{"id":1981,"date":"2026-03-31T19:25:30","date_gmt":"2026-03-31T19:25:30","guid":{"rendered":"https:\/\/studenthub.elsevier.com\/de\/?p=1981"},"modified":"2026-03-31T19:25:31","modified_gmt":"2026-03-31T19:25:31","slug":"cholelithiasis","status":"publish","type":"post","link":"https:\/\/studenthub.elsevier.com\/de\/erkrankungen\/cholelithiasis\/","title":{"rendered":"Cholelithiasis"},"content":{"rendered":"\n<p><em>Konkremente in der Gallenblase (Cholezystolithiasis) u.\/o. den Galleng\u00e4ngen (Choledocholithiasis); syn. Gallensteinerkrankung<\/em><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Ursachen<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Mit kristallbildenden Substanzen \u00fcbers\u00e4ttigte Gallenfl\u00fcssigkeit, z. B. Cholesterin,<br>Bilirubin<\/li>\n\n\n\n<li>L\u00e4ngeres Verweilen der Galle in der Gallenblase bei geringer Gallenblasenbeweglichkeit<\/li>\n\n\n\n<li>Risikofaktoren (6F-Regel: female, fair, fat, forty, fertile, family):<br>\u2013 Weibl. Geschlecht<br>\u2013 Blond<br>\u2013 Adipositas<br>\u2013 Zunehmendes Alter (&gt; 40. Lj.)<br>\u2013 Schwangerschaften<br>\u2013 Erbl. Disposition<br>Zudem: Diabetes mellitus; fettreiche, ballaststoffarme Ern\u00e4hrung<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Symptome<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Meist asymptomatisch (ungef\u00e4hr 75 %)<\/li>\n\n\n\n<li>V\u00f6llegef\u00fchl, Bl\u00e4hungen, Druckschmerz im rechten Oberbauch, Fettunvertr\u00e4glichkeit<\/li>\n\n\n\n<li>Gallenkolik bei Steinaustreibung in den Ductus cysticus o. Ductus choledochus: heftige krampfartige Schmerzen mit Ausstrahlung in R\u00fccken, Schwei\u00dfausbruch, \u00dcbelkeit, Erbrechen, evtl. Kreislaufkollaps, ggf. Temp. \u2191<\/li>\n\n\n\n<li>Ikterus<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Diagnostik<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Anamnese (Koliken? Risikofaktoren?) u. k\u00f6rperliche Untersuchung, Palpation, Druckschmerz in Leberregion bei Palpation in tiefer Inspiration<\/li>\n\n\n\n<li>Sono, ERCP, CT, Kontrastmitteluntersuchungen<\/li>\n\n\n\n<li>Blut: bei Entz\u00fcndung der Gallenblase BSG \u2191, CRP \u2191, Leukozytose, Bilirubin \u2191, AP \u2191 u. \u03b3-GT \u2191<\/li>\n\n\n\n<li>DD: Nierenkoliken, Pankreatitis, Myokardinfarkt, Ileus, Ulcus (Magen\/Duodenum), Appendizitis<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Therapie<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Keine Therapie bei stummen Gallensteinen, Ausnahme: Porzellangallenblase oder Polypen, da hohes Risiko f\u00fcr Gallenblasen- Karzinom<\/li>\n\n\n\n<li>Gallenkolik: Spasmolytika (Butylscopolamin), Schmerzmittel<\/li>\n\n\n\n<li>Nahrungskarenz, sp\u00e4ter fettarme Kost, bei anhaltender Symptomatik ggf. Fr\u00fch-OP<\/li>\n\n\n\n<li>Bei gleichzeitiger Gallenblasenentz\u00fcndung (Cholezystitis) Antibiotikagabe<\/li>\n\n\n\n<li>Operative Entfernung der Gallenblase (Cholezystektomie) im beschwerdefreien Intervall, laparoskopisch o. konventionell oder bei komplizierter Chole (docho) lithiasis<\/li>\n\n\n\n<li>ERCP (endoskopisch retrograde Cholangiopankreatikografie) ggf. mit Entfernung der Steine in den Gallenwegen<\/li>\n\n\n\n<li>ESWL (extrakorporale Sto\u00dfwellenlithotrypsie)<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Hinweise zur Pflege<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Bei Gallenkolik: Vitalzeichenkontrolle, Schmerzverlauf kontrollieren, Schmerzmittelgabe nach AO, Bettruhe, Nahrungskarenz, Knierolle zur Bauchdeckenentspannung<\/li>\n\n\n\n<li>Bei Cholezystektomie: allg. postop. \u00dcberwachung, Fr\u00fchmobilisation, Beobachtung auf Schmerzen und Ikteruszeichen, Kostaufbau nach AO und Vertr\u00e4glichkeit, Appetit<\/li>\n\n\n\n<li>Bei liegender T-Drainage: Beobachtung auf Durchg\u00e4ngigkeit, Menge der Gallenfl\u00fcssigkeit; Beutel immer unter Pat.-niveau h\u00e4ngen<br>bis Gallenfluss deutlich r\u00fcckl\u00e4ufig, dann intermittierend abklemmen<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Besondere Informationen<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Mehrzahl der Steine bilden sich in Gallenblase, Steine in Gallenwegen meist Folge einer Steinaustreibung<\/li>\n\n\n\n<li>Komplikationen je nach Lokalisation der Steine:<br>\u2013 Akute Cholezystitis<br>\u2013 Gallenwegsentz\u00fcndung (Cholangitis)<br>\u2013 Verschlussikterus<br>\u2013 Gallenblasenhydrops<br>\u2013 Empyem<br>\u2013 Gallenblasenperforation mit Peritonitis<br>\u2013 Akute bili\u00e4re Pankreatitis<br>\u2013 Porzellangallenblase<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\" \/>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Konkremente in der Gallenblase (Cholezystolithiasis) u.\/o. den Galleng\u00e4ngen (Choledocholithiasis); syn. Gallensteinerkrankung Ursachen Symptome Diagnostik Therapie Hinweise zur Pflege Besondere Informationen<\/p>\n","protected":false},"author":172,"featured_media":2186,"comment_status":"open","ping_status":"open","sticky":false,"template":"erkrankungen-individual-entry","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[27],"tags":[],"class_list":["post-1981","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-erkrankungen"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Cholelithiasis - Student Hub Germany<\/title>\n<meta name=\"description\" content=\"Alles Wichtige zu Gallensteinen: Ursachen, Symptome, Diagnostik und Behandlung. 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