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Nichtresezierende Ulcuschirurgie: Vergleich verschiedener Operationsverfahren

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Book cover Nichtresezierende Ulcuschirurgie

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Zusammenfassung

Soweit bisher bekannt, unterscheiden sich Ulcera duodeni und Ulcera ventriculi in Pathophysiologie und Pathogenese, wenngleich die Anwesenheit von Säure einen gemeinsamen Faktor darstellt. Das Ziel der chirurgischen Therapie beider Geschwürstypen ist die Säurereduktion. Dies kann durch eine partielle Gastrektomie von mindestens 2/3–3/4 des distalen Magens erreieht werden. Die partielle Gastrektomie war seit 1930 über Jahrzehnte das Standardverfahren der chirurgischen Therapie des peptischen Geschwürs. Wenn auch die meisten Patienten durch ein resezierendes Verfahren geheilt werden, leiden doch 15–20% an Nebenwirkungen verschiedenster Art. Auch stellt die Resektion von mehr als der Hälfte des Magens einen unverhältnismäßig großen Eingriff dar, um ein kleines Geschwür im Zwölffingerdarm zu heilen. Dies war der Anlaß zur Suche nach nichtresezierenden Methoden in der operativen Therapie peptischer Läsionen.

Originaltitel: Evaluation of Different Operations in Non-resective Surgery for Duodenal and Gastric Ulcer. Mit Erlaubnis des Verfassers aus dem Englischen übersetzt von H. Bauer

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Authors
  1. S. Emås
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Editors and Affiliations

  1. Chirurgische Poliklinik der Universität, Pettenkoferstraße 8a, 8000, München 2, Deutschland

    Hartwig Bauer

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© 1980 Springer-Verlag Berlin · Heidelberg

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Emås, S. (1980). Nichtresezierende Ulcuschirurgie: Vergleich verschiedener Operationsverfahren. In: Bauer, H. (eds) Nichtresezierende Ulcuschirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-67685-7_29

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  • DOI: https://doi.org/10.1007/978-3-642-67685-7_29

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-10123-9

  • Online ISBN: 978-3-642-67685-7

  • eBook Packages: Springer Book Archive

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