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Therapie gastroenterologischer Krankheiten pp 466–477Cite as

Kurzdarmsyndrom

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Beim Kurzdarmsyndrom (KDS; engl. »short bowel syndrome«) handelt es sich um ein — infolge der Resektion quantitativ und/oder funktionell bedeutender Dünndarmabschnitte auftretendes — Malabsorptionssyndrom. Das Ausmaß der klinischen Erscheinungen hängt zum einen von der Länge des verbleibenden Restdarms, zum anderen aber vom Ort der Resektion ab.

Das KDS des Erwachsenen unterscheidet sich in wesentlichen Punkten vom KDS bei Kindern. So reichen bei Neugeborenen bereits 40 cm Dünndarm für das Überleben ohne Notwendigkeit einer langzeitparenteralen Ernährung. Bei vorhandener Ileozäkalklappe sind gar 15 cm ausreichend.

Bei Erwachsenen muss hingegen mit einer langzeitparenteralen Ernährung gerechnet werden, wenn weniger als 70 cm Dünndarm verbleiben (<20% der Normallänge).

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Authors
  1. J. Stein
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Editors and Affiliations

  1. Medizinische Klinik II, Schwerpunkte Gastroenterologie/Hepatologie/Pneumologie/Allergologie, Universitätsklinikum der Johann Wolfgang Goethe-Universität, Theodor-Stern-Kai 7, 60590, Frankfurt am Main

    Wolfgang F. Caspary

  2. Medizinische Klinik und Poliklinik II, Universitätsklinikum Leipzig, Philipp-Rosenthal-Str. 27, 04103, Leipzig

    Joachim Mössner

  3. Zentrum Innere Medizin, Medizinische Klinik II, Gastroenterologie/Hepatologie/Pneumologie/Allergologie/Klinische Ernährung, Theodor-Stern-Kai 7, 60590, Frankfurt am Main

    Jürgen Stein

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© 2005 Springer Medizin Verlag Heidelberg

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Stein, J. (2005). Kurzdarmsyndrom. In: Caspary, W.F., Mössner, J., Stein, J. (eds) Therapie gastroenterologischer Krankheiten. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-26660-7_45

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  • DOI: https://doi.org/10.1007/3-540-26660-7_45

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-44174-8

  • Online ISBN: 978-3-540-26660-0

  • eBook Packages: Medicine (German Language)

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