19. gastrointestinale Blutung Flashcards by Ian Paglione

Q

(GIB)

Anatomie

A

Treitz-Band

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Q

(GIB)

Treitz-Band

A

Ligamentum suspensorium duodeni

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Q

(GIB)

Ligamentum suspensorium duodeni

A

Peritonealfalte an der Flexura duodenojejunalis

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Q

(GIB)

häufigste Ätiologie (häufigkeit)

A

50% Ulcus ventriculi/duodeni

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Q

(GIB)

Lokalisationen (Häufigkeit)

A

90% obere GIB
10% untere GIB

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Q

(GIB)

obere GIB: Lokalisation

A

proximal des Treitz-Bandes

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Q

(GIB)

untere GIB: Lokalisation

A

distal des Treitz-Bandes

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Q

(GIB)

Symptome (3)

A

Hämatemesis
Meläna
Hämatochesie

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Q

(GIB)

Hämatemesis

A

blutiges Erbrechen

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Q

(GIB)

Meläna

A

Teerstuhl

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Q

(GIB)

Hämatochesie

A

Blutstuhl

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Q

(GIB)

apparative Diagnostik der Wahl

A

ÖGD

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Q

(GIB)

Klassifikation

A

Forrest

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Q

(GIB)

Forrest-Klassifikation

A

Ia-b; IIa-c; III

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Q

(GIB)

Forrest I

A

aktive Blutung

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Q

(GIB)

Forrest Ia

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A

arterielle spritzende Blutung

Q

(GIB)

Forrest Ib

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A

Sickerblutung

Q

(GIB)

Forrest II

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A

inaktive Blutung

Q

(GIB)

Forrest IIa

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A

Läsion mit sichtbarem Gefäßstumpf

Q

(GIB)

Forrest IIb

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A

koagelbedeckte Läsion

Q

(GIB)

Forrest IIc

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A

hämatinbelegte Läsion

Q

(GIB)

Forrest III

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A

Läsion ohne Blutungszeichen

Q

(GIB)

Therapie der Wahl bei aktiver Blutung

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A

PPI i.v. + endoskopische Blutungsstillung

Q

(GIB)

endoskopische Blutungsstillung: Möglichkeiten (4)

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A

ULKUS

Unterspritzung
Ligatur
Koagulation
Sklerosierung