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<p>The treatment of multimorbid patients in oncological surgery of the upper gastrointestinal tract requires a&#xa0;differentiated consideration of every single risk factor in order to provide a holistic assessment. This article focuses on pre-existing diseases that are particularly relevant for elective esophageal and gastric surgery and have practical clinical consequences. In this way a differtiation is made between metabolic, vascular, cardiopulmonary and organ-specific risks. The aim of this work is to provide practical guidelines for complex and multimorbid cases. Given the multifactorial interrelationships, the importance of a&#xa0;thorough preoperative evaluation and interdisciplinary management cannot be overemphasized.</p>

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Der multimorbide Patient in der Viszeralchirurgie – oberer Gastrointestinaltrakt

  • 期刊论文

  • 发表日期：

    2025年1月8日

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  • Jin-On Jung,
  • Christiane Bruns

摘要

The treatment of multimorbid patients in oncological surgery of the upper gastrointestinal tract requires a differentiated consideration of every single risk factor in order to provide a holistic assessment. This article focuses on pre-existing diseases that are particularly relevant for elective esophageal and gastric surgery and have practical clinical consequences. In this way a differtiation is made between metabolic, vascular, cardiopulmonary and organ-specific risks. The aim of this work is to provide practical guidelines for complex and multimorbid cases. Given the multifactorial interrelationships, the importance of a thorough preoperative evaluation and interdisciplinary management cannot be overemphasized.