Jung Jin-On, Bruns Christiane
Klinik und Poliklinik für Allgemein‑, Viszeral‑, Thorax- und Transplantationschirurgie, Universitätsklinikum Köln, Kerpener Str. 62, 50937, Köln, Deutschland.
Chirurgie (Heidelb). 2025 Feb;96(2):89-94. doi: 10.1007/s00104-024-02221-8. Epub 2025 Jan 8.
The treatment of multimorbid patients in oncological surgery of the upper gastrointestinal tract requires a differentiated consideration of every single risk factor in order to provide a holistic assessment. This article focuses on pre-existing diseases that are particularly relevant for elective esophageal and gastric surgery and have practical clinical consequences. In this way a differtiation is made between metabolic, vascular, cardiopulmonary and organ-specific risks. The aim of this work is to provide practical guidelines for complex and multimorbid cases. Given the multifactorial interrelationships, the importance of a thorough preoperative evaluation and interdisciplinary management cannot be overemphasized.
在上消化道肿瘤手术中，对患有多种疾病的患者进行治疗时，需要对每一个风险因素进行差异化考量，以便进行全面评估。本文重点关注那些与择期食管和胃部手术特别相关且具有实际临床影响的既往疾病。通过这种方式，区分了代谢、血管、心肺和器官特异性风险。这项工作的目的是为复杂的多病发症病例提供实用指南。鉴于多因素之间的相互关系，术前进行全面评估和跨学科管理的重要性再怎么强调也不为过。
