Skip to main content
SpringerLink
Log in
Book cover

Notfalltherapie pp 189–204Cite as

Konservative Therapie und Rezidivprophylaxe

  • Conference paper

Part of the book series: Interdisziplinäre Gastroenterologie ((GASTROENTEROLOG))

Zusammenfassung

Das blutende Gastroduodenalulcus ist eine ernste und lebensbedrohende Komplikation der Ulcuskrankheit. Im Verlauf der Ulcuskrankheit nimmt das Blutungsrisiko mit der Häufigkeit der Ulcusschübe zu, doch kann sich eine Ulcuskrankheit auch erstmals mit einer Blutung manifestieren. Unter den Blutungsursachen im oberen Gastrointestinaltrakt übertreffen Blutungen aus Ulcera ventriculi oder duodeni zahlenmäßig solche aus anderen Blutungsquellen (Tabelle 1) [1, 9, 11, 15, 17, 36]. Aus praktisch-therapeutischen Gründen sollten zur Beurteilung blutender Gastroduodenalulcera die von Forrest et al. [15] vorgeschlagenen Kriterien herangezogen werden, die auf dem endoskopischen Befund während der Blutung oder nach eingetretenem Blutungsstillstand beruhen.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   54.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   69.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. Allan R, Dykes P (1976) A study of the factors influencing mortality rates from gastrointestinal haemorrhage. Q J Med 180:533–550

    Google Scholar 

  2. Athanasoulis CA, Baum S, Waltman A, Ring EJ, Imbembo A, Vander Salm TJ (1974) Control of acute gastric mucosal hemorrhage. Intraarterial infusion of posterior pituitary extract. N Engl J Med 290:597–603

    Article  PubMed  CAS  Google Scholar 

  3. Avery JF (1956) Hematemesis and melena. With special reference to causation and to the factors influencing the mortality from bleeding peptic ulcers. Gastroenterology 30:166–189

    Google Scholar 

  4. Bar-Meir S, Conn HO (1976) Spontaneous bacterial Peritonitis induced by intraarterial vasopressin therapy. Gastroenterology 70:418–421

    PubMed  CAS  Google Scholar 

  5. Barr JW, Lakin RC, Rösch J (1975) Similarity of arterial and intravenous vasopressin on portal and systemic hemodynamics. Gastroenterology 69:13–19

    PubMed  CAS  Google Scholar 

  6. Becker HD, Schafmeyer A, Börger HW (1979) Die Behandlung der Blutung aus akuten Schleimhautläsionen des Magens und Duodenums durch Secretin. Chirurg 50:87–90

    PubMed  CAS  Google Scholar 

  7. Bivins BA, Rogers EL, Rapp RP, Sachatello CR, Hyde GL, Griffen WO (1980) Clinical failures with cimetidine. Surgery 88:417–424

    PubMed  CAS  Google Scholar 

  8. Carstensen HE, Bülow S, Hart HO et al. (1980) Cimetidine for severe gastroduodenal haemorrhage:a randomized controlled trial. Scand J Gastroenterol 15:103–105

    Article  PubMed  CAS  Google Scholar 

  9. Cello JP, Thoeni RF (1980) Gastrointestinal hemorrhage. Comparative values of doublecontrast Upper gastrointestinal radiology and endoscopy. JAMA 243:685–688

    Article  PubMed  CAS  Google Scholar 

  10. Conn HO, Ramby GR, Stoser EH et al. (1975) Intraarterial Vasopressin in the treatment of upper gastrointestinal hemorrhage:a prospective, controlled clinical trial. Gastroenterology 68:211–221

    PubMed  CAS  Google Scholar 

  11. Cotton PB, Rosenberg MT, Waldram RPL (1973) Early endoscopy of esophagus, stomach and duodenal bulb in patients with haematemesis and melaena. Br Med J II:505–509

    Article  Google Scholar 

  12. Douglas HO (1974) Levarterenol irrigation. Control of massive gastrointestinal bleeding in pour-risk patients. JAMA 230:1653–1657

    Article  Google Scholar 

  13. Dronfield MW, Atkinson M, Langman MJS (1979) Effect of different operation policies on mortality from bleeding peptic ulcer. Lancet 1:1126–1128

    Article  PubMed  CAS  Google Scholar 

  14. Eichfuss HP, Farthmann E, Horatz K, Schreiber HW (1976) Die große Blutung aus Magen und Zwölffingerdarm. Dtsch Med Wochenschr 101:753–755

    Article  PubMed  CAS  Google Scholar 

  15. Forrest JAH, Finlayson NDC, Sherman DJC (1974) Endoscopy in gastrointestinal bleeding. Lancet II:394–397

    Article  Google Scholar 

  16. Foster JH (1974) Immediate results of emergency operation for massive Upper gastrointestinal hemorrhage. A cooperative study by the connecticut society of American board surgeon. Am J Surg 122:387–393

    Google Scholar 

  17. Foster DN, Miloszewski KJA, Losowsky MS (1978) Stigmata of recent hemorrhage in diagnosis and prognosis of upper gastrointestinal bleeding. Brit Med J I:1173–1177

    Article  Google Scholar 

  18. Galmiche JP, Colin R, Veyrac M, Hecketsweiler P, Ouvry D, Tenière P, Ducrotté P (1980) Double-blind controlled trial of cimetidine in bleeding peptic ulcer. In:Torsoli A, Lucchelli PE, Brimblecombe RW (eds) H-2-Antagonists. International Congress Series No. 521. Excerpta Medica, Amsterdam, p 164–171

    Google Scholar 

  19. Hoare AM, Bradby GVH, Hawkins CF (1979) Cimetidine in bleeding peptic ulcer. Lancet II:671–673

    Article  Google Scholar 

  20. Kayasseh L, Gyr K, Keller U, Stalder GA, Wall M (1980) Somatostatin and cimetidine in peptic-ulcer hemorrhage. A randomized controlled trial. Lancet I:884–846

    Google Scholar 

  21. Kim U, Dreiling DA, Kark AE, Rudick J (1974) Factors influencing mortality in surgical treatment for massive gastroduodenal hemorrhage. Am J Gastroenterol 62:24–35

    PubMed  CAS  Google Scholar 

  22. Kiselow MC, Wagner M (1973) Intragastric instillation of levearterenol. Arch Surg 107:387–389

    PubMed  CAS  Google Scholar 

  23. La Brooy SJ, Misiewicz JJ, Edwards J et al. (1979) Controlled trial of Cimetidine in upper gastrointestinal hemorrhage. Gut 20:892–895

    Article  PubMed  Google Scholar 

  24. Le Veen HH, Diaz C, Falk G et al. (1972) Control of gastrointestinal bleeding. Am J Surg 123:154–159

    Article  Google Scholar 

  25. Martin LF, Max MH, Polk HC (1980) Failure of gastric pH control by antacids or cimetidine in the critically ill:a valid sign of sepsis. Surgery 88:59–68

    PubMed  CAS  Google Scholar 

  26. Millette B, Huet PM, Lavoie P, Viallet A (1975) Portal and systemic effects of selective infusion of vasopressin into the superior mesenteric artery in cirrhotic patients. Gastroenterology 69:6–12

    PubMed  CAS  Google Scholar 

  27. Nicoloff DM, Griffen WO, Salmon PA, Peter ET, Wangensteen OH (1962) Local gastric hypothermia in the management of massive gastrointestinal hemorrhage. Surg Gynecol Obstet 114:495–503

    PubMed  CAS  Google Scholar 

  28. Northfield TC (1971) Factors predisposing to recurrent hemorrhage after acute gastrointestinal bleeding. Br Med J I:26–28

    Article  Google Scholar 

  29. Pickard RG, Sanderson I, South M, Kirkham JS, Northfield TC (1979) Controlled trial of cimetidine in acute upper gastrointestinal bleeding. Br Med J I:661–662

    Article  Google Scholar 

  30. Rodgers JB, Older ThM, Stabler EV (1966) Gastric hypothermia:a critical evaluation of its use in massive upper gastrointestinal bleeding. Ann Surg 163:367–372

    Article  PubMed  CAS  Google Scholar 

  31. Sonnenberg GE, Keller U, Perruchoud A, Barckhardt D, Gyr K (1981) Effect of somatostatin on splanchnic hemodynamics in patients with cirrhosis of the liver and in normal subjects. Gastroenterology 80:526–532

    PubMed  CAS  Google Scholar 

  32. Stothert JC, Simonowitz DA, Patchen DE et al. (1980) Randomized prospective evaluation of Cimetidine and antacid control of gastric pH in the critically ill. Ann Surg 192:169–174

    Article  PubMed  Google Scholar 

  33. Wagner PK, Rothmund M (1980) Effekt von Cimetidin und Sekretin bei akuten Blutungen aus Magen und Duodenum — Ergebnisse einer prospektiven alternierenden Studie. Z Gastroenterol 18:337–341

    PubMed  CAS  Google Scholar 

  34. Wangensteen OH, Salmon PA, Griffen WO, Paterson JRS, Fattah F (1959) Studies of local gastric cooling as related to peptic ulcer. Ann Surg 150:346–360

    Article  PubMed  CAS  Google Scholar 

  35. Welch CE (1979) Treatment of acute, massive gastro-duodenal hemorrhage. JAMA 141:1113–1119

    Google Scholar 

  36. Whorwell PJ, Eade OE, Chapman R, Smith CL, Fisher JA (1981) Comparison between admission and next-day endoscopy in the management of acute upper gastrointestinal hemorrhage. Digestion 21:18–20

    Article  PubMed  CAS  Google Scholar 

Download references

Authors
  1. R. Arnold
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Klinik und Poliklinik für Allgemeinchirurgie, der Georg-August-Universität Göttingen, Robert-Koch-Straße 40, D-3400, Göttingen, Germany

    Jörg Rüdiger Siewert

  2. Medizinische Klinik, Stadtspital Triemli, Birmendorferstraße 497, CH-8063, Zürich, Switzerland

    André Louis Blum

  3. Abteilung für Allgemeine Chirurgie mit Poliklinik, Chirurgische Universitätsklinik, Hugstetterstraße 55, D-7800, Freiburg, Germany

    Eduard H. Farthmann

  4. Abteilung Gastroenterologie und Stoffwechsel, Medizinische Universitätsklinik, Robert-Koch-Straße 40, D-3400, Göttingen, Germany

    Paul G. Lankisch

Rights and permissions

Reprints and permissions

Copyright information

© 1982 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Arnold, R. (1982). Konservative Therapie und Rezidivprophylaxe. In: Siewert, J.R., Blum, A.L., Farthmann, E.H., Lankisch, P.G. (eds) Notfalltherapie. Interdisziplinäre Gastroenterologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-68497-5_19

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-68497-5_19

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-68498-2

  • Online ISBN: 978-3-642-68497-5

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation