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Operative Gangdrainage bei chronischer Pankreatitis

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Erkrankungen des Pankreas

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Zusammenfassung

Die intraduktale Druckerhöhung mit Pankreasgangstenosen und Pankreasgangsteinen als Korrelat der Abflussstörung kann zur Schmerzgenese und Auslösung von Schmerzattacken bei der chronischen Pankreatitis beitragen. Eine Entlastung des Pankreasganges unter Einbeziehung von Pankreasgängen II. und III. Ordnung kann hierbei gute Ergebnisse mit Schmerzfreiheit liefern. Während die klassischen reinen Drainageoperationen mit laterolateraler Pankreatikojejunostomie im Langzeitverlauf in der Mehrzahl der Fälle nicht zu einer Schmerzfreiheit führen, liefern die Hybridverfahren mit Erweiterung der Drainageoperation auf den Pankreaskopf vergleichbare Ergebnisse zu den resezierenden Verfahren. Sollte eine Rekanalisation der Pfortader nicht möglich sein oder ein fixierter und langstreckiger Pfortaderverschluss vorliegen, so findet sich in dieser Indikation eine gute Einsatzmöglichkeit für die drainierenden oder besser noch die erweitert drainierenden Verfahren.

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Author information

Authors and Affiliations

  1. Klinik für Allgemeine Chirurgie, UKSH Campus Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Deutschland

    Tobias Keck

  2. Chirurgische Universitätsklinik, Abteilung Allgemein- und Viszeralchirurgie, Hugstetter Straße 55, 79106, Freiburg, Deutschland

    Ulrich T. Hopt

Authors
  1. Tobias Keck
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  2. Ulrich T. Hopt
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Correspondence to Tobias Keck .

Editor information

Editors and Affiliations

  1. Abt. Allgemeine- und Visceralchirurgie, Universitätsklinikum Ulm, Germany

    Hans G. Beger

  2. Klinik für Allgemein-, Viszeral- und Transplantationschirurgie, Universitätsklinikum Heidelberg, Germany

    Markus W. Büchler

  3. Allgemein-, Viszeral- und Gefäßchirurgie, Universitätsklinikum Halle, Sachsen-Anhalt, Germany

    Henning Dralle

  4. Klinik und Poliklinik für Innere Medizin, Universitätsmedizin Greifswald, Germany

    Markus M. Lerch

  5. und Hepatologie (KGHI), Universitätsklinikum Magdeburg, Germany

    Peter Malfertheiner

  6. FB Gastroenterologie und Hepatologie, Universitätsklinikum Leipzig, Sachsen, Germany

    Joachim Mössner

  7. ehemals Klinikum der Stadt Ludwigshafen gGmbH, Rheinland-Pfalz, Germany

    Jürgen F. Riemann

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Keck, T., Hopt, U. (2013). Operative Gangdrainage bei chronischer Pankreatitis. In: Beger, H., et al. Erkrankungen des Pankreas. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-37964-2_22

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  • DOI: https://doi.org/10.1007/978-3-642-37964-2_22

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-37963-5

  • Online ISBN: 978-3-642-37964-2

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