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Erschienen in:

2020 | OriginalPaper | Buchkapitel

21. Operative Therapie der Colitis ulcerosa und Pouchitis

verfasst von : Anton J. Kroesen

Erschienen in: Chronisch-entzündliche Darmerkrankungen

Verlag: Springer Berlin Heidelberg

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Zusammenfassung

10–20 % aller an Colitis-ulcerosa-Erkrankten müssen sich einer Proktokolektomie unterziehen. Bei korrekter Indikationsstellung profitieren die Patienten am meisten von einer restaurativen Koloproktomukosektomie mit ileo-J-Pouch-analer Anastomose. Dieses Verfahren beschert 90 % aller Operierten eine exzellente Lebensqualität. Allerdings handelt es sich um ein komplexes und komplikationsreiches Verfahren, was ein entsprechendes Management des behandelnden Chirurgen erfordert. Daher sollte diese Operation hauptsächlich in dafür spezialisierten Zentren erfolgen. Eine häufige Komplikation ist die Pouchitis, die meisten gut zu behandeln ist. Ein geringer Prozentsatz der Patienten erleidet eine chronische Pouchitis, die nach wie vor sehr schwierig zu beherrschen ist und oft in einer Pouchexstirpation mit endständigem Ileostoma endet.

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Titel: Operative Therapie der Colitis ulcerosa und Pouchitis
verfasst von: Anton J. Kroesen
Verlag: Springer Berlin Heidelberg
Buch: Chronisch-entzündliche Darmerkrankungen
Print ISBN: 978-3-662-59103-1

Electronic ISBN: 978-3-662-59104-8

Copyright-Jahr: 2020
DOI: https://doi.org/10.1007/978-3-662-59104-8_21

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21. Operative Therapie der Colitis ulcerosa und Pouchitis

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Leitlinien kompakt für die Innere Medizin

Neu im Fachgebiet Innere Medizin

Erhebliches Risiko für Kehlkopfkrebs bei mäßiger Dysplasie

Nach Herzinfarkt mit Typ-1-Diabetes schlechtere Karten als mit Typ 2?

15% bedauern gewählte Blasenkrebs-Therapie

Costims – das nächste heiße Ding in der Krebstherapie?

Update Innere Medizin