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Erschienen in: Monatsschrift Kinderheilkunde 1/2023

28.09.2022 | Pädiatrische Gastroenterologie | CME

Chronisch-entzündliche Darmerkrankungen

verfasst von: Jeannine Heetmeyer, PD Dr. med. Tobias Schwerd

Erschienen in: Monatsschrift Kinderheilkunde | Ausgabe 1/2023

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Zusammenfassung

Chronisch-entzündliche Darmerkrankungen (CED) gehen mit einer großen Krankheitslast für den Einzelnen und für das globale Gesundheitswesen einher. Bei Vorliegen klinischer Hinweise auf eine CED sollten frühzeitig eine weitere diagnostische Abklärung und die Anbindung an ein kindergastroenterologisches Zentrum erfolgen. Die leitliniengerechte Therapie beruht auf einer individuellen Abschätzung des Risikos für einen schweren Krankheitsverlauf und erfordert ein regelmäßiges Monitoring im Sinne des „Treat-to-target“-Konzepts. Dem fäkalen Calprotectin kommt als sehr sensitiver, nichtinvasiver Biomarker für eine aktive Darmentzündung eine besondere Rolle zu. Die frühzeitige und risikoadaptierte Therapie soll den Krankheitsverlauf positiv beeinflussen, sodass die normale körperliche und psychosoziale Entwicklung des Kindes ermöglicht wird. Auf dieses Ziel ausgerichtet ist auch die langfristige multidisziplinäre Betreuung des heranwachsenden Patienten, die die enge Zusammenarbeit zwischen Kinderarzt und pädiatrischen Gastroenterologen voraussetzt.
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Metadaten
Titel
Chronisch-entzündliche Darmerkrankungen
verfasst von
Jeannine Heetmeyer
PD Dr. med. Tobias Schwerd
Publikationsdatum
28.09.2022
Verlag
Springer Medizin
Erschienen in
Monatsschrift Kinderheilkunde / Ausgabe 1/2023
Print ISSN: 0026-9298
Elektronische ISSN: 1433-0474
DOI
https://doi.org/10.1007/s00112-022-01604-7

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