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Eine dadurch entstandene Sch\u00e4digung des umliegenden ex- und intrinsischen vegetativen Nervenplexus kann zu einer passageren oder therapierefrakt\u00e4ren Diarrh\u00f6 f\u00fchren.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Fragestellung<\/jats:title>\n                <jats:p>Die vorliegende Studie soll einen \u00dcberblick \u00fcber den derzeitigen Stellenwert der AMS-Revaskularisations- und -Dissektions-assoziierten Diarrh\u00f6 (\u201esuperior mesenteric artery revascularisation and dissection-associated diarrhea\u201c[SMARD]-Syndrom) in Deutschland geben.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Material und Methoden<\/jats:title>\n                <jats:p>Nach selektiver Literaturrecherche (SLR) mit der Fragestellung, ob und wie h\u00e4ufig eine postoperativ neu aufgetretene Diarrh\u00f6 nach PR und MG vorkommt, wurde eine Onlineumfrage versendet.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Die SLR (<jats:italic>n<\/jats:italic>\u202f=\u20094) best\u00e4tigte, dass eine postoperativ neu aufgetretene Diarrh\u00f6 eine h\u00e4ufige Komplikation nach Pr\u00e4paration zur Revaskularisation (RV) bzw. Dissektion (DIS) der AMS ist (Inzidenz ca.\u00a062\u202f%). Therapierefrakt\u00e4re Verl\u00e4ufe sind selten 14\u202f%. 54\u00a0von 159\u00a0Zentren beteiligten sich an der Umfrage. 63\u202f% gaben an, eine AMS-RV\/-DIS im Rahmen von PR oder MG durchzuf\u00fchren. Der Durchschnitt an PR pro Zentrum lag 2018 bei\u00a047 und bei\u00a049 im Jahr 2019. F\u00fcnf MG erfolgten durchschnittlich in beiden Jahren pro Zentrum. Drei Patienten litten durchschnittlich am SMARD-Syndrom.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Diskussion<\/jats:title>\n                <jats:p>Diese Umfrage erfasst erstmals den derzeitigen Stellenwert des SMARD-Syndroms in Deutschland. Bisher fehlen Empfehlungen zur Therapie einer solchen Diarrh\u00f6. Die Ergebnisse zeigen, dass zun\u00e4chst eine symptomatische Therapie erfolgen sollte. Aufgrund der Komplexit\u00e4t der Pathophysiologie sind kausale Therapieans\u00e4tze bislang nicht entwickelt.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00104-021-01427-4","type":"journal-article","created":{"date-parts":[[2021,6,8]],"date-time":"2021-06-08T12:04:00Z","timestamp":1623153840000},"page":"173-181","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Definition und Behandlung der A.-mesenterica-superior-Revaskularisations- und -Dissektions-assoziierten Diarrh\u00f6 (SMARD-Syndrom) in Deutschland","Definition and treatment of superior mesenteric artery revascularization and dissection-associated diarrhea (SMARD syndrome) in Germany"],"prefix":"10.1007","volume":"93","author":[{"given":"Patrick","family":"T\u00e9oule","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katharina","family":"Tombers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad","family":"Rahbari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Flavius","family":"Sandra-Petrescu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Keese","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nuh N.","family":"Rahbari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph","family":"Rei\u00dffelder","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felix","family":"R\u00fcckert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,6,8]]},"reference":[{"key":"1427_CR1","unstructured":"Guyton and Hall Textbook of Medical Physiology\u201412th Edition. https:\/\/www.elsevier.com\/books\/guyton-and-hall-textbook-of-medical-physiology\/hall\/978-0-8089-2400-5. 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