Skip to main content
SpringerLink
Log in

Chirurgische Therapie und Nachsorge

Colitis ulcerosa: wann operieren?

  • FORTBILDUNG_SCHWERPUNKT
  • Published:
MMW - Fortschritte der Medizin Aims and scope

Colitis-ulcerosa-Patienten werden vor allem dann operiert, wenn die konservative Therapie nicht (mehr) erfolgreich ist. Aber auch Notfallsituationen oder Karzinomverdacht stellen Indikationen dar. Welche Verfahren gibt es? Wohin sollten Sie Ihre Patienten überweisen? Wie sieht die Nachsorge aus?

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Abb. 1:
Abb. 2:
Abb. 3:
Abb. 5:

Literatur

  1. Silverberg MS, Satsangi J, Ahmad T, et al. (2005) Toward an integrated clinical, molecular and serological classification of inflammatory bowel disease: report of a Working Party of the 2005 Montreal World Congress of Gastroenterology. Can J Gastroenterol J Can Gastroenterol 19 Suppl A:5A–36A.

    Google Scholar 

  2. Dignass A, Preiss JC, Aust DE, et al. (2011) [Updated German guideline on diagnosis and treatment of ulcerative colitis, 2011]. Z Für Gastroenterol 49:1276–1341. doi: 10.1055/s-0031-1281666

  3. Heuschen UA, Hinz U, Allemeyer EH, et al. (2002) Risk factors for ileoanal J pouch-related septic complications in ulcerative colitis and familial adenomatous polyposis. Ann Surg 235:207–216.

    Article  PubMed Central  PubMed  Google Scholar 

  4. Chung TP, Fleshman JW, Birnbaum EH, et al. (2009) Laparoscopic vs. open total abdominal colectomy for severe colitis: impact on recovery and subsequent completion restorative proctectomy. Dis Colon Rectum 52:4–10. doi: 10.1007/DCR.0b013e3181975701

    Article  PubMed  Google Scholar 

  5. Fajardo AD, Dharmarajan S, George V, et al. (2010) Laparoscopic versus open 2-stage ileal pouch: laparoscopic approach allows for faster restoration of intestinal continuity. J Am Coll Surg 211:377–383. doi: 10.1016/j.jamcollsurg. 2010.05.018

    Article  PubMed  Google Scholar 

  6. Kaplan GG, McCarthy EP, Ayanian JZ, et al. (2008) Impact of hospital volume on postoperative morbidity and mortality following a colectomy for ulcerative colitis. Gastroenterology 134:680–687. doi: 10.1053/j.gastro. 2008.01.004

    Article  PubMed  Google Scholar 

  7. Fazio VW, Kiran RP, Remzi FH, et al. (2013) Ileal pouch anal anastomosis: analysis of outcome and quality of life in 3707 patients. Ann Surg 257:679–685. doi: 10.1097/ SLA.0b013e31827d99a2

    Article  PubMed  Google Scholar 

  8. Gullberg K, Lindforss U, Zetterquist H, et al. (2002) Cancer risk assessment in long-standing pouchitis. DNA aberrations are rare in transformed neoplastic pelvic pouch mucosa. Int J Colorectal Dis 17:92–97.

    Article  PubMed  Google Scholar 

  9. Börjesson L, Willén R, Haboubi N, et al. (2004) The risk of dysplasia and cancer in the ileal pouch mucosa after restorative proctocolectomy for ulcerative proctocolitis is low: a long-term term follow-up study. Colorectal Dis Off J Assoc Coloproctology G B Irel 6:494–498. doi: 10.1111/j.1463-1318.2004.00716.x

    Google Scholar 

  10. Lichtenstein GR, Cohen R, Yamashita B, Diamond RH (2006) Quality of life after proctocolectomy with ileoanal anastomosis for patients with ulcerative colitis. J Clin Gastroenterol 40:669–677.

    Article  PubMed  Google Scholar 

  11. Leowardi C, Hinz U, Tariverdian M, et al. (2010) Long-term outcome 10 years or more after restorative proctocolectomy and ileal pouch-anal anastomosis in patients with ulcerative colitis. Langenbecks Arch Surg Dtsch Ges Für Chir 395:49–56. doi: 10.1007/ s00423-009-0479-7

Download references

Author information

Authors and Affiliations

  1. Klinik für Allgemein-, Viszeral- und Gefäßchirurgie, Charité — Universitätsmedizin Berlin, Campus Benjamin Franklin, Hindenburgdamm 30, D-12200, Berlin, Deutschland

    Urte Zurbuchen (Fachärztin für Chirurgie)

  2. Klinik für Allgemein-, Viszeral- und Gefäßchirurgie, Charité — Universitätsmedizin Berlin, Campus Benjamin Franklin, Berlin, Deutschland

    Martin E. Kreis &  Jörn Gröne

Authors
  1. Urte Zurbuchen
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Martin E. Kreis
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Jörn Gröne
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Urte Zurbuchen.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Zurbuchen, U., Kreis, M.E. & Gröne, J. Colitis ulcerosa: wann operieren?. MMW - Fortschritte der Medizin 157, 50–54 (2015). https://doi.org/10.1007/s15006-015-2649-6

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s15006-015-2649-6

Keywords - Ulcerative colitis — surgical treatment and aftercare

Search

Navigation