[The vascular surgeon's role in interdisciplinary treatment of diabetic foot syndrome].
There are more than 6 million diabetes patients in Germany. Due to long-term neuropathic and angiopathic sequelae, the number of patients with "diabetic foot syndrome" has increased dramatically in recent years. Diabetic foot ulcers have become one of the most common pathologies in interdisciplinary wound care centers. Because of its complex pathogenesis, diabetic foot syndrome needs a multidisciplinary therapeutic approach. More than 150,000 diabetics per year develop foot ulcers that often heal slowly and progress into chronic wounds. Despite all efforts at prevention, early diagnosis, and adequate therapy, more than 20,000 diabetics suffer major limb amputation in Germany every year. Applying stringent standards of care in interdisciplinary wound care centers, the amputation rate in patients with diabetic foot syndrome can be reduced to less than 50%. This article describes the complexity of diabetic foot syndrome with respect to pathogenesis, diagnostics, and therapy from a vascular surgeon's point of view. The importance of an interdisciplinary approach is emphasized.
Rümenapf
G
G
Gefässzentrum Oberrhein,Klinik für Gefässchirurgie, Diakonissen-Stiftungs-Krankenhaus, Hilgardstrasse 26, 67346, Speyer, Deutschland. gerhard.ruemenapf@diakonissen-speyer.de
Dittler
S
S
Morbach
S
S
Amendt
K
K
Radu
A
A
D000465:Algorithms; D001157:Arterial Occlusive Diseases / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000601:surgery; D001158:Arteries / Q000601:surgery; D003299:Cooperative Behavior; D003430:Cross-Sectional Studies; D017719:Diabetic Foot / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000601:surgery*; D003929:Diabetic Neuropathies / Q000150:complications; D005528:Foot / Q000098:blood supply*; D006801:Humans; D007511:Ischemia / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000601:surgery*; D010348:Patient Care Team; D012307:Risk Factors; D014656:Vascular Surgical Procedures; D014680:Veins / Q000637:transplantation