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Die spontane bakterielle Peritonitis

Spontaneous bacterial peritonitis

  • Übersicht
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Zusammenfassung

□ Hintergrund

Seit Anfang der 80er Jahre haben systematische Untersuchungen unsere Kenntnisse über das Krankheitsbild der spontanen bakteriellen Peritonitis stark erweitert. Bedeutsame Einsichten in Epidemiologie, Pathogenese, klinische Symptomatik, Diagnostik und Therapie dieser Erkrankung, die eine häufige Komplikation bei Patienten mit Leberzirrhose und Aszites darstellt, konnten gewonnen werden. Aktuelle Forschungen befassen sich in erster Linie mit Fragen der Therapie und der Prophylaxe.

□ Ziel

Ziel dieser Übersicht ist eine umfassende Darstellung der verschiedenen Aspekte dieser Erkrankung auf der Basis der vorliegenden Literatur.

□ Schlußfolgerungen

Da einerseits die klinische Symptomatik sehr blande sein kann, andererseits aber die Prognose sehr schlecht ist, ist es äußerst wichtig, dieses Krankheitsbild in die differentialdiagnostischen Überlegungen einzubeziehen, um frühzeitig die Diagnose zu stellen und eine adäquate Therapie einzuleiten.

Abstract

□ Background

Since the beginning of the eighties systematic investigations broadened our knowledge about the clinical picture of spontaneous bacterial peritonitis very much. Important insights into epidemiology, pathogenesis, symptomatology, diagnosis and therapy of this disease, which is a frequent complication in patients with cirrhosis of the liver and ascites, could be gained. Actual research work primarily deals with questions of therapy and prophylaxis.

□ Aim

Aim of this review is a comprehensive presentation of the different aspects of this disease on the basis of the present literature.

□ Conclusions

As on the one side the clinical symptoms may be very little and on the other side the prognosis is very bad, it is extremely important to take this entity into the differential considerations to make an early diagnosis and to start an adequate therapy early.

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  1. Zentrum für Innere Medizin, Schwerpunkte Gastroenterologie, Hepatologie und Endokrinologie, Robert-Bosch-Krankenhaus, Auerbachstraße 110, D-70376, Stuttgart

    Johannes Zundler & Johann Christian Bode

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Zundler, J., Bode, J.C. Die spontane bakterielle Peritonitis. Med Klin 93, 612–618 (1998). https://doi.org/10.1007/BF03042676

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