Operationsindikationen bei der diarrhö. Wie laufen die Entscheidungsprozesse ab?

Translated title of the contribution: Surgical intervention for diarrhea. How are the decisions made?

F. G. Bader, U. J. Roblick, M. Rehbein, E. Schlöricke, M. Kleemann, H. P. Bruch


Causes of diarrhea are diverse, therapy mostly symptomatic. Diarrhea, however, is frequently just a symptom of the underlying disease. Not uncommonly, the underlying cause needs surgical intervention. In particular, chronic inflammatory bowel diseases such as ulcerative colitis and CROHN'S disease can be associated with diarrhea. Furthermore, primary colorectal cancer and, in particular, carcinoid tumors are often accompanied by diarrhea. Paradoxically, chronic constipation can lead to diarrhea as well due to bacterial overgroth and can necessitate surgical intervention. Patients suffering from short bowel syndrome generally need total parenteral nutrition which gained extensive amendement in past years. However, if total parenteral nutrition leads to progressive liver failure or if losses over the gastrointestinal tract necessitate recurrent hospitalization, small bowel transplantation, probably combined with liver transplantation is an alternative with promissing results.

Translated title of the contributionSurgical intervention for diarrhea. How are the decisions made?
Original languageGerman
JournalInternistische Praxis
Issue number2
Pages (from-to)269-276
Number of pages8
Publication statusPublished - 06.2011

Research Areas and Centers

  • Research Area: Luebeck Integrated Oncology Network (LION)


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