Zusammenfassung
Hintergrund
Für viele Patienten mit Malignomen des oberen Gastrointestinaltrakts stellt eine begleitende Gastritis oder eine funktionelle Dyspepsie ein erhebliches Problem dar. Beides hat einen tiefgreifenden Einfluss auf den Ernährungsstatus der Patienten.
Methode
Zusammenstellung klinisch bereits geprüfter komplementärmedizinischer Behandlungsansätze. Ergänzende Auflistung phytotherapeutischer Möglichkeiten aus dem Kanon der traditionellen europäischen Medizin (TEM).
Ergebnisse
Sowohl zur Behandlung der Gastritis als auch der funktionellen Dyspepsie 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. Der Patient selbst kann zusätzlich durch die Einhaltung einer leichten Vollkost unter Meidung von Alkohol, Kaffee, Zitrusfrüchten und unverträglichen Speisen zu einer Linderung der Symptome beitragen.
Schlussfolgerungen
Die Nutzung komplementärmedizinischer Maßnahmen kann sowohl bei einer begleitenden Gastritis als auch bei funktionellen Magenbeschwerden im Einzelfall sinnvoll sein. Forschungsbedarf besteht insbesondere auf dem Gebiet der traditionellen europäischen Heilkräuter, da diese eine hohe Akzeptanz bei unseren Patienten haben.
Abstract
Background
Many patients with malignancies of the upper gastrointestinal tract suffer from gastritis or functional dyspepsia during their multimodal treatment. Both symptoms have an important impact on the nutritional status of these patients.
Methods
The current study represents a compilation of several complementary alternative medicine (CAM) approaches that have been tested in clinical studies. Additionally, we listed known phytopharmaceutical remedies of traditional European medicine (TEM).
Results
There are several drug-based and non-drug-based therapeutic approaches for gastritis or functional dyspepsia, which an oncologist should know and consider for treatment. So far there are only very few clinical studies investigating traditional European phytopharmaceutical drugs. The patient can contribute to the alleviation of symptoms by following a light balanced diet and avoiding alcohol, coffee, citrus fruits, and incompatible foods.
Conclusion
In individual cases, CAM may be reasonable for improving symptoms of gastritis and functional dyspepsia. More in-depth investigations of the effects of traditional European medicinal herbs are required, as our patients show a high consumer acceptance for these remedies.
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J. Büntzel, V. Mathies, J. Hübner und J. Büntzel geben an, dass kein Interessenkonflikt besteht.
Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.
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Büntzel, J., Mathies, V., Hübner, J. et al. Komplementärmedizinische Behandlungsansätze bei Gastritis und funktionellen Magenbeschwerden während der Tumortherapie. Onkologe 26, 283–288 (2020). https://doi.org/10.1007/s00761-020-00717-6
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DOI: https://doi.org/10.1007/s00761-020-00717-6
Schlüsselwörter
- Sodbrennen
- Funktionelle Dyspepsie
- Komplementäre und alternative Medizin
- Phytotherapie
- Onkologische Supportivtherapie