Entzündliche, infektiöse und maligne Erkrankungen - Thromboserisiko bei gastro-enterologischen Erkrankungen

Zusammenfassung

Thrombosen können bei entzündlichen, infektiösen und malignen gastroenterologischen Erkrankungen auftreten. Eine Notfallbehandlung ist bei akuten Mesenterialvenenthrombosen mit mesenterialer Ischämie und bei gastrointestinalen Blutungen aus Ösophagus- und Magenvarizen in Folge einer Milzvenen- oder Pfortaderthrombose erforderlich. Akute und chronische Pankreatitis sowie chronisch-entzündliche Darmerkrankungen sind Erkrankungen mit einem höheren Risiko einer Thrombose, bei anderen gastroenterologischen Erkrankungen sind Thrombosen seltene Ereignisse. Ätiologie, Pathogenese, Diagnostik und Therapie von Thrombosen bei gastroenterologischen Erkrankungen werden in der vorliegenden Übersichtsarbeit erläutert.

Summary

A thrombosis may occur in inflammatory, infectious and malignant gastrointestinal diseases. Emergency treatment is necessary in acute mesenterial venous thrombosis with mesenterial ischaemia and in gastrointestinal bleeding from oesophageal and gastric varices as a sequela of a splenic vein or portal vein thrombosis. Acute and chronic pancreatitis and chronic inflammatory bowel diseases carry a high risk of thrombosis while in other gastrointestinal diseases thromboses are rare occurrences. The aetiology, pathogenesis, diagnosis and treatment of thrombosis associated with gastrointestinal diseases are discussed.

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