract

Gastrointestinal symptoms are common in patients with gastrointestinal tumours, but also often appear during the course of other oncological diseases. Triggers of the symptoms are disease progression, developing complications and sequelae of the illness, or side-effects of therapeutic regimens. Examples of the symptoms suffered by tumour patients are anorexia-frequently aggravated by vomiting and nausea-hiccoughs caused by overextension of the stomach, icterus, ascites, obstinate constipation, and mechanical and paralytic ileus. A useful therapy also in palliative medicine depends on the most accurate possible appreciation of why these symptoms have appeared.

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  1. 3. Medizinische Klinik, Lehrstuhl 2 für Innere Medizin, Universitätsklinikum Mannheim

    A. Weiss

  2. Medizinische Klinik des Sankt-Marien-und-Anna-Stifts-Krankenhauses Ludwigshafen

    H. Weiss

  3. 3. Medizinische Klinik, Lehrstuhl 2 für Innere Medizin, Universitätsklinikum Mannheim, Wiesbadenerstraße 7–11, 68305 , Mannheim

    A. Weiss

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  1. A. Weiss
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Weiss, A., Weiss, H. Gastrointestinale Symptome bei Tumorpatienten. Onkologe 11, 399–406 (2005). https://doi.org/10.1007/s00761-005-0848-y

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