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Chirurgische Therapie des Ulcus ventriculi und duodeni — Langzeitergebnisse

  • Conference paper
Der chronisch Kranke in der Gastroenterologie

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

Zusammenfassung

Die Ziele der chirurgischen Therapie des Gastroduodenalulkus sind klar definiert. Bei möglichst geringem Risiko soll das Ulkusleiden ohne unerwünschte Folgeerkrankungen dauerhaft geheilt werden. Die Ergebnisse der einzelnen chirurgischen Verfahren entsprechen diesen Zielsetzungen allerdings nur teilweise und haben wiederholt zu Änderungen des Behandlungskonzepts geführt. Kennzeichnend für die letzten Jahre sind einmal die zunehmende Anwendung nicht resezierender Verfahren, insbesondere der selektiven proximalen Vagotomie (SPV). Zum anderen wurde versucht, durch prospektive Studien die Wertigkeit der einzelnen Behandlungsverfahren zu vergleichen. Im folgenden sollen unter Berücksichtigung der vorliegenden Erfahrungen und des eigenen Krankenguts die Heilungschance sowie die Quote unerwünschter Funktionsstörungen nach resezierenden und nichtresezierenden Verfahren bei der Therapie des Gastroduodenalulkus dargestellt werden.

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Authors
  1. Th. Junginger
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Editors and Affiliations

  1. Medizinische Klinik und Poliklinik, Universität Essen, Hufelandstraße 55, D-4300, Essen, Deutschland

    Harald Goebell  & Jürgen Hotz  & 

  2. Chirurgische Klinik, Universitätsklinikum, Hugstetter Straße 55, D-7800, Freiburg, Deutschland

    Eduard Heinrich Farthmann

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Junginger, T. (1984). Chirurgische Therapie des Ulcus ventriculi und duodeni — Langzeitergebnisse. In: Goebell, H., Hotz, J., Farthmann, E.H. (eds) Der chronisch Kranke in der Gastroenterologie. Interdisziplinäre Gastroenterologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-69190-4_11

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  • DOI: https://doi.org/10.1007/978-3-642-69190-4_11

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  • Print ISBN: 978-3-642-69191-1

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