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DOI: 10.1055/s-2003-40927
Chirurgische Therapieoptionen bei der chronischen Pankreatitis
Surgical options in chronic pancreatitisPublication History
eingereicht: 3.1.2003
akzeptiert: 2.6.2003
Publication Date:
28 July 2003 (online)

Zusammenfassung
Da die chronische Pankreatitis nicht kausal, sondern nur symptomatisch zu therapieren ist, verlangt sie eine interdisziplinäre Behandlung. Die Patienten benötigen häufig eine medikamentöse Therapie. Relevante Gangobstruktionen, symptomatische Pseudozysten, Pankreaskopftumoren und therapieresistente Schmerzen erfordern häufig den Einsatz chirurgischer Verfahren. Die chrirugische Therapie kann Beschwerden und Lebensqualität bei der chronischen Pankreatitis verbessern und die Vorraussetzung für eine sozio-ökonomische Rehabilitation schaffen. Zusätzlich senkt der Eingriff langfristig die Hospitalkosten. Da in bis zu 30 % der Fälle ein Malignom diagnostisch nicht sicher auszuschließen ist, muss im Zweifel eine Resektion nach onkologischen Kriterien durchgeführt werden.
Abstract
As there is no causal therapy, treatment of chronic pancreatitis must be interdisciplinary. Patients often need a complex medication. Relevant obstructions of the duct, symptomatic pseudocysts, tumor masses of the pancreatic head and therapy-resistant pain frequently require surgical intervention. Surgical therapy can better medical condition and afford good conditions for social rehabilitation. In addition disease-specific costs decrease on long term. As there is a diagnostic failure up to 30 % excluding a malignant disease an oncologic resection is indicated in case of doubt.
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Dr. med. Carsten Johannes Krones
Chirurgische Universitäts- und Poliklinik der RWTH
Aachen
Pauwelstraße 30
52074 Aachen
Phone: 0241/8089501
Fax: 0241/8082417
Email: Carsten.Krones@post.rwth-aachen.de