Zusammenfassung
Hintergrund
Patienten mit Tumoren im Kopf-Hals-Bereich leiden oft an einer iatrogenen Mukositis und Mundtrockenheit, die auch langfristig zu einer erheblichen Beeinträchtigung der Ernährung führen können.
Methode
Es erfolgte eine Zusammenstellung klinisch bereits geprüfter komplementärmedizinischer Behandlungsansätze und eine ergänzende Auflistung phytotherapeutischer Möglichkeiten aus dem Kanon der Traditionellen Europäischen Medizin.
Ergebnisse
Sowohl zur Behandlung der akuten Stomatitis und Mukositis als auch der akuten Xerostomie gibt es eine Reihe medikamentöser und nichtmedikamentöser Behandlungsansätze, die der Onkologe kennen und beachten sollte. Europäische Phytotherapeutika sind bisher relativ selten einer klinischen Prüfung unterzogen worden.
Schlussfolgerungen
Die Nutzung komplementärmedizinischer Maßnahmen kann für die Behandlung der Mukositis und der Xerostomie im Einzelfall sinnvoll sein. Forschungsbedarf besteht insbesondere auf dem Gebiet der traditionellen europäischen Heilkräuter, da diese eine hohe Akzeptanz bei den Patienten haben.
Abstract
Background
Patients with tumors in the head and neck region often suffer from iatrogenic mucositis and xerostomia. Both symptoms can have a severe long-term effect on patients’ nutritional status.
Method
Compilation of several approaches of complementary alternative medicine (CAM), which have already been tested in clinical studies. Additionally, known phytopharmaceutical remedies from the canon of traditional European medicine are listed.
Results
There are several drug-based and non-medicamentous treatment approaches for treating acute stomatitis/mucositis as well as acute xerostomia, which an oncologist should know and consider for treatment. So far there have only been very few clinical studies investigating traditional European phytopharmaceutical drugs.
Conclusions
The use of CAM for treating mucositis and xerostomia may be reasonable in individual cases. More in-depth investigations on the effects of traditional European medicinal herbs are required as patients show a high consumer acceptance for these remedies.
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J. Büntzel, J. Hübner und J. Büntzel geben an, dass kein Interessenkonflikt besteht.
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Büntzel, J., Hübner, J. & Büntzel, J. Komplementärmedizinische Behandlungsansätze bei oraler Mukositis und Xerostomie. Onkologe 25, 269–274 (2019). https://doi.org/10.1007/s00761-019-0521-5
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DOI: https://doi.org/10.1007/s00761-019-0521-5
Schlüsselwörter
- Alternative Medizin
- Stomatitis
- Traditionelle Europäische Medizin
- S3-Leitlinie Supportivmedizin
- Phytotherapie