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Klinische Konsequenzen bei zystischen Pankreasneoplasien: Beobachtung oder Operation?

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Erkrankungen des Pankreas

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Zusammenfassung

Die Prävalenz von Pankreaszysten bei beschwerdefreien Individuen aller Altersklassen liegt bei etwa 2,6 %, steigt mit zunehmendem Alter an und beträgt in der 7. Lebensdekade etwa 10 %. Grundsätzlich muss zwischen dem Vorgehen bei symptomatischen und asymptomatischen Patienten mit erstmals diagnostizierten Pankreaszysten differenziert werden. Bei operationsfähigen Patienten mit durch die Zyste bedingten Symptomen besteht unabhängig von der Art der Zyste grundsätzlich eine Operationsindikation. Ein anderes Vorgehen ist bei asymptomatischen Patienten zu wählen, bei denen eine zystische Pankreasläsion zufällig im Rahmen einer abdominellen Bildgebung gefunden wurde. Hier muss die bildgebende Diagnostik als Grundlage für die Entscheidung über primäre Resektion oder Verlaufsbeobachtung neben der Art und Größe der Pankreaszyste auch „besorgniserregende“ und „Hochrisikozeichen“ für eine maligne Entartung erkennen.

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Authors and Affiliations

  1. Klinik für Gastroenterologie, Endokrinologie, Infektiologie und Stoffwechsel, Philipps-Universität Marburg, 35043, Marburg, Baldingerstraße, Deutschland

    Alexander Hann & Thomas M. Gress

Authors
  1. Alexander Hann
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  2. Thomas M. Gress
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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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Hann, A., Gress, T. (2013). Klinische Konsequenzen bei zystischen Pankreasneoplasien: Beobachtung oder Operation?. In: Beger, H., et al. Erkrankungen des Pankreas. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-37964-2_52

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  • DOI: https://doi.org/10.1007/978-3-642-37964-2_52

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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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