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Darmmotilitätsstörungen bei Intensivpatienten — Ursachen und therapeutische Möglichkeiten

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Part of the book series: Refresher Course Aktuelles Wissen für Anästhesisten ((REFRESHER COUR,volume 24))

Zusammenfassung

In den letzten Jahren sind Funktion und Störungen des Magen-Darm-Trakts bei Intensivpatienten von immer größerem Interesse. Die offensichtlichen Zusammenhänge zwischen Verlauf und Prognose der Erkrankung eines Patienten und der Funktion des Magen-Darm-Trakts haben zu umfangreichen Untersuchungen und theoretischen Überlegungen geführt, wie eine Optimierung der Therapie dieses Organs durchgeführt werden kann. In dieser Übersicht sollen v. a. Störungen der Motilität behandelt werden, obwohl man diese nicht isoliert betrachten kann. Das Ineinandergreifen der Funktionen des Magen-Darm-Trakts ist genau so wichtig wie die Interaktionen mit anderen Organfunktionen

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Literatur

  1. A.S.P.E.N. Board of Directors (1993) Guidelines tor the use of parenteral andenteral nutrition in adult and pediatric patients. JPEN 17 [Suppl]: 1 SA-51 SA

    Google Scholar 

  2. Ahmad SR, Wolte SM (1995) Cisapride and torsade de pomtes. Lancet 345: 508

    Article  Google Scholar 

  3. Ahn H, Brongel A, Johansson K, Ygge H, Lindhagen J (1988) Effect of continuous postoperative epidural analgesia on intestinal motility. Br J Surg 75: 1176–1178

    Article  PubMed  CAS  Google Scholar 

  4. Babb RR (1992) Acute acalculous cholecystitis. A review. J Clin Gastroenterol 15: 238–241

    Article  PubMed  CAS  Google Scholar 

  5. Bardram L, Funch-Jensen P, Jensen P, Crawford ME, Kehlet H (1995) Recovery after laparoscopic colonic surgery with epidural analgesia, and early oral nutrition and mobilisation. Lancet 345: 763–764

    Article  PubMed  CAS  Google Scholar 

  6. Benjamin E, Oropeib JM, lberti TJ (1993) Acute mesenteric ischemia: Pathophysiology, diagnosis and treatment. Dis Mon 39: 133–210

    Article  Google Scholar 

  7. Bersten AD, Hersch M, Cheung H, Rutledge FS, Sibbald WJ (1992) The effect of various sympathomimetics on the regional circulation in hyperdynamic sepsis. Surgery 112: 549–561

    PubMed  CAS  Google Scholar 

  8. Carcoana OV, Hines RL (1996) Is renal dose dopamine protective or therapeutic? Yes. Crit Care Clin 12: 677–685

    Article  CAS  Google Scholar 

  9. Cottee DBF, Saul WP (1996) Is renal dose dopamine protective or therapeutic? No. Crit Care Clin 12: 687–695

    Article  CAS  Google Scholar 

  10. Dark DS, Pingleton SK (1989) Nonhemorrhagic gastrontestinal complications in acute respiratory failure. Crit Care Med 17: 755–758

    Article  PubMed  CAS  Google Scholar 

  11. Feldman M, Schiller LR (1983) Disorders of gastromtestinal motility associated with diabetes mellitus. Ann Intern Med 98: 378–384

    PubMed  CAS  Google Scholar 

  12. Gottschlich MM, Warden GD, Michel M et al. (1988) Diarrhea in tube-fed burn patients: Incidence, etiology, nutritional impact, and prevention. JPEN 12: 338–345

    Article  CAS  Google Scholar 

  13. Grund KE (1982) Behandlung funktioneller Ileusformen: Sympathikolyse und Stimulation. Dtsch Med Wochenschr 107: 209

    Article  PubMed  CAS  Google Scholar 

  14. Gutierrez G, Palizas F, Doglio G et al. (1992) Gastric intramucosal pH as a therapeutic index of tissue oxygenation in critically ill patients. Lancet 339: 195–199

    Article  PubMed  CAS  Google Scholar 

  15. Horowitz M, Harding PE, Chatterton BE, Gollins D (1985) Acute and chronic effects of domperidone on gastric emptying in diabetic autonomic neuropathy. Dig Dis Sci 30: 1

    Article  PubMed  CAS  Google Scholar 

  16. Kehlet H (1997) Multimodal approach to control postoperative pathophysiology and rehabilitation. Br J Anaesth 78/5: 606–617

    PubMed  CAS  Google Scholar 

  17. Kehlet H, Moesgaard F (1996) Prophylaxis against postoperative complications in gastroenterology. Scand J Gastroenterol [Suppl] 216: 218–224

    Article  CAS  Google Scholar 

  18. Kehlet H, Rung GW, Callesen T (1996) Postoperative opioid analgesia: time for a reconsideration? J Clin Anesth 8/6: 441445

    Google Scholar 

  19. Kilbinger H, Weihrauch T (1982) Drugs increasing intestinal motility. Pharmacology 25: 61–72

    Article  PubMed  CAS  Google Scholar 

  20. Marshall JC (1996) Clinical markers of gastromtestinal dysfunction. In: Rombeau JL, Takala J (eds) Gut dysfunction in critical illness. Springer, Berlin Heidelberg New York Tokio, pp 114–128

    Google Scholar 

  21. Messmer K, Schmidt-Mende M (1970) Hyperosmolare Lösung bei postoperativer Darmatonie. Dtsch Med Wochenschr 95: 557

    Article  Google Scholar 

  22. Ogilvie H (1948) Large-intestine colic due to sympathetic deprivation: a new clinical syndrome. Br Med J 2: 671–673

    Article  PubMed  CAS  Google Scholar 

  23. Olsson S, Edwards IR (1992) Tachykardia during cisapride treatment. BMJ 305: 748–749

    Article  PubMed  CAS  Google Scholar 

  24. Osborne R, Slevin M, Hunter R, Hamer I (1985) Cardiotoxicity of intravenous domperidone. Lancet II: 385

    Article  Google Scholar 

  25. Pantothenic acid and ileus (1963) (Leading article in:) Br Med J 2: 634

    Article  Google Scholar 

  26. Petri G, Szenohradszky J, Pórszász-Gibiszer K (1971) Sympatholytic treatment of „paralytic“ileus. Surgery 70: 359

    PubMed  CAS  Google Scholar 

  27. Quamar Ml, Read AE (1988) Effects of ingestion of carbohydrate, fat, protein and water on the mesenteric blood flow in man. Scand J Gastroenterol 23: 26–30

    Article  Google Scholar 

  28. Ricci DA, Saltzman MB, Meyer C et al. (1985) Effect of metodopramide in diabetic gastroparesis. J Clin Gastroenterol 7: 25

    Article  PubMed  CAS  Google Scholar 

  29. Roytblat L, Gelman 5, Bradley EL, Henderson T, Park D (1990) Dopamine and hepatic oxygen supply-demand relationship. Can J Physiol Pharmacol 68: 1165–1169

    Article  PubMed  CAS  Google Scholar 

  30. Schein M, Rucinski J, Wise L (1996) The abdominal compartment syndrome in the critically ill patient. Curr Opin Crit Care 2: 287–294

    Article  Google Scholar 

  31. Schein M, Wittman DH, Aprahamian C, Condon RE (1995) The abdominal compartment syndrome: The physiological and clinical consequences of elevated intra-abdominal pressure. J Am Coll Surg 180: 745–753

    PubMed  CAS  Google Scholar 

  32. Schumpelick V, Hrynyschyn K (1984) Postoperative und posttraumatische Magen-Darm-Parese. Beilage zu den Mitteilungen der Deutschen Gesellschaft für Chirurgie 4: G 22

    Google Scholar 

  33. Shelly MP, Church JJ (1987) Bowel sounds during intermittent positivepressure ventilation. Anaesthesia 42: 201–209

    Google Scholar 

  34. Uusaro A, Ruokonen E, Takala J (1995) Gastric mukosal pH does not reflect changes in splanchnic blood flow after cardiac surgery. Br J Anaesth 74: 149–154

    Article  PubMed  CAS  Google Scholar 

  35. Van den Berghe G (1994) Dopamine and pituitary hormones in critical illness. Katholieke Universiteit te Leuven, (Faculteit der Geneeskunde, Departement Heelkunde en Anesthesiologische Wetenschappen), Leuven/Belgium, p 146

    Google Scholar 

  36. Vanek VW, Al-Salti M (1986) Acute pseudo-obstruction of the colon. An analysis of 400 cases. Dis Colon Rectum 29: 203–210

    Article  PubMed  CAS  Google Scholar 

  37. Woods JH, Erickson LW, Condon RE et al (1978) Postoperative ileus: a colonic problem? Surgery 84: 527–532

    PubMed  CAS  Google Scholar 

  38. Wright MO (1995) The duodenum, jejunum and ileum. In: Glasby MA, Huang CL-H (eds) Applied physiology for surgery and critical care. Butterworth/Heinemann, Oxford, pp 351–369

    Google Scholar 

  39. Wysowski DK, Bacsanyi J (1996) Cisapride an tatal arrhythmia. NEJM 335/4: 290–291

    Article  PubMed  CAS  Google Scholar 

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© 1998 Springer-Verlag Berlin Heidelberg

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Zander, J.F. (1998). Darmmotilitätsstörungen bei Intensivpatienten — Ursachen und therapeutische Möglichkeiten. In: Juni/Juli 1998, Frankfurt. Refresher Course Aktuelles Wissen für Anästhesisten, vol 24. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-72040-6_7

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  • DOI: https://doi.org/10.1007/978-3-642-72040-6_7

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-63803-2

  • Online ISBN: 978-3-642-72040-6

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