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Dünndarmileus

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Akutes Abdomen im Kindes- und Jugendalter

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Zusammenfassung

Postoperative Briden und Adhäsionen sind die häufigsten Ursachen für einen Dünndarmileus. Es finden sich kolikartige Bauchschmerzen, rezidivierendes galliges Erbrechen, eine Zunahme des Bauchumfangs und eine Schocksymptomatik. Die Diagnose wird gestellt durch ein Abdomenleerröntgenbild in Rückenlage und ggf. MRT oder Kontrastmittel-CT oder diagnostische Laparoskopie. Die konservative Behandlung besteht aus Flüssigkeitssubstitution und ggf. Kontrastmittelgabe über eine Magensonde. Die chirurgischen Therapiemöglichkeiten sind die laparoskopische Bridendurchtrennung und Adhäsiolyse, die Laparotomie mit Adhäsiolyse oder eine Darmresektion mit oder ohne Stomaanlage.

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Authors and Affiliations

  1. Kinder- und Jugendchirurgie, Klinikum Klagenfurt, Klagenfurt am Wörthersee, Österreich

    Günter Fasching

  2. Universitäts-Kinderspital beider Basel, Basel, Schweiz

    Johannes Mayr

Authors
  1. Günter Fasching
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  2. Johannes Mayr
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Correspondence to Günter Fasching .

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Editors and Affiliations

  1. Universitäts-Kinderspital beider Basel (UKBB), Basel, Switzerland

    Johannes Mayr

  2. Kinder- und Jugendchirurgie, Klinikum Klagenfurt, Klagenfurt am Wörthersee, Austria

    Günter Fasching

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© 2018 Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature

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Fasching, G., Mayr, J. (2018). Dünndarmileus . In: Mayr, J., Fasching, G. (eds) Akutes Abdomen im Kindes- und Jugendalter. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-55995-6_18

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  • DOI: https://doi.org/10.1007/978-3-662-55995-6_18

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-55994-9

  • Online ISBN: 978-3-662-55995-6

  • eBook Packages: Medicine (German Language)

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