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Interdisziplinäres Komplikationsmanagement in der Viszeralmedizin

Optimiertes Vorgehen bei Nachblutungen, Perforationen und Leckagen

Interdisciplinary management of complications in visceral medicine

Optimized approach for bleeding, perforation and leakages

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Der Gastroenterologe Aims and scope

Zusammenfassung

Die Viszeralmedizin mit ihren vielen Facetten der chirurgischen und endoskopischen Interventionen birgt ein gewisses Potenzial an unvermeidbaren Komplikationen. Grundvoraussetzung für die Beherrschung von Komplikationen sind eine zielgerichtete Diagnostik und Therapie. Für die Effektivität einer schnellen und konsequenten Diagnostik bzw. Therapie ist ein kompetentes interdisziplinäres Komplikationsmanagement unabdingbar. Der Erfolg des Komplikationsmanagements bestimmt die Prognose und Krankenhausverweildauer des Patienten. Ziel dieser Übersicht ist es, die wesentlichen Komplikationen endoskopischer Interventionen sowie chirurgischer Manöver aufzuzeigen und deren interdisziplinäre Therapiemöglichkeiten darzustellen.

Abstract

Visceral medicine with its wide array of surgical and endoscopic interventions involves the risk of unpreventable complications. Basic requirements for the control of complications are target-oriented diagnostics and therapy. The efficiency of fast and consequent diagnostics with subsequent therapy depends on a competent and interdisciplinary management of complications. The success of this management is decisive for the prognosis and hospital stay of patients. In the present overview the main complications of endoscopic interventions and surgical therapy are outlined and options for interdisciplinary treatment are discussed.

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Authors and Affiliations

  1. Chirurgische Klinik A (Allgemein-, Viszeral-, Thorax- und Unfallchirurgie), Klinikum der Stadt Ludwigshafen, Bremserstr. 79, 67063, Ludwigshafen, Deutschland

    Z. Mohr &  S. Willis

  2. Medizinische Klinik C, Klinikum der Stadt Ludwigshafen, Ludwigshafen, Deutschland

    R. Jakobs

Authors
  1. Z. Mohr
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  2. S. Willis
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  3. R. Jakobs
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Correspondence to Z. Mohr.

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Mohr, Z., Willis, S. & Jakobs, R. Interdisziplinäres Komplikationsmanagement in der Viszeralmedizin. Gastroenterologe 5, 245–250 (2010). https://doi.org/10.1007/s11377-009-0378-z

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