The devastating effect of the potentially deadly abdominal aortic aneurysm: In nine out of ten cases, it causes no discomfort. So most do not even know they are affected. In England the disease is, therefore, officially “the silent killer”, so “the silent killer,” explains Herribert Lösel-Sadée, chief physician for vascular surgery at the Sana hospital in Gerresheim.
He suspected that to the 500,000 people Affected in Germany, around 100,000 in a requiring treatment abdominal suffering aortic aneurysm. The main artery is swollen in the belly of a diameter of more than five centimeters and threatens to burst. An Operation is urgently needed. However, only 15 percent of all patients are treated early enough.
Check at the house the doctor
With an ultrasound examination can Doctors detect an enlarged abdominal aorta. Since 1. January 2018 statutory sick men insured from 65 years to claim on a ultrasound screening for the early detection of abdominal aortic aneurysms. The health insurance covers the cost.
The new scheme would not prevent Doctors discover the disease only by accident, for example if you treat a patient, because of gallstones. Although the disease is more common in men than in women, recommends Lösel-Sadée all people over 65 to have a regular ultrasound of the abdomen.
Suspicious should be Doctors in General, even in patients who suffer from Obesity and Diabetes, regular Smoking, and, most recently, back pain complaints, the radiate to the abdominal cavity.
such A Patient the risk profile meets for an abdominal aortic aneurysm and describes the pain that can arise if the enlarged Aorta presses on the belly fur.
risk factors for abdominal aortic aneurysm
All of these factors are damage to the blood vessels. Increasing deposits narrow the vessels, the walls dilate, become thinner and more unstable. You break it comes to life-threatening internal bleeding.
Possibly the disease is caused genetically, says Lösel-Sadée. That many more men are affected than women, he explains, with the tend to be unhealthy life style of men.
minor surgery with artificial blood vessel
Recognize the doctor with a ultrasound on a enlarged abdominal aorta, it can get in the next step with a computed tomography, an accurate picture of the modified Form. PDF The best clinics in Germany in 2019
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In the traditional Operation, the surgeon opens the abdominal cavity and replaced in the abdominal aorta with a plastic prosthesis. For this purpose, he cuts off the vessels above and below the dilated body, opens the aneurysm and sews in the prosthesis.
A treatment is nowadays also possible, without opening the entire abdominal cavity. By using the so-called endovascular stent Graft, only a small wound remains after the procedure, explains Lösel-Sadée. It is a combination of a stabilizing wire mesh and a blood vessel made of plastic. Patients two to seven days after surgery to be fit again.
In the context of a study documented Lösel-Sadée, the development of 144 patients after stent Graft surgery. The study was published in 2015 in the magazine “The Italian Journal of Vascular and Endovascular Surgery” and confirmed the Use of this surgical method. During the follow-up period of five years, there was no rupture of the aortic aneurysm. There is no second surgery was necessary.
editors ‘ note: The post was at 18. September 2018 revised and now contains the note that the ultrasound screening for the early detection of Bauchaoertenaneurysmen is now being paid to men over 65 years by health insurance.
In the FOCUS Online/Glomex because Of unhealthy! This is why you should never be fat solg abdominal disease, Aorta surgery