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Psychosomatik der funktionellen Dyspepsie

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Psychiatrie in der klinischen Medizin

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Zusammenfassung

Oberbauchbeschwerden wie Schmerzen, Druckgefühl oder vorzeitige Sättigung mit Völlegefühl sind in der Allgemeinbevölkerung ausgesprochen häufig. Auch unter den Patienten in hausärztlichen und fachärztlich-gastroenterologischen Praxen sowie in spezialisierten Institutionen der Tertiärversorgung leidet ein Großteil der Patienten unter solchen Beschwerden. In weniger als der Hälfte der Fälle kann das Beschwerdebild mit den heute klinisch verfügbaren Untersuchungsmethoden durch strukturelle Läsionen oder mit biochemischen Veränderungen erklärt werden. Bei den Patienten mit Oberbauchbeschwerden ohne identifizierbare morphologische oder biochemische Veränderung wird internistischerseits eine funktionelle Dyspepsie oder — im psychosomatischen Kontext — eine somatoforme autonome Funktionsstörung des oberen Gastrointestinaltrakts (F45.31 nach ICD-10) diagnostiziert.

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Authors
  1. M. Langkafel
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  2. W. Senf
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Editors and Affiliations

  1. Klinik u. Poliklinik f. Psychiatrie u. Psychotherapie, Westfälische Wilhelms-Universität Münster, Albert-Schweitzer-Str. 11, 48129, Münster, Deutschland

    Volker Arolt

  2. Abteilung Psychiatrie und Psychotherapie, Ev. Krankenhaus Königin Elisabeth Herzberge, Herzbergstraße 79, 10362, Berlin, Deutschland

    Albert Diefenbacher

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Langkafel, M., Senf, W. (2004). Psychosomatik der funktionellen Dyspepsie. In: Arolt, V., Diefenbacher, A. (eds) Psychiatrie in der klinischen Medizin. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-662-12845-9_24

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  • DOI: https://doi.org/10.1007/978-3-662-12845-9_24

  • Publisher Name: Steinkopff, Heidelberg

  • Print ISBN: 978-3-662-12846-6

  • Online ISBN: 978-3-662-12845-9

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