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Bypasschirurgie zur Palliation

Palliative bypass surgery

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Zusammenfassung

Die Störung der Nahrungspassage beeinträchtigt die Lebensqualität unabhängig von der zugrunde liegenden Erkrankung ganz erheblich. Besondere Aspekte ergeben sich beim inkurablen malignen Leiden durch die begrenzte Lebenserwartung der Patienten und das durch die fortgeschrittene Tumorerkrankung per se erhöhte Operationsrisiko. Die Operationsindikation ergibt sich damit aus Abwägung von individuellem Leidensdruck, möglicher Verbesserung, Risiko des Eingriffes und Lebenserwartung. Gerade wegen der begrenzten Lebenserwartung hat die Wahl eines risikoarmen Verfahrens eine besondere Bedeutung.

Abstract

Impaired intestinal passage considerably reduces quality of life irrespective of the underlying condition. Limited life expectancy and increased operative risk of advanced malignant disease add particular weight to this issue. The indication for operative therapy results from carefully weighing individual incapacity and potential gain vs operative risk and life expectancy. Exactly because life expectancy is quite limited, selection of an effective, low-risk procedure is of utmost importance to benefit the patient.

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Authors and Affiliations

  1. Kliniken für Allgemeine, Viscerale,Onkologische und Gefäßchirurgie, Klinikum Bremen Mitte

    A. Wojtyczka, T. Moesta & C. Kuntz

  2. Kliniken für Allgemeine, Viscerale, Onkologische und Gefäßchirurgie, Klinikum Bremen Mitte, St. Jürgen Straße 1, 28205 , Bremen

    T. Lehnert

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  1. A. Wojtyczka
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  2. T. Moesta
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  3. C. Kuntz
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  4. T. Lehnert
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Correspondence to T. Lehnert.

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Wojtyczka, A., Moesta, T., Kuntz, C. et al. Bypasschirurgie zur Palliation. Chirurg 77, 210–218 (2006). https://doi.org/10.1007/s00104-006-1165-8

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  • DOI: https://doi.org/10.1007/s00104-006-1165-8

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