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Erschienen in: Zeitschrift für Gerontologie und Geriatrie 1/2024

18.12.2023 | CME

Gastrointestinale Blutung im Alter

verfasst von: Dr. med. Guntje Kneiseler, Prof. Alexander Dechêne

Erschienen in: Zeitschrift für Gerontologie und Geriatrie | Ausgabe 1/2024

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Zusammenfassung

Die gastrointestinale Blutung (GIB) ist ein häufiges Krankheitsbild mit zunehmendem Lebensalter als Risikofaktor. Entsprechend der Blutungslokalisation werden Blutungen in oberem, mittlerem und unterem Gastrointestinaltrakt unterschieden, wobei in diesem Beitrag lediglich Blutungen im oberen und im unteren Gastrointestinaltrakt beleuchtet werden. Je nach Blutungslokalisation finden sich unterschiedliche Symptomenkomplexe. Für das präklinische und klinische Management der GIB existieren heute aktuelle deutsche und internationale Leitlinien. Hauptaugenmerk des Beitrags liegt auf dem präendoskopischen Management der nichtvarikösen und der varikösen Blutung des oberen Gastrointestinaltrakts, das die Risikostratifizierung, das Transfusions- und Gerinnungsmanagement sowie die initiale medikamentöse Therapie umfasst. Zudem werden aktuelle Entwicklungen in der endoskopischen und interventionellen Therapie von GIB behandelt.
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Metadaten
Titel
Gastrointestinale Blutung im Alter
verfasst von
Dr. med. Guntje Kneiseler
Prof. Alexander Dechêne
Publikationsdatum
18.12.2023
Verlag
Springer Medizin
Erschienen in
Zeitschrift für Gerontologie und Geriatrie / Ausgabe 1/2024
Print ISSN: 0948-6704
Elektronische ISSN: 1435-1269
DOI
https://doi.org/10.1007/s00391-023-02258-0

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