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Chronische Pankreatitis: Behandlung von Pseudozysten

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SpringerReference Innere Medizin

Part of the book series: Springer Reference Medizin ((SRM))

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Zusammenfassung

Pankreaspseudozysten nach akuter oder bei chronischer Pankreatitis sind häufig. Meist bilden sie sich spontan zurück und bedürfen keiner Behandlung. Pseudozysten, die Symptome verursachen oder zu Komplikationen führen, sollten entweder endoskopisch-interventionell oder chirurgisch behandelt werden. Asymptomatische Pseudozysten können behandelt werden, wenn sie sich innerhalb von sechs Wochen nicht zurückbilden oder größer als 5 cm im Durchmesser messen. Grund für die Behandlung ist die hohe Komplikationsrate großer Pseudozysten, auch wenn sie noch keine Symptome verursachen. Die Einschätzung von Pankreaspseudozysten erfolgt am besten mittels EUS. Ebenso sollte eine endoskopisch-interventionelle Drainage nur unter EUS-Kontrolle erfolgen. Eine Pseudozystendrainage sollte immer unter antibiotischer Abschirmung erfolgen.

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Authors and Affiliations

  1. Klinik und Poliklinik für Innere Medizin A, Universitätsmedizin Greifswald, Ferdinand-Sauerbruch-Straße, 17475, Greifswald, Deutschland

    Markus M. Lerch, Julia Mayerle & Peter Simon

Authors
  1. Markus M. Lerch
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  2. Julia Mayerle
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  3. Peter Simon
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Corresponding author

Correspondence to Markus M. Lerch .

Editor information

Editors and Affiliations

  1. Medizinische Klinik I, Universitätsklinikum Schleswig-Hoslstein, Campus Lübeck, Lübeck, Schleswig-Holstein, Germany

    Hendrik Lehnert

  2. TU Dresden Universitätsklinikum Carl Gustav Carus, Dresden, Germany

    Sebastian M. Schellong

  3. FB Gastroenterologie und Hepatologie, Universitätsklinikum Leipzig Medizinische Klinik und Poliklinik II, Leipzig, Sachsen, Germany

    Joachim Mössner

  4. Krankenhaus Barmherzige Brüder, Regensburg, Germany

    Cornel C. Sieber

  5. Nürnberg, Bayern, Germany

    Walter Swoboda

  6. Universitätsklinikum Giessen und Marburg Klinik für Innere Medizin, Marburg, Hessen, Germany

    Andreas Neubauer

  7. Interdisziplinärer Schwerpunkt für Hämos, Universitätsklinikum Gießen und Marburg, Gießen, Germany

    Bettina Kemkes-Matthes

  8. Klinik für Gastroenterologie,Hepatologie, Medizinische Hochschule Hannover, Hannover, Germany

    Michael P. Manns

  9. Sektion für Molekulare und Klinische Inf, Universitätsklinikum Schleswig-Holstein,, Lübeck, Germany

    Jan Rupp

  10. Abt. Kardiologie und Pneumologie, Universitätsklinikum Göttingen Herzzentrum Göttingen, Göttingen, Germany

    Gerd Hasenfuß

  11. Abt. Nephrologie und Klinische Immunologie, Univ.Klinikum Aachen Medizinische Klinik II, Aachen, Germany

    J. Floege

  12. Universitätsklinikum Köln Klinik I für Innere Medizin, Köln, Germany

    Michael Hallek

  13. Klinik für Pneumologie, Medizinische Hochschule Hannover (MHH) Zentrum Innere Medizin, Hannover, Germany

    Tobias Welte

  14. Klinik u. Poliklinik für Innere Medizin, Universitätsmedizin Greifswald, Greifswald, Germany

    Markus Lerch

  15. Dr.-Horst-Schmidt-Kliniken GmbH, Wiesbaden, Germany

    Elisabeth Märker-Hermann

  16. Klinische Toxikologie, Giftinformation, Universitätsklinikum Mainz II. Medizinische Klinik und Poliklinik, Mainz, Germany

    Ludwig Sacha Weilemann

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Lerch, M.M., Mayerle, J., Simon, P. (2015). Chronische Pankreatitis: Behandlung von Pseudozysten. In: Lehnert, H., et al. SpringerReference Innere Medizin. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54676-1_550-1

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  • DOI: https://doi.org/10.1007/978-3-642-54676-1_550-1

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  • Online ISBN: 978-3-642-54676-1

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