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Pädiatrie pp 907–915Cite as

Funktionelle Störungen des Darms

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Zusammenfassung

Für diese sog. funktionellen gastrointestinalen Beschwerden, die durch komplexe Interaktionen zwischen Ga-strointestinaltrakt und ZNS verursacht werden, gibt es keinen pathophysiologischen Marker und daher keinen diagnostischen Test. Gastroenterologen finden keine pathologischen Organveränderungen. Für Erwachsene mit Colon irritabile wurden zur besseren Klassifikation Kriterien entwickelt, die zumindest für Schulkinder und Jugendliche auch Verwendung finden könnten: über mindestens 3 Monate rekurrierende Bauchschmerzen, die sich auf Defäkation bessern und mit Stuhlunregelmäßigkeiten hinsichtlich Frequenz und Konsistenz verbunden sind. Öfter als bei organisch faßbaren Krankheiten finden sich bei diesen Menschen Tenesmen, Schleimabgang, das Gefühl inkompletter Entleerung, Blähungen und Flatulenz, gelegentlich auch Sodbrennen, Dysphagie und biliäre Dyskinesie. Die rezidivierenden Bauchschmerzen treten typischerweise nur tagsüber und periumbilikal auf, manchmal steht eine Obstipation im Vordergrund.

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Authors
  1. S. Buderus
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  2. K.-M. Keller
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  3. S. Koletzko
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Editor information

Editors and Affiliations

  1. Universitäts-Kinderklinik, Adenauerallee 119, 53113, Bonn, Deutschland

    Michael J. Lentze

  2. Universitäts-Kinderklinik, Martinistr. 52, 20246, Hamburg, Deutschland

    Franz J. Schulte

  3. Universitäts-Kinderklinik, Schwanenweg 20, 24105, Kiel, Deutschland

    Jürgen Schaub

  4. Universitäts-Kinderklinik, Langenbeckstr. 1, 55101, Mainz, Deutschland

    Jürgen Spranger

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© 2003 Springer-Verlag Berlin Heidelberg

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Buderus, S., Keller, KM., Koletzko, S. (2003). Funktionelle Störungen des Darms. In: Lentze, M.J., Schulte, F.J., Schaub, J., Spranger, J. (eds) Pädiatrie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-09176-0_113

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  • DOI: https://doi.org/10.1007/978-3-662-09176-0_113

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-09177-7

  • Online ISBN: 978-3-662-09176-0

  • eBook Packages: Springer Book Archive

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