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Dünndarm

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Akutes Abdomen

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Zusammenfassung

Entzündliche (z. B. infektiöse Enteritiden, M. Crohn) traumatische (z. B. Abdominaltrauma, iatrogen) und tumoröse Dünndarmpathologien (z. B. Adenokarzinom, NET, GIST) können prinzipiell zu einem akuten Abdomen führen. Nach anfänglich oft unspezifischem Beschwerdebild können die Patienten mit dem klinischen Bild des Ileus, der Hohlorganperforation oder mit einer Blutung auffällig werden. Neben der routinemäßigen Akutabklärung empfiehlt sich meist die Durchführung einer Computertomographie, um mögliche Ursachen des akuten Abdomens eingrenzen und mögliche Differenzialdiagnosen ausschließen zu können. Die Behandlung von akuten Dünndarmerkrankungen umfasst die rein symptomatische Therapie, die krankheitsspezifische konservative Therapie und die Operation, in der – je nach intraoperativem Befund – unterschiedliche Techniken der Dünndarmchirurgie zur Anwendung kommen. Das Outcome wird einerseits durch das akute Abdomen an sich und andererseits durch die verursachende Erkrankung bestimmt.

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Author information

Authors and Affiliations

  1. Chirurgische Abteilung, Krankenhaus der Stadt Dornbirn, Lustenauer Str. 4, A-6850, Dornbirn

    Prim. Assoz. Prof. Priv.-Doz. Dr. med. Matthias Zitt

  2. Universitätsklinik für Viszeral-, Transplantationsund Thoraxchirurgie, Department Operative Medizin Medizinische Universität Innsbruck, Anichstr. 35, A-6020, Innsbruck

    Priv.-Doz. Dr. med. Alexander Perathoner & Priv.-Doz. Dr. med. Reinhold Kafka-Ritsch

  3. Klinik für Allgemein-, Visceral- und Transplantationschirurgie Charité – Universitätsmedizin Berlin, Campus Virchow-Klinikum, Augustenburger Platz 1, D-13353, Berlin

    Priv.-Doz. Dr. med. Felix Aigner

Authors
  1. Prim. Assoz. Prof. Priv.-Doz. Dr. med. Matthias Zitt
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  2. Priv.-Doz. Dr. med. Alexander Perathoner
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  3. Priv.-Doz. Dr. med. Felix Aigner
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  4. Priv.-Doz. Dr. med. Reinhold Kafka-Ritsch
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Editor information

Editors and Affiliations

  1. LKH Graz Süd-West, Chirurgie, Graz, Österreich

    Hubert Hauser

  2. DGAV e.V., Berlin, Deutschland

    Heinz Johannes Buhr

  3. Universitätsklinik für Chirurgie, Graz, Österreich

    Hans-Jörg Mischinger

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© 2016 Springer-Verlag Wien

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Zitt, M., Perathoner, A., Aigner, F., Kafka-Ritsch, R. (2016). Dünndarm. In: Hauser, H., Buhr, H., Mischinger, HJ. (eds) Akutes Abdomen. Springer, Vienna. https://doi.org/10.1007/978-3-7091-1473-5_41

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  • DOI: https://doi.org/10.1007/978-3-7091-1473-5_41

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-1472-8

  • Online ISBN: 978-3-7091-1473-5

  • eBook Packages: Medicine (German Language)

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