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Meckel-Divertikel/Dünndarmdivertikel/Dünndarmdivertikulitis

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Viszeral- und Allgemeinchirurgie

Part of the book series: Springer Reference Medizin ((SRM))

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Zusammenfassung

Dünndarmdivertikel werden in echte und nichtechte, sog. Pseudodivertikel, unterschieden. Mit Ausnahme des Meckel-Divertikels, welches als echtes Divertikel im terminalen Ileum lokalisiert ist, handelt es sich bei den übrigen Dünndarmdivertikeln um Pseudodivertikel. Bei diesen besteht die Divertikelwand nur aus Mukosa, Submukosa und gelegentlich Serosa. Sie treten an der Eintrittsstelle der Mesenterialvenen durch und befinden sich meist auf der mesenterialen Seite des Dünndarmes. Im Unterschied dazu ist beim Meckel-Divertikel die Darmwand vollständig ausgestülpt. Symptomatische Divertikel sind selten und fallen durch Blutung, Obstruktion, Invagination oder Divertikulitis auf. Etwa die Hälfte aller Dünndarmdivertikel wird zufällig entdeckt. Einer Resektion bedürfen nur symptomatische Divertikel oder Meckel-Divertikel mit bestimmten Risikofaktoren (erhöhtes Alter, männliches Geschlecht und ektopes Gewebe). Zufällig in der Diagnostik entdeckte Divertikel sollten nicht reseziert werden.

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Authors and Affiliations

  1. Klinik für Allgemein- und Viszeralchirurgie, Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Campus Benjamin Franklin, Berlin, Deutschland

    Claudia Seifarth & Rahel Strobel

  2. Department of General- and Visceral Surgery, Berlin Institute of Health, Berlin, Deutschland

    Claudia Seifarth & Rahel Strobel

Authors
  1. Claudia Seifarth
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  2. Rahel Strobel
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Correspondence to Claudia Seifarth .

Editor information

Editors and Affiliations

  1. Allgemein- Viszeral- u. Gefäßchirurgie, Charité Universitätsmedizin Berlin, Berlin, Berlin, Deutschland

    Martin Kreis

  2. Klinik für Visceral-, Thorax- und G, Universitätsklinikum Marburg, Marburg, Hessen, Deutschland

    Detlef K. Bartsch

  3. Klinik & Poliklinik Allgemein & Abdomin, Universitätsklinikum Mainz, Mainz, Rheinland-Pfalz, Deutschland

    Hauke Lang

Section Editor information

  1. Charité – Universitätsmedizin Berlin, Berlin, Germany

    Martin Kreis

  2. Klinik für Allgemein-, Viszeral- und Gefäßchirurgie, Charité – Universitätsmedizin Berlin, Berlin, Deutschland

    Katharina Beyer

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Seifarth, C., Strobel, R. (2022). Meckel-Divertikel/Dünndarmdivertikel/Dünndarmdivertikulitis. In: Kreis, M., Bartsch, D.K., Lang, H. (eds) Viszeral- und Allgemeinchirurgie. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-61724-3_69-1

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  • DOI: https://doi.org/10.1007/978-3-662-61724-3_69-1

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  • Print ISBN: 978-3-662-61724-3

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