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Gastroenterologische Symptome

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Pädiatrische Palliativversorgung – Schmerzbehandlung und Symptomkontrolle

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Zusammenfassung

Gastroenterologische Symptome sind häufig in der pädiatrischen Palliativversorgung und werden oft als sehr leidvoll erlebt. So tritt z. B. bei etwa 30–40 % der Kinder und Jugendlichen Obstipation auf, zwischen 65 und 70 % aller Kinder und Jugendlichen mit Krebs leiden in den letzten Lebenswochen unter Symptomen von Nausea und Erbrechen. Die Prävalenz einer Malnutrition bei Kindern mit schweren neurologischen Erkrankungen wird auf etwa 30–50 % geschätzt. Begleitsymptome wie Schmerzen, Appetitverlust und Kachexie erhöhen den Leidensdruck des Kindes und beeinträchtigen seine Lebensqualität. Das Kapitel behandelt die relevantesten gastroenterologischen Symptome und stellt praxiserprobte Therapieansätze vor.

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Authors and Affiliations

  1. Vestische Kinder- und Jugendklinik, Datteln, Universität Witten/Herdecke Kinderpalliativzentrum Deutsches Kinderschmerzzentrum, Datteln, Deutschland

    Boris Zernikow

  2. Oberarzt, Klinikum Dortmund gGmbH, Klinik für Kinder- und Jugendmedizin, Dortmund, Deutschland

    Jens Berrang

  3. Universitätsklinikum Münster, Zentrum für Kinder- und Jugendmedizin, Brücken-Team, SAPV, Münster, Deutschland

    Margit Baumann-Köhler

  4. Chefarzt, Universitätsklinikum Augsburg, I. Klinik für Kinder und Jugendliche, Schwäbisches Kinderkrebszentrum, Augsburg, Deutschland

    Michael C. Frühwald

  5. Universitätsklinikum Augsburg, I. Klinik für Kinder und Jugendliche, Schwäbisches Kinderkrebszentrum, Augsburg, Deutschland

    Johannes Holzapfel

  6. Oberärztin, Kinderpalliativzentrum, Vestische Kinder- und Jugendklinik - Universität Witten/Herdecke, Datteln, Deutschland

    Carola Hasan

  7. Universitätsklinikum Köln, Köln, Deutschland

    Silke Kromm

  8. Oberarzt, Vestische Kinder- und Jugendklinik - Universität Witten/Herdecke, Datteln, Deutschland

    Thomas Berger

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    Boris Zernikow

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Zernikow, B. et al. (2022). Gastroenterologische Symptome. In: Zernikow, B. (eds) Pädiatrische Palliativversorgung – Schmerzbehandlung und Symptomkontrolle . Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-63148-5_3

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