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Pathogenese, Prophylaxe und Therapie des postoperativen Ileus in der onkologischen Kolonchirurgie

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Chirurgie des Kolonkarzinoms

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Zusammenfassung

Auch wenn es sich beim postoperativen Ileus meist um ein spontan reversibles Problem handelt, stellt er doch immer eine Herausforderung für das Management dar. Zum einen muss eine mechanische oder septische Ursache ausgeschlossen werden, zum anderem ist eine Aspirationsprophylaxe und Flüssigkeitssubstitution gerade bei älteren Patienten unabdinglich. Inwieweit prokinetische Interventionen sinnvoll sind, ist derzeit noch in der Diskussion. Die Entwicklung eines evidenzbasierten Behandlungsalgorithmus ist besonders vielschichtig, da die Pathophysiologie des postoperativen Ileus sich immer mehr als hochkomplex erweist.

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Authors and Affiliations

  1. Klinik für Allgemein- und Viszeralchirurgie, Klinikum Konstanz, Konstanz, Deutschland

    Friederike Eisner & Jörg Glatzle

Authors
  1. Friederike Eisner
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  2. Jörg Glatzle
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Correspondence to Friederike Eisner .

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Editors and Affiliations

  1. Klinik für Allgemein-, Viszeral- und Kinderchirurgie, Klinikum Böblingen Sindelfingen, Klinikverbund Südwest, Böblingen, Baden-Württemberg, Germany

    Stefan Benz

  2. Klinik für Allgemein- und Viszeralchirurgie, Universitätsklinikum Erlangen, Erlangen, Germany

    Robert Grützmann

  3. Klinik für Visceral-, Thorax- und Gefäßchirurgie, Proktologie, Elbe Klinikum Stade, Stade, Niedersachsen, Germany

    Benno Stinner

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Eisner, F., Glatzle, J. (2021). Pathogenese, Prophylaxe und Therapie des postoperativen Ileus in der onkologischen Kolonchirurgie. In: Benz, S., Grützmann, R., Stinner, B. (eds) Chirurgie des Kolonkarzinoms. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-60453-3_25

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  • DOI: https://doi.org/10.1007/978-3-662-60453-3_25

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