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Gastrointestinale Probleme beim Intensivpatienten

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Die Anästhesiologie

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

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Zusammenfassung

Der Gastrointestinaltrakt ist ein komplexes Organsystem, das neben der Verarbeitung und Resorption von Nährstoffen wichtige Barrierefunktionen besitzt. Viele Medikamente, die im Bereich Anästhesie, Intensivmedizin, Notfallmedizin und Schmerztherapie eingesetzt werden, haben Auswirkungen auf das gastrointestinale Mikrobiom, die Motilität, die Sekretion und die Durchblutung des Gastrointestinaltrakts. Im Rahmen der Intensivbehandlung spielen insbesondere prolongierte postoperative bzw. posttraumatische Motilitätsstörungen eine Rolle, die die Möglichkeit einer enteralen Ernährung beeinträchtigen und die Translokation von Darmkeimen begünstigen. Dies kann zur Entwicklung septischer Komplikationen bis hin zum Multiorganversagen führen.

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Authors and Affiliations

  1. Klinikum Garmisch-Partenkirchen, Zentrum für Innere Medizin, Gastroenterologie, Hepatologie und Stoffwechsel, Garmisch-Partenkirchen, Deutschland

    Hans-Dieter Allescher

  2. Luisenhospital Aachen, Klinik für Anästhesiologie und operative Intensivmedizin, Aachen, Deutschland

    Wolfram Reeker

Authors
  1. Hans-Dieter Allescher
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  2. Wolfram Reeker
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Corresponding author

Correspondence to Hans-Dieter Allescher .

Editor information

Editors and Affiliations

  1. Klinik für Anästhesiologie, Universitätsklinikum Aachen RWTH Aachen, Aachen, Germany

    Rolf Rossaint

  2. Universitätsklinikum Mainz Klinik für Anästhesiologie, Mainz, Germany

    Christian Werner

  3. Klinik für Anästhesiologie und Intensivmedizin, Universitätsklinikum München Klinikum Großhadern, München, Germany

    Bernhard Zwißler

Section Editor information

  1. Klinik für operative Intensivmedizin und Intermediate Care, Universitätsklinikum Aachen, Aachen, Deutschland

    Rolf Rossaint

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Allescher, HD., Reeker, W. (2018). Gastrointestinale Probleme beim Intensivpatienten . In: Rossaint, R., Werner, C., Zwißler, B. (eds) Die Anästhesiologie. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-45539-5_136-1

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  • DOI: https://doi.org/10.1007/978-3-662-45539-5_136-1

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-45539-5

  • Online ISBN: 978-3-662-45539-5

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