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Z Gastroenterol 2010; 48(2): 264-273
DOI: 10.1055/s-0028-1109774
Übersicht

© Georg Thieme Verlag KG Stuttgart · New York

Maligne intestinale Obstruktion

Malignant Bowel ObstructionM. Zorn1 , D. Domagk2 , T. Auerbauch3 , J. Mais4 , T. Brauckhoff5 , M. H. Holtmann1
  • 1Medizinische Klinik I (Schwerpunkte Gastroenterologie, Stoffwechsel, Infektiologie, Onkologie und Palliativmedizin), St.-Vincenz-Krankenhaus, Datteln
  • 2Medizinische Klinik und Poliklinik B, Westfälische Wilhelms-Universität, Münster
  • 3Radiologische Klinik, Johannes-Gutenberg-Universität, Mainz
  • 4Abteilung für Radiologie, St.-Vincenz-Krankenhaus, Datteln
  • 5Abteilung für Allgemein- und Viszeralchirurgie, St.-Vincenz-Krankenhaus, Datteln
Further Information

Publication History

Manuskript eingetroffen: 7.4.2009

Manuskript akzeptiert: 1.9.2009

Publication Date:
02 February 2010 (online)

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Zusammenfassung

Die maligne intestinale Obstruktion (MIO) ist eine häufige Komplikation bei Patienten mit maligner Grunderkrankung und stellt eine der größten interdisziplinären diagnostischen und therapeutischen Herausforderungen in der Palliativmedizin dar. Die Gastroenterologie spielt hierbei eine zentrale Rolle. Nach der diagnostischen Einordnung ist es wichtig, mit dem Patienten und den Angehörigen adäquate Therapieziele festzulegen, die in der Regel symptomorientiert sind. Therapeutisch stehen grundsätzlich chirurgische, endoskopische oder konservativ-medikamentöse Maßnahmen zur Verfügung. Diese sollen anhand von Fallbeispielen vorgestellt werden. Die MIO wird in der internationalen Literatur zunehmend als eigenständige Entität behandelt. Anliegen dieses Beitrags ist es, die MIO in der deutschsprachigen Literatur als solche zu vermitteln.

Abstract

Malignant bowel obstruction (MBO) is a frequent complication in patients with a progressive malignant disorder and represents a major interdisciplinary challenge in palliative care. Gastroenterology plays a pivotal role in the management of MBO. After appropriate diagnostic work-up, it is important to define treatment goals with the patient and his/her relatives, which should focus on symptom relief. Therapeutically, surgical, endoscopic and medical options are available. These will be introduced based on case reports. In the international literature MBO is being more and more considered as a distinct entity. The aim of the present review is to communicate MBO as such in the German medical literature.

Schlüsselwörter

kolorektales Karzinom - Malassimilation - Magenkarzinom - Ösophaguskarzinom - Palliativmedizin - maligne intestinale Obstruktion

Key words

colorectal cancer - malassimilation - stomach cancer - oesophageal carcinoma - palliative medicine - malignant bowel obstruction

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PD Dr. Martin H. Holtmann

Medizinische Klinik I, St. Vincenz-Krankenhaus

Rottstraße 11

45711 Datteln

Phone: ++ 49/23 63/1 08 20 51

Fax: ++ 49/23 63/1 08 20 22

Email: m.holtmann@vincenz-datteln.de

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