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2020 | OriginalPaper | Buchkapitel

35. Kurzdarmsyndrom – Darmversagen

verfasst von : Karima Farrag, Jürgen Stein

Erschienen in: Chronisch-entzündliche Darmerkrankungen

Verlag: Springer Berlin Heidelberg

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Zusammenfassung

Beim Kurzdarmsyndrom (KDS) handelt es sich um ein Malabsorptionssyndrom infolge eines chirurgisch oder kongenital bedingten Verlustes quantitativ und/oder funktionell bedeutender Dünndarmabschnitte. Analog zu Leber- und Nierenversagen sollte dabei zwischen Darminsuffizienz und Darmversagen i. S. einer Darminsuffizienz unterschieden werden. Chronisches Darmversagen (CDV) ist das seltenste Organversagen. Die parenterale Hausnahrung ist zentraler Bestandteil in der Behandlung eines CDV. Ein optimales CDV-Management erfordert eine multidisziplinäre professionelle Zusammenarbeit, um sowohl die zugrunde liegende Magen-Darm-Erkrankung zu behandeln als auch die parenterale Langzeiternährung in all ihrer Komplexität optimal zu gestalten. Die Seltenheit der Erkrankung erklärt das Fehlen größerer, randomisierter kontrollierter Studien. Folglich haben die meisten Empfehlungen zum Management des CDV/CDI einen geringen oder sehr niedrigen Evidenzgrad.

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Titel: Kurzdarmsyndrom – Darmversagen
verfasst von: Karima Farrag
Jürgen Stein
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_35

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