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Chirurgische Proktologie pp 19–93Cite as

Proktologische Diagnostik

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Zusammenfassung

Wie bei allen Erkrankungen steht die Diagnostik selbstverständlich auch in der Proktologie am Anfang aller ärztlichen Behandlungsmaßnahmen. Die Schilderung der Beschwerden durch den Patienten ermöglicht fast immer bereits erste klare Schlussfolgerungen bezüglich des zugrundeliegenden Krankheitsbildes. In diesem Kapitel werden allgemeine Symptomatik und Untersuchungsmethoden der Proktologie abgehandelt. Neben den essenziellen Bereichen Anamnese, klinische Untersuchung und Basisdiagnostik existieren noch weitere Spezialuntersuchungen, die bei einzelnen Krankheitsbildern gezielt eingesetzt werden können, auf die man aber bei der Mehrzahl der Patienten gut verzichten kann. Dies gilt insbesondere für die kostenaufwendige bildgebende Diagnostik (Röntgen, CT, MRT). Ausführlich wird die Endosonografie behandelt, die als einfaches und wenig belastendes Verfahren Zusatzinformationen liefern kann. Der Abschnitt zur neurologischen Diagnostik wurde aus historischen Gründen unverändert in diese Ausgabe übernommen. In der täglichen Routine haben sich diese Untersuchungen meist nicht durchsetzen können. Der Abschnitt zur radiologischen und nuklearmedizinischen Diagnostik ergänzt aus Sicht der Bildgebung die Aussagen in den Spezialkapiteln zur Stuhlinkontinenz und Obstipation, in denen aus Sicht des Klinikers die Wertigkeit der Untersuchungstechniken für die Therapie beurteilt wird.

In memoriam Prof. Dr. Rainer Winkler, Autor der Fassung dieses Artikels in der 2. Auflage, der am 11.08.2016 verstorben ist.

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Authors and Affiliations

  1. End- und Dickdarm-Zentrum Essen, Rüttenscheider Straße 66, 45130, Essen, Deutschland

    Dr. med. A. Ommer

  2. Ärztehaus Lützelmatt, St. Anna Hospital, Luzern, St. Anna Strasse 32, 6006, Luzern, Deutschland

    Dr. med. B. H. Mölle

  3. Heidelberg, Deutschland

    Prof. Dr. med. A. Shafik & Prof. Dr. med. J. Girona

  4. Magen Darm Zentrum Wiener Platz, Genovevastraße 9, 51065, Köln, Deutschland

    Dr. med. M. Kowallik

  5. Neurozentrum, Universitätsklinikum Freiburg, Breisacher Straße 64, 79106, Freiburg, Deutschland

    Prof. Dr. med. W. Jost

  6. Institut für Radiologie und Nuklearmedizin, Hirslanden Klinik St. Anna, St. Anna-Strasse 32, 6006, Luzern, Deutschland

    Dr. med. U. Schirp

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  1. Dr. med. A. Ommer
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Corresponding authors

Correspondence to A. Ommer , B. H. Mölle , M. Kowallik , W. Jost , U. Schirp , A. Ommer , A. Ommer , A. Ommer , A. Ommer , B. H. Mölle , B. H. Mölle , A. Ommer , B. H. Mölle , A. Ommer , B. H. Mölle , A. Ommer , A. Ommer , M. Kowallik , W. Jost or U. Schirp .

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Editors and Affiliations

  1. Ärztehaus Lützelmatt, Luzern, Switzerland

    Bernward Mölle

  2. End- und Dickdarm-Zentrum Essen, Essen, Deutschland

    Andreas Ommer

  3. Medkongress AG, St. Gallen, Switzerland

    Jochen Lange

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Ommer, A. et al. (2018). Proktologische Diagnostik. In: Mölle, B., Ommer, A., Lange, J., Girona, J. (eds) Chirurgische Proktologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-54682-6_2

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  • DOI: https://doi.org/10.1007/978-3-662-54682-6_2

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