Z Gastroenterol 2005; 43(9): 1061-1069
DOI: 10.1055/s-2005-858586
Übersicht

© Georg Thieme Verlag KG Stuttgart · New York

Schmerztherapie in der gastroenterologischen Onkologie

Pain Management in Gastrointestinal OncologyA. Kopf1 , N. Bätjer1
  • 1Benjamin Franklin Schmerz-Zentrum, Klinik für Anaesthesiologie und operative Intensivmedizin, Charité - Universitätsmedizin Berlin
Further Information

Publication History

Publication Date:
02 September 2005 (online)

Zusammenfassung

Gastrointestinale Neoplasien gehen häufig mit behandlungsbedürftigen Schmerzen einher. Die zur Verfügung stehenden schmerztherapeutischen Optionen ermöglichen eine effektive Schmerzkontrolle. In der Regel helfen einfach strukturierte und gut validierte Therapiealgorithmen. Orale Opioide sind die Grundlage der Tumorschmerztherapie. Bei korrekter Anwendung und Kombination mit Koanalgetika, Adjuvantien und nichtmedikamentösen Verfahren können unerwünschte Wirkungen minimiert werden. Nur bei einer Minderheit von Patienten mit therapierefraktären Schmerzen sind spezielle schmerztherapeutische Interventionen indiziert, für die Schmerztherapeuten konsultiert werden sollten. Bei Unwirksamkeit oder Unverträglichkeit systemischer Pharmakotherapie haben auch rückenmarknahe und neurolytische Therapieverfahren ihren Stellenwert.

Abstract

Abdominal cancer is commonly associated with pain needing medical attention. Effective pain management is available to control pain. Oral opioids are the foundation of analgesic therapy. With adequate implementation of therapeutic guidelines into clinical practice including the use of co-analgesics, adjuvants and non-pharmacological treatment options the quality of life of abdominal cancer patients can be considerably improved. Only in a minority of patients with refractory pain more sophisticated options of pain management will be necessary, e. g., epidural, intrathecal or neurolytic techniques. In this situation the consultation of a pain therapist is recommended.

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Dr. Andreas Kopf

Schmerz-Zentrum, Klinik für Anaesthesiologie und operative Intensivmedizin, Charité - Universitätsmedizin Berlin, Campus Benjamin Franklin

Hindenburgdamm 30

12200 Berlin

Phone: ++49/30/84 45-33 86

Fax: ++49/30/84 45-44 69

Email: andreas.kopf@charite.de

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