Zorn M, Domagk D, Auerbauch T, Mais J, Brauckhoff T, Holtmann M H
Medizinische Klinik I (Schwerpunkte Gastroenterologie, Stoffwechsel, Infektiologie, Onkologie und Palliativmedizin), St.-Vincenz-Krankenhaus, Datteln, Germany.
Z Gastroenterol. 2010 Feb;48(2):264-73. doi: 10.1055/s-0028-1109774. Epub 2010 Feb 2.
Malignant bowel obstruction (MBO) is a frequent complication in patients with a progressive malignant disorder and represents a major interdisciplinary challenge in palliative care. Gastroenterology plays a pivotal role in the management of MBO. After appropriate diagnostic work-up, it is important to define treatment goals with the patient and his/her relatives, which should focus on symptom relief. Therapeutically, surgical, endoscopic and medical options are available. These will be introduced based on case reports. In the international literature MBO is being more and more considered as a distinct entity. The aim of the present review is to communicate MBO as such in the German medical literature.
恶性肠梗阻(MBO)是进展性恶性疾病患者常见的并发症,也是姑息治疗中的一项重大跨学科挑战。胃肠病学在MBO的管理中起着关键作用。经过适当的诊断评估后,与患者及其亲属确定治疗目标很重要,治疗目标应侧重于缓解症状。在治疗方面,有手术、内镜和药物等选择。这些将通过病例报告进行介绍。在国际文献中,MBO越来越被视为一种独特的病症。本综述的目的是在德国医学文献中介绍MBO。