{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T05:30:00Z","timestamp":1780378200327,"version":"3.54.1"},"reference-count":96,"publisher":"Georg Thieme Verlag KG","issue":"07","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Gastroenterol"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Phytotherapeutika gewinnen zunehmend an Einfluss bei der Behandlung von gastroenterologischen Erkrankungen. Ihre Beliebtheit und wachsende Wirksamkeitsevidenz f\u00fchren dazu, dass sie vermehrt in medizinische Leitlinien integriert werden. Ein systematisches Screening identifizierte empfohlene phytotherapeutische Ans\u00e4tze. Entsprechend der aktuellen wissenschaftlichen Datenlage werden einige Empfehlungen f\u00fcr die Anwendung von Phytotherapeutika ausgesprochen. Bei Reizdarmsyndrom wird vor allem bei Schmerzen und Bl\u00e4hungen der Einsatz von Pfefferminz\u00f6l \u201estark empfohlen\u201c. Weitere Phytotherapeutika wie beispielsweise STW-5, tibetanisches Padma Lax oder warme K\u00fcmmel\u00f6lauflagen haben sich wirksam zur Symptomlinderung erwiesen. Es wird \u201eempfohlen\u201c, sie ins Behandlungskonzept zu integrieren. Bei Chronischer Obstipation werden 30g Ballaststoffe am Tag empfohlen. Die beste Datenlage existiert dabei zu Flohsamenschalen mit moderater Evidenz und f\u00fcr Chicor\u00e9e-Inulin. Bei Colitis ulcerosa k\u00f6nnen Flohsamenschalen und die Kombination von Myrrhe, Kamillenbl\u00fctenextrakt und Kaffeekohle komplement\u00e4r in der remissionserhaltenden Behandlung eingesetzt werden. Ebenfalls eine \u201eoffene Empfehlung\u201c gibt es f\u00fcr Curcumin (Curcuma longa radix) sowohl f\u00fcr die Remissionsinduktion als auch -erhaltung. Einige Phytotherapeutika (z.B. Wermut [Artemisia absintium herba], Weihrauch [Boswellia serrata resina]) zeigen Wirksamkeitshinweise zur Behandlung von Morbus Crohn, jedoch ist die Datenlage noch nicht ausreichend f\u00fcr Empfehlungen. Cannabisbasierte Arzneimittel k\u00f6nnen nach nicht ausreichender Wirksamkeit oder Kontraindikation der empfohlenen Standardtherapie bei abdominellen Schmerzen und bei klinisch relevantem Appetitverlust erwogen werden, sollte jedoch nicht zur Therapie der akuten Entz\u00fcndung bei aktivem Morbus Crohn eingesetzt werden. Weitere Empfehlungen f\u00fcr andere gastroenterologische Erkrankungen werden diskutiert. Die Sicherheit und Vertr\u00e4glichkeit der Phytotherapeutika wurden als \u00fcberwiegend \u201csehr gut\u201c bis \u201etolerabel\u201c eingestuft. Einige klare Empfehlungen f\u00fcr den Einsatz von Phytotherapeutika zur Behandlung gastroenterologischer Erkrankungen zeigen das gro\u00dfe Wirkpotenzial. Phytotherapeutika k\u00f6nnen aufgrund ihres gro\u00dfen Wirkspektrums bei komplexen Regulationsst\u00f6rungen sehr gut komplement\u00e4r zu herk\u00f6mmlichen Medikamenten eingesetzt werden. Dennoch sind weitere methodisch gut durchgef\u00fchrte Wirkungsstudien f\u00fcr weitere Empfehlungen erforderlich.<\/jats:p>","DOI":"10.1055\/a-2279-5045","type":"journal-article","created":{"date-parts":[[2024,4,11]],"date-time":"2024-04-11T23:01:42Z","timestamp":1712876502000},"page":"1060-1073","source":"Crossref","is-referenced-by-count":5,"title":["Phytotherapeutische Empfehlungen in medizinischen Leitlinien zur Behandlung gastroenterologischer Erkrankungen \u2013 ein systematischer \u00dcberblick"],"prefix":"10.1055","volume":"62","author":[{"given":"Sandra","family":"Utz","sequence":"additional","affiliation":[{"name":"Department of Internal and Integrative Medicine, Sozialstiftung Bamberg, Bamberg, Germany"},{"name":"Department of Integrative Medicine, Medicinal Faculty, University of Duisburg-Essen, Duisburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miriam","family":"Bittel","sequence":"additional","affiliation":[{"name":"Department of Internal and Integrative Medicine, Sozialstiftung Bamberg, Bamberg, Germany"},{"name":"Department of Integrative Medicine, Medicinal Faculty, University of Duisburg-Essen, Duisburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jost","family":"Langhorst","sequence":"additional","affiliation":[{"name":"Department of Internal and Integrative Medicine, Sozialstiftung Bamberg, Bamberg, Germany"},{"name":"Department of Integrative Medicine, Medicinal Faculty, University of Duisburg-Essen, Duisburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2024,4,11]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/1471-2318-14-38","article-title":"Use of complementary and alternative medicine by older adults \u2013 A cross-sectional survey","volume":"14","author":"K Schnabel","year":"2014","journal-title":"BMC Geriatr"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12906-015-0569-8","article-title":"Utilization of complementary and alternative medicine (CAM) among children from a German birth cohort (GINIplus): patterns, costs, and trends of use","volume":"15","author":"S Italia","year":"2015","journal-title":"BMC Complement Altern Med"},{"key":"ref3","volume-title":"Die pflanzlichen Heilmittel bei Hildegard von Bingen. 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