Standardtherapie bei Morbus Crohn

Hoffmann, Jörg; Zeitz, Martin

doi:10.1007/s00108-002-0682-x

Cited by 3 publications

(1 citation statement)

References 46 publications

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“…Die medikamentöse Therapie mit Salicylaten, Cortison und Immunsuppressiva zielt primär auf eine Behandlung der Schleimhautentzündung [23,57]. Ziel einer Antibiotikatherapie (Metronidazol, Ciprofloxacin) ist die Verminderung der putriden Sekretion.…”

Section: Analabszess Und Analfistelnunclassified

Analer Morbus Crohn – frühzeitige chirurgische Intervention oder langfristige konservative Therapie?

Ommer

Kraemer²

2008

Coloproctol

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Section: Analabszess Und Analfistelnunclassified

Analer Morbus Crohn – frühzeitige chirurgische Intervention oder langfristige konservative Therapie?

Ommer

Kraemer²

2008

Coloproctol

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Crohn's Disease: Current Pathogenetic Paradigms

Duchmann¹,

Zeitz²

2005

Mucosal Immunology

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Clinical Value of Contrast Enema Prior to Ileostomy Closure

Goetz

Silva

Moser

et al. 2017

Fortschr Röntgenstr

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ABSTR AC TPurpose To determine the value of routine contrast enema of loop ileostomy before elective ileostomy closure regarding the influence on the clinical decision-making. Materials and MethodsRetrospective analysis of contrast enemas at a tertiary care center between 2005 und 2011. Patients were divided into two groups: Group I with ileostomy reversal, group II without ileostomy closure. Patient-related parameters (underlying disease, operation method) and parameters based on the findings (stenosis, leakage of anastomosis, incontinence) were evaluated.Results Analyzing a total of 252 patients in 89 % (group I, n = 225) ileostomy closure was performed. In 15 % the radiologic report was the only diagnostic modality needed for therapy decision; in 36 % the contrast enema and one or more other diagnostic methods were decisive. In 36 % the radiological report of the contrast imaging was not relevant for decision at all. In 11 % (group II, n = 27) no ileostomy closure was performed. In this group in 11 % the radiological report of the contrast enema was the only decision factor for not performing the ileostomy reversal. In 26 % one or more examination was necessary. In 26 % the result of the contrast examination was not relevant. ConclusionThe radiologic contrast imaging of loop ileostomy solely plays a minor role in complex surgical decisionmaking before planned reversal, but is important as first imaging method in detecting complications and often leads to additional examinations. This document was downloaded for personal use only. Unauthorized distribution is strictly prohibited.Ergebnisse Von den 252 untersuchten Patienten erfolgte bei 89 % (Gruppe I, n = 225) eine Rückverlagerungsoperation. Die Durchleuchtungsuntersuchung war dabei in 15 % als alleinige diagnostische Maßnahme zur Indikationsstellung ausreichend; in 36 % waren für die Entscheidung zur Rückverlage-rung weitere Zusatzuntersuchungen notwendig. Bei 36 % war der radiologische Befund irrelevant für die Therapieentscheidung. Bei 11 % (Gruppe II, n = 27) erfolge keine Rückverlage-rung. Dabei war in 19 % der radiologische Befund allein ausschlaggebend für die Ablehnung der Rückverlagerung und in 26 % war mindestens eine weitere Untersuchung nötig. In 26 % waren ausschließlich andere Untersuchungen entscheidend.

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Standardtherapie bei Morbus Crohn

Cited by 3 publications

References 46 publications

Analer Morbus Crohn – frühzeitige chirurgische Intervention oder langfristige konservative Therapie?

Analer Morbus Crohn – frühzeitige chirurgische Intervention oder langfristige konservative Therapie?

Crohn's Disease: Current Pathogenetic Paradigms

Clinical Value of Contrast Enema Prior to Ileostomy Closure

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