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Operationsindikation und Erfolgsbeurteilung bei der Colitis ulcerosa

  • Conference paper
Der chronisch Kranke in der Gastroenterologie

Part of the book series: Interdisziplinäre Gastroenterologie ((GASTROENTEROLOG))

  • 48 Accesses

Zusammenfassung

Die Indikation zur Operation bei einer Colitis ulcerosa muß vor dem Hintergrund gesehen werden, daß die leichten und mittelschweren Verlaufsformen durch medikamentös-konservative Maßnahmen effektiv behandelt werden können. Gleichzeitig kann festgestellt werden, daß die Colitis ulcerosa im Gegensatz zum M. Crohn eine chirurgisch heilbare Erkrankung darstellt. Die Indikation zur operativen Therapie bei der Colitis ulcerosa kann für 3 Situationen festgelegt werden [8]:

  1. 1)

    Akute Notfallsituation bei Vorliegen einer Perforation, Peritonitis oder akuten Blutung;

  2. 2)

    Versagen konsequent durchgeführter konservativer Therapiemaßnahmen mit Auftreten lokaler Komplikationen und Herabsetzung der individuellen Lebensqualität;

  3. 3)

    erhöhtes Malignisierungsrisiko.

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Authors
  1. M. Betzler
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  2. Ch. Herfarth
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Editor information

Editors and Affiliations

  1. Medizinische Klinik und Poliklinik, Universität Essen, Hufelandstraße 55, D-4300, Essen, Deutschland

    Harald Goebell  & Jürgen Hotz  & 

  2. Chirurgische Klinik, Universitätsklinikum, Hugstetter Straße 55, D-7800, Freiburg, Deutschland

    Eduard Heinrich Farthmann

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© 1984 Springer-Verlag Berlin Heidelberg

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Betzler, M., Herfarth, C. (1984). Operationsindikation und Erfolgsbeurteilung bei der Colitis ulcerosa. In: Goebell, H., Hotz, J., Farthmann, E.H. (eds) Der chronisch Kranke in der Gastroenterologie. Interdisziplinäre Gastroenterologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-69190-4_35

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  • DOI: https://doi.org/10.1007/978-3-642-69190-4_35

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-69191-1

  • Online ISBN: 978-3-642-69190-4

  • eBook Packages: Springer Book Archive

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