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Bakterienflora des Dünndarms

  • Chapter
Dünndarm A

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

Zusammenfassung

Die Entdeckung „kleiner Lebewesen“auf seinen Zähnen und im Stuhl durch van Leeuwenhoeck im Jahre 1719, gleichsam der Beginn der Darmbakteriologie, läßt bereits topographische Interessenschwerpunkte der gastrointestinalen Mikrobiologie in den nachfolgenden 250 Jahren erkennen. Während die Flora des Oropharynx und der Fäzes extensiv untersucht worden ist, war die mikrobielle Ökologie des Dünndarms lange Gegenstand kontroverser und vielfach spekulativer Auffassungen. Teilweise liegen die Ursachen hierfür in der relativen Unzugängigkeit dieses Darmabschnitts und seiner geringen Keimdichte, die zudem durch die routinemäßig vorhandenen bakteriologischen Techniken nur unzureichend erfaßt wird (Borriello et al. 1978). Die Diskrepanz zwischen der Zahl mikroskopisch sichtbarer Keime im Dünndarm und den häufig negativen Kulturergebnissen, ein bereits frühzeitig erkanntes Stigma der Mikrobiologie des Gastrointestinaltrakts (Cohnheim 1908), ist bis heute nicht beseitigt. Während die bakteriologischen Voraussetzungen der Kultur, Identifikation und Enumeration der meisten im Gastrointestinaltrakt vorkommenden Genera als etablierte Verfahren gelten können, ist die Taxonomie, Isolation, Identifikation und Zählung von einzelnen Spezies der obligat anaeroben Gattungen uneinheitlich und durch methodische Schwierigkeiten gekennzeichnet (Borriello et al. 1978).

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  1. B. Lembcke
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Editors and Affiliations

  1. Cattedra di Clinica Medica III, Università di Bologna, Via Massarenti, 9, I-Bologna, Italia

    F. Bazzoli

  2. I. Medizinische Abteilung, Marienkrankenhaus, Alfredstr. 9, D-2000, Hamburg 76, Deutschland

    R. Böhmer

  3. Medizinische Klinik II, Stadtkrankenhaus, Leimenstr. 20, D-6450, Hanau 1, Deutschland

    W. F. Caspary

  4. Abteilung Interne Strahlendiagnostik, Mannkopffstr. 1, D-3550, Marburg, Deutschland

    H. Dombrowski

  5. I. Medizinische Klinik und Poliklinik, Klinikum der Johannes Gutenberg-Universität, Lagenbeckstr. 1, D-6500, Mainz, Deutschland

    B. Eckhardt  & B. Lembcke  & 

  6. Medizinische Klinik und Poliklinik, Abteilung für Gastroenterologie und Stoffwechselkrankheiten, Kliniken der Universität, Humboldtallee 1, D-3400, Göttingen, Deutschland

    B. Elsenhans

  7. Abteilung für Allgemein- und Abdominalchirurgie, Klinikum der Johann-Wolfgang-Goethe-Universität, Theodor-Stern-Kai 7, D-6000, Frankfurt 70, Deutschland

    A. Encke

  8. Gastrointestinal Unit, Western General Hospital, University of Edinburgh, Crewe Road, EH4 2XU, Edinburgh, Scotland, UK

    A. Ferguson

  9. Institut für Pharmakologie und Toxikologie, Medizinische Fakultät der Ludwig-Maximilians-Universität, Nußbaumstr. 26, D-8000, München 2, Deutschland

    W. Forth

  10. School of Medicine, Department of Medicine, Montefiore Hospital, University of Pittsburgh, 3459 Fifth Avenue, Pittsburgh, PA, 15213, USA

    H. Fromm

  11. I. Universitätsklinik für Gastroenterologie und Hepatologie, Lazarettgasse 14, A-1090, Wien, Österreich

    A. Gangl

  12. Medizinische Klinik und Poliklinik, Abteilung für Innere Medizin mit Schwerpunkt Gastroenterologie, Universitätsklinikum Steglitz, Hindenburgdamm 30, D-1000, Berlin 45, Deutschland

    S. Gutschmidt

  13. School of Medicine, Department of Anatomy, Case Western Reserve University, Cleveland, OH, 44106, USA

    U. Hopfer

  14. Health Science Center at Dallas, Southwestern Medical School, Department of Internal Medicine, The University of Texas, 5323 Harry Hines Boulevard, Dallas, TX, 75235, USA

    G. J. Kreijs  & R. Wanitschke  & 

  15. Abteilung Gastroenterologie und Stoffwechsel, Zentrum Innere Medizin der Universität, Robert-Koch-Str. 40, Göttingen, D-3400, Deutschland

    K.-H. Meyer zum Büschenfelde

  16. Institut für Klinische und Experimentelle, Nuklearmedizin der Universitätskliniken, Joseph-Stelzmann-Str. 9, Köln 41, D-5000, Deutschland

    G. Mödder

  17. Theoretische Medizin, Fachrichtung 3.4 - Pharmakologie-Toxikologie, Fachbereich 3 der Universität des Saarlandes, Homburg, D-6650, Deutschland

    G. Nell

  18. Pathologisches Institut, Universitäts-Krankenhaus Eppendorf, Martinistr. 52, Hamburg 20, D-2000, Deutschland

    H. F. Otto

  19. 2. Medizinische Klinik und Poliklinik, Medizinische Einrichtungen der Universität, Moorenstr. 5, Düsseldorf 1, D-4000, Deutschland

    H. Peerenboom

  20. Institut für Ernährungswissenschaft der Justus-Liebig-Universität, Wilhelmstr. 20, Giessen, D-6300, Deutschland

    G. Rehner

  21. Innere Abteilung, Kreiskrankenhaus, Bunsenstr. 120, Böblingen, D-7030, Deutschland

    G. Rettenmaier

  22. Service de Chirurgie, Département de Chirurgie Expérimentale, Hôpital Cantonal Universitaire, Lausanne 11 CHUV, CH-1011, Schweiz

    J. W. L. Robinson

  23. Abteilung Klinische Chemie, Zentrallabor, Klinikum der Universität, Uferstr. 2a, Marburg, D-3550, Deutschland

    K. Rommel

  24. Medizinische Klinik mit Poliklinik der Universität, Krankenhausstr. 12, Erlangen, D-8520, Deutschland

    H. Ruppin

  25. Experimentelle Chirurgie der Allgemeinchirurgie der Universität, Hospitalstr. 40, Kiel 1, D-2300, Deutschland

    J. Seifert

  26. Froedtert Memorial Lutheran Hospital, Section of Gastroenterology, The Medical College of Wisconsin, 9200 West Wisconsin Avenue, Milwaukee, WI, 53226, USA

    K. H. Soergel

  27. Gastrointestinal Unit and Department of Medicine, Wolson Gastrointestinal Laboratories, Western General Hospital, University of Edinburgh, Crewe Road, Edinburgh, EH4 2XU, Scotland, UK

    S. Strobel

  28. Zentrum der Kinderheilkunde, Abteilung Allgemeine Pädiatrie I, Sektion Kindergastroenterologie, Klinikum der Johann-Wolfgang-Goethe-Universität, Theodor-Stern-Kai 7, Frankfurt 70, D-6000, Deutschland

    S. Strobel

  29. Fachbereich Medizin, Anatomisches Institut, Johannes Gutenberg-Universität, Saarstr. 19/21, Mainz, D-6500, Deutschland

    L. Vollrath

  30. II. Medizinische Klinik, Krankenhausstiftung Bamberg, Untere Sandstr. 32, Bamberg, D-8600, Deutschland

    H. J. Weis

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© 1983 Springer-Verlag Berlin Heidelberg

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Lembcke, B. (1983). Bakterienflora des Dünndarms. In: Bazzoli, F., et al. Dünndarm A. Handbuch der inneren Medizin, vol 3 / 3 / A. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-68415-9_21

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  • DOI: https://doi.org/10.1007/978-3-642-68415-9_21

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