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
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
Literatur
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
Ahmad SR, Wolte SM (1995) Cisapride and torsade de pomtes. Lancet 345: 508
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
Babb RR (1992) Acute acalculous cholecystitis. A review. J Clin Gastroenterol 15: 238–241
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
Benjamin E, Oropeib JM, lberti TJ (1993) Acute mesenteric ischemia: Pathophysiology, diagnosis and treatment. Dis Mon 39: 133–210
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
Carcoana OV, Hines RL (1996) Is renal dose dopamine protective or therapeutic? Yes. Crit Care Clin 12: 677–685
Cottee DBF, Saul WP (1996) Is renal dose dopamine protective or therapeutic? No. Crit Care Clin 12: 687–695
Dark DS, Pingleton SK (1989) Nonhemorrhagic gastrontestinal complications in acute respiratory failure. Crit Care Med 17: 755–758
Feldman M, Schiller LR (1983) Disorders of gastromtestinal motility associated with diabetes mellitus. Ann Intern Med 98: 378–384
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
Grund KE (1982) Behandlung funktioneller Ileusformen: Sympathikolyse und Stimulation. Dtsch Med Wochenschr 107: 209
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
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
Kehlet H (1997) Multimodal approach to control postoperative pathophysiology and rehabilitation. Br J Anaesth 78/5: 606–617
Kehlet H, Moesgaard F (1996) Prophylaxis against postoperative complications in gastroenterology. Scand J Gastroenterol [Suppl] 216: 218–224
Kehlet H, Rung GW, Callesen T (1996) Postoperative opioid analgesia: time for a reconsideration? J Clin Anesth 8/6: 441445
Kilbinger H, Weihrauch T (1982) Drugs increasing intestinal motility. Pharmacology 25: 61–72
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
Messmer K, Schmidt-Mende M (1970) Hyperosmolare Lösung bei postoperativer Darmatonie. Dtsch Med Wochenschr 95: 557
Ogilvie H (1948) Large-intestine colic due to sympathetic deprivation: a new clinical syndrome. Br Med J 2: 671–673
Olsson S, Edwards IR (1992) Tachykardia during cisapride treatment. BMJ 305: 748–749
Osborne R, Slevin M, Hunter R, Hamer I (1985) Cardiotoxicity of intravenous domperidone. Lancet II: 385
Pantothenic acid and ileus (1963) (Leading article in:) Br Med J 2: 634
Petri G, Szenohradszky J, Pórszász-Gibiszer K (1971) Sympatholytic treatment of „paralytic“ileus. Surgery 70: 359
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
Ricci DA, Saltzman MB, Meyer C et al. (1985) Effect of metodopramide in diabetic gastroparesis. J Clin Gastroenterol 7: 25
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
Schein M, Rucinski J, Wise L (1996) The abdominal compartment syndrome in the critically ill patient. Curr Opin Crit Care 2: 287–294
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
Schumpelick V, Hrynyschyn K (1984) Postoperative und posttraumatische Magen-Darm-Parese. Beilage zu den Mitteilungen der Deutschen Gesellschaft für Chirurgie 4: G 22
Shelly MP, Church JJ (1987) Bowel sounds during intermittent positivepressure ventilation. Anaesthesia 42: 201–209
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
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
Vanek VW, Al-Salti M (1986) Acute pseudo-obstruction of the colon. An analysis of 400 cases. Dis Colon Rectum 29: 203–210
Woods JH, Erickson LW, Condon RE et al (1978) Postoperative ileus: a colonic problem? Surgery 84: 527–532
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
Wysowski DK, Bacsanyi J (1996) Cisapride an tatal arrhythmia. NEJM 335/4: 290–291
Editor information
Rights and permissions
Copyright information
© 1998 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
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
Download citation
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
eBook Packages: Springer Book Archive