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Dickdarm pp 297–339Cite as

Pathomorphologie

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Part of the book series: Handbuch der inneren Medizin ((INNEREN 3,volume 3 / 4))

Zusammenfassung

Colitis ulcerosa und Colitis granulomatosa Crohn sind differentialdiagno-stischzufolge klinischer, radiologischer, endoskopischer und histologischer Kriterien in aller Regel gut gegeneinander abzugrenzen (MCGOVERN 1969; PRICE u. MORSON 1975; KIRSNER 1975, 1978; YARDLEY u. DONOWITZ 1977; SOMMERS 1978; OTTO u. GEBBERS 1978a, b; FAHRLäNDER et al. 1979). Dennoch faßt man derzeit ulzeröse und granulomatöse Kolitiden unter dem Oberbegriff der „chronisch-entzündlichen Darmkrankheiten“ zusammen (Übersicht: KIRSNER u. SHORTER 1975). Die Gründe dafür liegen in gewissen Gemeinsamkeiten: zwischen ulzerösen und granulomatösen Kolitiden bestehen genetische Korrelationen, beide treten in etwa gleichen Altersklassen auf, sie zeigen einen chronisch-rezidivierenden Verlauf (eine gewissermaßen „autonome Progredienz“) mit gleichen extra-intestinalen Begleiterkrankungen (Komplikationen), sie sprechen mehr oder weniger gut auf eine vergleichbare medikamentöse Therapie an (SCHACHTER u. KIRSNER 1975; KIRSNER 1978; FAHRLÄNDER 1977, 1979; FAHRLÄNDER et al. 1979). Zudem ist derzeit weder für die Colitis ulcerosa noch für den Morbus Crohn eine „ätiologische Definition“ möglich. In der französischen Literatur wird demzufolee von einer „entérocolite crvntoénétiaue“ gesprochen.

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Authors
  1. H. F. Otto
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  2. J.-O. Gebbers
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Editor information

Editors and Affiliations

  1. Kinderklinik, Universitäts-Krankenhaus Eppendorf, Martinistr. 52, D-2000, Hamburg 20, Deutschland

    F. Bläker

  2. Pharmakologisches Institut, Universitäts-Krankenhaus Eppendorf, Martinistr. 52, D-2000, Hamburg 20, Deutschland

    W. Braun

  3. Radiologische Klinik, Universitäts-Krankenhaus Eppendorf, Martinistr. 52, D-2000, Hamburg 20, Deutschland

    E. Bücheler

  4. Zentrum Chirurgie, Abteilung Kinderchirurgie, Klinikum der Universität, Im Neuenheimer Feld 110, D-6900, Heidelberg, Deutschland

    R. Daum

  5. Chirurgische Universitätsklinik Amsterdam, Wilhelmina Gasthuis, NL-1054 EG, Amsterdam, The Netherlands

    R. J. A. M. van Dongen

  6. Radiologisches Institut, Stadtklinik, Balgerstr. 50, D-7570, Baden-Baden, Deutschland

    W. Erbe

  7. Abteilung für Allgemeine Chirurgie mit Poliklinik, Chirurgische Universitätsklinik, Hugstetter Straße 55, D-7800, Freiburg i. Br., Deutschland

    E. H. Farthmann

  8. Kantonsspital Luzern, Medizinische Klinik, Gastroenterologische Abteilung, der Universität Zürich, CH-6004, Luzern, Switzerland

    L. Filippini (Lehrbeauftragter) (Lehrbeauftragter)

  9. Innere Abteilung, Krankenhaus St. Josef, Bergstr. 6-12, D-5600, Wuppertal-Elberfeld, Deutschland

    F. H. Franken

  10. Zentrum Psychologische Medizin, Abteilung für Psychosomatik, Medizinische Hochschule Hannover, Karl-Wiechert-Allee 9, D-3000, Hannover 61, Deutschland

    H. Freyberger

  11. Pathologisches Institut, Kantonsspital Luzern, CH-6004, Luzern, Switzerland

    J.-O. Gebbers

  12. Division of Gastroenterology, The Scripps Clinic and Research Foundation, University of California, San Diego, La Jolla, CA, USA

    W. S. Haubrich M.D., F.A.C.P.

  13. Medizinische Klinik, Universitäts-Krankenhaus Eppendorf, Martinistr. 52, D-2000, Hamburg 20, Deutschland

    K. H. Hölze

  14. I. Medizinische Abteilung, Städtisches Krankenhaus Neuperlach, Oskar-Maria-Graf-Ring 51, D-8000, München 83, Deutschland

    W. Kühner

  15. Psychiatrische Klinik, ehemaliger Chefarzt der Klinik des Bernhard-Nocht-Instituts für Schiffs- und Tropenkrankheiten, Oderfelder Str. 6, D-2000, Hamburg 13, Deutschland

    W. Mohr

  16. Medizinische Klinik, Universitäts-Krankenhaus Eppendorf, Martinistr. 52, D-2000, Hamburg 20, Deutschland

    K. Müller-Wieland

  17. I. Medizinische Abteilung, Stadtisches Krankenhaus Neuperlach, Oskar-Maria-Graf-Ring 51, D-8600, München 83, Deutschland

    R. Ottenjann

  18. Medizinische Klinik, Universitäts-Krankenhaus Eppendorf, Martinistr. 52, D-2000, Hamburg 20, Deutschland

    H. F. Otto

  19. Physiologisches Institut, Universitäts-Krankenhaus Eppendorf, Martinistr. 52, D-2000, Hamburg 20, Deutschland

    H. J. Roose

  20. Medizinische Klinik, Abteilung für Klinische Immunologic, Universitäts-Krankenhaus Eppendorf, Martinistr. 52, D-2000, Hamburg 20, Deutschland

    E. Rumberger

  21. Medizinische Klinik, Abteilung für Klinische Immunologie, Universitäts-Krankenhaus Eppendorf, Martinistr. 52, D-2000, Hamburg 20, Deutschland

    W.-H. Schmiegel

  22. Chirurgische Klinik, Universitäts-Krankenhaus Eppendorf, Martinistr. 52, D-2000, Hamburg 20, Deutschland

    H. W. Schreiber

  23. Chirurgische Universitätsklinik Amsterdam, Wilhelmina Gasthuis, NL-1054 EG, Amsterdam, The Netherlands

    E.-D. Schwilden

  24. Abteilung für Gefäßchirurgie, z.Z. Städtische Krankenanstalten, Hirschlandstr. 97, D-7300, Esslingen a. Neckar, Deutschland

    E.-D. Schwilden

  25. Chirurgische Klinik, Universitäts-Krankenhaus Eppendorf, Martinistr. 52, D-2000, Hamburg 20, Deutschland

    N. Soehendra

  26. Chirurgische Universitätsklinik und Poliklinik, Sigmund-Freud-Str. 25, D-5300, Bonn 1, Deutschland

    F. Stelzner

  27. Medizinische Klinik, Abteilung für Klinische Immunologic, Universitäts-Krankenhaus Eppendorf, Martinistr. 52, D-2000, Hamburg 20, Deutschland

    H.-G. Thiele

  28. Klinik für Innere Medizin, Abteilung für Gastroenterologie, Der Universität von Amsterdam, Wilhelmina Gasthuis, NL-1054 EG, Amsterdam, The Netherlands

    G. N. Tijtgat

  29. Chirurgische Abteilung, Kreiskrankenhaus, D-6640, Merzig, Deutschland

    B. Täger

  30. I. Medizinische Abteilung, Stadtisches Krankenhaus Neuperlach, Oskar-Maria-Graf-Ring 51, D-8000, München 83, Deutschland

    J. Weingart

  31. Chirurgische Klinik, Universitäts-Krankenhaus Eppendorf, Martinistr. 52, D-2000, Hamburg 20, Deutschland

    R. Winkler

  32. Medizinische Klinik, Universitäts-Krankenhaus Eppendorf, Martinistr. 52, D-2000, Hamburg 20, Deutschland

    Kurt Müller-Wieland

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Otto, H.F., Gebbers, JO. (1982). Pathomorphologie. In: Bläker, F., et al. Dickdarm. Handbuch der inneren Medizin, vol 3 / 4. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-67945-2_13

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  • DOI: https://doi.org/10.1007/978-3-642-67945-2_13

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