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Motilitätsstörungen der Gallenwege und Postcholezystektomiesyndrom

  • H.-D. Allescher
Chapter

Zusammenfassung

Die heute meist laparoskopisch durchgeführte Cholezystektomie ist ein effektives Verfahren zur Therapie symptomatischer Gallensteine und ist normalerweise mit einem exzellenten postoperativen Ergebnis verknüpft. Trotzdem wird bei einem Teil der cholezystektomierten Patienten eine Persistenz der Symptomatik beobachtet oder es kommt sogar zum Auftreten neuer Beschwerden im oberen Gastrointestinaltrakt, die sich in den rechten oberen Quadranten projizieren und unter dem Begriff „Postcholezystektomiesyndrom“ subsumiert werden. Dies wird bei ca. 2–15% der operierten Patienten beobachtet. Lediglich ein geringer Prozentsatz dieser symptomatischen Patienten (ca. 10%) leiden an Funktionsstörungen im Bereich der Papille (Sphinkter-Oddi-Dysfunktion), die sich sowohl in einer relativen Stenose als auch in einer Motilitätsstörung des Sphinkter Oddi (Sphinkter-Oddi-Dyskinesie) manifestieren kann.

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© Springer-Verlag Berlin Heidelberg 2003

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  • H.-D. Allescher

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