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Akute Pankreatitis

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Weiterbildung Anästhesiologie

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Zusammenfassung

Bei der akuten Pankreatitis handelt es sich um eine potenziell tödlich verlaufende Erkrankung mit individuell unterschiedlich ausgeprägter systemischer Beteiligung. Aus diesem Grund kommen der frühzeitigen Diagnose und nachfolgenden Risikostratifikation im klinischen Management dieser häufigen gastroenterologischen Erkrankung entscheidende Rollen zu. Schwere Verlaufsformen treten in etwa 20% der Fälle auf und bedürfen zumeist intensivmedizinischer Überwachung und interdisziplinärer Behandlung. Therapeutisch stehen in der Akutphase die adäquate Flüssigkeitssubstitution und suffiziente Schmerztherapie im Vordergrund. Im Hinblick auf den Einsatz von Antibiotika und die Anpassung der Ernährung hat sich in den letzten Jahren ein Paradigmenwechsel vollzogen. Je nach Schwere der Erkrankung und möglichen Komplikationen können auch endoskopisch-/radiologisch-interventionelle Maßnahmen oder eine operative Versorgung notwendig werden.

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Authors and Affiliations

  1. Medizinische Klinik II, Universitätsklinikum Gießen und Marburg, Standort Gießen

    M. Hecker Ph.D., K. Mayer, W. Padberg & A. Hecker

  2. Klinik für Allgemein-, Viszeral-,Thorax- und Transplantations- und Kinderchirurgie, Universitätsklinikum Gießen und Marburg, Standort Gießen

    I. Askevold

  3. Zentrale Interdisziplinäre Viszeralmedizinische Endoskopie (ZIVE), Universitätsklinikum Gießen und Marburg, Standort Gießen

    P. Collet

  4. Klinik für Anästhesiologie, Universitätsklinikum Gießen und Marburg, Standort Gießen

    M.A. Weigand

  5. Klinik für Diagnostische und Interventionelle Radiologie, Universitätsklinikum Gießen, Gießen

    G.A. Krombach

Authors
  1. M. Hecker Ph.D.
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  2. K. Mayer
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  6. G.A. Krombach
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  7. W. Padberg
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  8. A. Hecker
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Hecker, M. et al. (2015). Akute Pankreatitis. In: Weiterbildung Anästhesiologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-46515-8_9

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  • DOI: https://doi.org/10.1007/978-3-662-46515-8_9

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-46514-1

  • Online ISBN: 978-3-662-46515-8

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