Mechanischer Ileus – Differenzialdiagnosen und Therapie

Zusammenfassung

Bei einem Ileus ist es wichtig, neben der Klärung der Ätiologie auch die Dringlichkeit richtig einzuschätzen. Zur Diagnostik gehören Laborwerte, Röntgen-Abdomenübersicht und die CT des Abdomens. Bei Verdacht auf eine Strangulation und/oder kompletten Darmverschluss sollte man sofort notfallmäßig operieren. Bei Verdacht auf einen partiellen Darmverschluss ist ein konservativer Therapieversuch mit einer Gastrografinpassage möglich. Liegt ein Dickdarmileus aufgrund eines Tumors oder Volvulus vor, sollte man eine endoskopische Dekompression versuchen, um dann im Intervall eine früh-elektive Darmresektion anzustreben.

Schlüsselwörter

mechanischer Ileus - Strangulation - tumorbedingte Darmstenose

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