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Allgemeine chirurgische Prinzipien in der Behandlung des Ileus

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Praxis der Viszeralchirurgie

Zusammenfassung

Als Ileus wird eine Transportstörung des gesamten Darmes oder von Darmabschnitten bezeichnet, die in über 80 % durch ein mechanisches Hindernis verursacht wird und nur selten aufgrund einer funktionellen Motilitätsstörung der Darmmotorik entsteht. Die Einteilung der Ileusformen erfolgt nach klinischen Gesichtspunkten, wobei zwischen akuten, subakuten und chronischen Verlaufsformen sowie einer kompletten oder inkompletten Passagestörung unterschieden wird. Hinsichtlich ihrer Lokalisation sind außerdem der hohe und tiefe Dünndarmileus vom Dickdarmileus und gemischten Ileusformen abzugrenzen. Die bei der Passagestörung entstehende Stauung des Darminhalts führt über verschiedene pathophysiologische Mechanismen zur so genannten „Ileuskrankheit“, die unbehandelt im Multiorganversagen mit letalem Ausgang endet.

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Authors
  1. S. Thorban
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  2. K. Böttcher
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Editor information

Editors and Affiliations

  1. Chirurgische Klinik und Poliklinik, Technische Universität München, Ismaninger Straße 22, 81675, München, Deutschland

    J. R. Siewert

  2. Department für Chirurgie, Kantonsspital Basel, Spitalstraße 21, 4031, Basel, Schweiz

    F. Harder

  3. Klinik für Allgemeinchirurgie, Zentrum für Operative Medizin I, Baldingerstraße, 35043, Marburg, Deutschland

    M. Rothmund

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© 2002 Springer-Verlag Berlin Heidelberg

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Thorban, S., Böttcher, K. (2002). Allgemeine chirurgische Prinzipien in der Behandlung des Ileus. In: Siewert, J.R., Harder, F., Rothmund, M. (eds) Praxis der Viszeralchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-09418-1_17

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  • DOI: https://doi.org/10.1007/978-3-662-09418-1_17

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-09419-8

  • Online ISBN: 978-3-662-09418-1

  • eBook Packages: Springer Book Archive

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