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Motilitätsstörungen der Gallenwege

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Klinische Gastroenterologie und Stoffwechsel

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Zusammenfassung

Die Gallenwegsmotilität dient der zeitgerechten Bereitstellung der Gallenflüssigkeit bei den Verdauungsvorgängen, der Aufrechterhaltung des enterohepatischen Kreislaufs und der Verhinderung von Stase, die zu Entzündung und Steinbildung disponiert. Der Fluß wird bestimmt durch die Gallesekretion der Leber, durch den Kontraktionszustand der Gallenblase, durch die Motilität des Oddi-Sphinkter und durch die Bewegungsvorgänge im Duodenum. Gallenblasendysfunktion, Postcholezystektomiesyndrom und Funktionsstörungen des Oddi-Sphinkter werden mit Motilitätsstörungen der Gallenwege in Zusammenhang gebracht. Bei vielen der Patienten läßt sich allerdings kein organischer Befund an den Gallenwegen oder den benachbarten Organen erheben, so daß oft ein Beweis für die Zusammengehörigkeit von Mißempfindungen und funktionellen Störungen des Gallenwegsystems nicht erbracht werden kann. Aus diesem Grund sollte die Indikation für eine invasive Funktionsdiagnostik in jedem Fall sehr sorgfältig überprüft werden.

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Authors
  1. M. Wienbeck
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  2. Th. Eberl
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Editor information

Editors and Affiliations

  1. Abt. Innere Medizin I, Universitätsklinik Ulm, 89070, Ulm, Germany

    G. Adler

  2. Departement Innere Medizin Abt. Gastroenterologie Kantonsspital Basel, Universitätskliniken, Petersgraben 4, 4031, Basel, Schweiz

    C. Beglinger

  3. Abt. Gastroenterologie und Hepatologie Zentrum Innere Medizin und Dermatologie, Medizinische Hochschule Hannover, Carl-Neuberg-Straße 1, 30625, Hannover, Germany

    M. P. Manns

  4. Abt. für Innere Medizin, Park-Klinik Weißensee, Schönstraße 80, 13086, Berlin, Germany

    S. Müller-Lissner

  5. Medizinische Universitätsklinik Knappschaftskrankenhaus, In der Schornau 23-25, 44892, Bochum, Germany

    W. Schmiegel

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© 2000 Springer-Verlag Berlin Heidelberg

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Wienbeck, M., Eberl, T. (2000). Motilitätsstörungen der Gallenwege. In: Adler, G., Beglinger, C., Manns, M.P., Müller-Lissner, S., Schmiegel, W. (eds) Klinische Gastroenterologie und Stoffwechsel. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-57194-7_17

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  • DOI: https://doi.org/10.1007/978-3-642-57194-7_17

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-65059-1

  • Online ISBN: 978-3-642-57194-7

  • eBook Packages: Springer Book Archive

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