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Erkrankungen und Therapieformen des unteren Gastrointestinaltrakts

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Pädiatrische Gastroenterologie, Hepatologie und Ernährung

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Zusammenfassung

Duodenalatresien sind Hemmungsfehlbildungen und können proximal oder distal der Papilla Vateri entstehen, wobei die präpapillären Obstruktionen selten sind. Grundsätzlich kann zwischen einer Membranatresie und einer Defektatresie unterschieden werden. Die Unterscheidung beruht nicht nur auf embryologischen Gesichtspunkten, sondern hat auch eine klinische Bedeutung: Bei der Membranatresie kann die quergestellte, partiell offene oder geschlossene Membran weit in den distalen Duodenalanteil reichen („Windsackphänomen“), was zu diagnostischen und auch intraoperativen Problemen führen kann. Ein Pancreas anulare findet sich bei etwa 20 % aller Patienten mit Duodenalatresie.

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Authors and Affiliations

  1. Abteilung für Kinderchirurgie, Universitätsklinik für Kinder- und Jugendmedizin Tübingen, Hoppe-Seyler-Str. 1, 72076, Tübingen, Deutschland

    Jörg Fuchs Prof. Dr.

  2. Abteilung Kinderchirurgie und Kinderurologie, Universitätsklinik für Kinder- und Jugendmedizin Tübingen, Hoppe-Seyler-Str. 1, 72076, Tübingen, Deutschland

    Verena Ellerkamp Dr.

  3. Zentrum für Kinderheilkunde und Jugendmedizin, Abteilung Allgemeine Pädiatrie und Neonatalogie, Universitätsklinikum Gießen und Marburg GmbH, Feulgenstr. 12, 35392, Gießen, Deutschland

    Klaus-Peter Zimmer Prof. Dr.

  4. Zentrum für Kinderheilkunde und Jugendmedizin, Abteilung Allgemeine Pädiatrie und Neonatalogie, Justus-Liebig-Universität Gießen, Feulgenstr. 12, 35385, Gießen, Deutschland

    Jens-Oliver Steiß Priv.-Doz. Dr.

  5. Universitätsklinik für Kinder- und Jugendheilkunde Graz, Auenbruggerplatz 30, 8036, Graz, Österreich

    Almuthe C. Hauer Prof. Dr.

  6. Pädiatrie, St.-Marien-Hospital, Robert-Koch-Str. 1, 53115, Bonn, Deutschland

    Stephan Buderus Dr.

  7. Fachbereich Kinder- und Jugendmedizin, Deutsche Klinik für Diagnostik, Aukammallee 32, 65191, Wiesbaden, Deutschland

    Klaus-Michael Keller Prof. Dr.

  8. Kinderchirurgische Klinik und Poliklinik im Dr. von Haunerschen Kinderspital, Klinikum der Universität München, Lindwurmstr. 4, 80337, München, Deutschland

    Dietrich von Schweinitz Prof. Dr.

  9. Hôpital Necker Enfants Malades, 149, Rue de Sèvres, 75743, Paris Cedex 15, Frankreich

    Florence Lacaille Dr., Frank M. Rümmele Dr. & Olivier Goulet Prof. Dr.

  10. Abteilung für Kinderheilkunde und Jugendmedizin, Neonatalogie, Klinikum Kempten Oberallgäu gGmbH, Robert-Weixler-Str. 50, 87439, Kempten, Deutschland

    Herbert Müller Dr.

  11. Kinderspital Zürich, Universitäts-Kinderkliniken, Steinwiesstr. 75, 8032, Zürich, Schweiz

    Karl-Ludwig Waag Prof. Dr.

  12. Kinderchirurgische Klinik, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland

    Claus Petersen Prof. Dr.

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  1. Jörg Fuchs Prof. Dr.
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  1. Zentrum für Kinder- und Jugendmedizin, Christliches Kinderhospital Osnabrück, Johannisfreiheit 1, 49074, Osnabrück, Deutschland

    Burkhard Rodeck Priv.-Doz. Dr.

  2. Abteilung Allgemeine Pädiatrie und Neonatalogie, Universitätsklinikum Gießen und Marburg GmbH, Zentrum für Kinderheilkunde und Jugendmedizin, Feulgenstr. 12, 35392, Gießen, Deutschland

    Klaus-Peter Zimmer Prof. Dr.

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Fuchs, J. et al. (2013). Erkrankungen und Therapieformen des unteren Gastrointestinaltrakts. In: Rodeck, B., Zimmer, KP. (eds) Pädiatrische Gastroenterologie, Hepatologie und Ernährung. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-24710-1_10

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