Advertisement

Dickdarm pp 443-510 | Cite as

Manifestation, Diagnose und Differentialdiagnose

  • K. Müller-Wieland
Part of the Handbuch der inneren Medizin book series (INNEREN, volume 3 / 4)

Zusammenfassung

Blutige Diarrhöen sind das Leitsymptom der Colitis ulcerosa. Leibschmerzen, Fieber, Gewichtsverlust, Tenesmen und Übelkeit mit Brechneigung werden als weitere Symptome angegeben. Die Konstellation der häufigsten klinischen Symptome ist in der epikritischen Darstellung der Erfahrungen verschiedener Arbeitsgruppen übereinstimmend zu finden und läßt eine erhebliche Variation des Schweregrades erkennen, je nachdem, ob in den Behandlungszentren schwerkranke oder leichtkranke Patienten überwiegen (GOLIGHER et al. 1968; SLOAN et al. 1950; KIRSNER u. SHORTER 1975; MüLLER-WIELAND 1972; FAHRLäNDER 1976).

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. Abrams AJ (1968) Lymphogranulom venerum. JAMA 205:199–202PubMedGoogle Scholar
  2. Abrams JS, Holden WD (1964) Tuberculosis of the gastrointestinal tract. Arch Surg 89:282–283PubMedGoogle Scholar
  3. Aronson AR, Davis DA (1961) Obstruction near hepatic flexure in pancreatitis: A rarely reported sign. JAMA 176:451–452PubMedGoogle Scholar
  4. Azzopardi JG, Evans DJ (1966) Mucoprotein-containing histiocytes (muciphages) in the rectum. Am J Clin Pathol 19:368Google Scholar
  5. Babb RR (1970) On the diverse cause of ulcerative colitis. Gastroenterol Endosc 16:206Google Scholar
  6. Baier R, Puppel H, Hahn E (1979) Erkrankungen durch Yersinia enterocolica. Dtsch Med Wochenschr 104:281–285PubMedGoogle Scholar
  7. Banks S, Trey C, Gans I, Marks IN, Groll A (1965) Histoplasmosis of the small bowel with “giant“ intestinal villi and secondary protein losing enteropathy. Am J Med 39:492–501Google Scholar
  8. Bechgaard P (1940) Et tilfaelde af recidivierende aphtos stomatitis ledsaget af conjunctivitis og ulcerationer poa genitalia og hud. Ugeskr Laeger 102:1019–1023Google Scholar
  9. Behcet H (1937) Über rezidivierende Aphthose durch einen Virus verursachte Geschwüre am Mund, am Auge und an den Genitalien. Dermatol Monatsschr 105:1152–1157Google Scholar
  10. Berenbaum SL, Yaghmai U, Berenbaum ER (1965) Ulcerative colitis in association with diverticular disease of the colon. Radiology 85:880Google Scholar
  11. Bert JM, Fassio E, Davouze R, Michel H (1959) Amibiase chronique à forme de rectocolite hémorragique. Arch Mai App Dig 8:1757Google Scholar
  12. Bluestone R, MacManon M, Dawson JM (1969) Systemic sclerosis and small bowel involvement. Gut 10:185–193PubMedGoogle Scholar
  13. Bockus HL, Willard JH, Bank J (1933) Melanosis coli, the etiologic significance of the anthracene laxatives; a report of 41 cases. J Am Med Assoc 101:1Google Scholar
  14. Boe J, Dalgaard JB, Scott D (1958) Mucocutaneous-ocular syndrome with intestinal involvement. Am J Med 25:857–867PubMedGoogle Scholar
  15. Boles RS, Hodes PI (1958) Endometriosis of the small and large intestine. Gastroenterology 34:367PubMedGoogle Scholar
  16. Boley SS, Sammartano R, Adams A, Anthony Dibiase PA, Kleinhaus S, Sprayregen (1977) On the nature and etiology of vascular ectasias of the colon. Gastroenterology 72:650–660PubMedGoogle Scholar
  17. Boley SS, Sammartano R, Brandt LS, Sprayregen S (1979) Vascular ectasis of the colon. Surg Gynecol Obstet 149:353–359Google Scholar
  18. Boone WT, Allison F (1969) Histoplasmosis. Am J Med 46:818–826PubMedGoogle Scholar
  19. Branch CD, Sledge CB (1962) Inflammatory lesions of the colon simulating neoplasms. Gastroenterology 28:286Google Scholar
  20. Brown CH, Bankin GB, Meanney TF, Rurnbull RB (1964) Normal mesenteric arteriograms in a case of senile ulcerative colitis. J Am Geriatr Soc 12:215PubMedGoogle Scholar
  21. Brown PW, Bargen JA (1938) Bacillary dysentery: late results and relationships to chronic ulcerative colitis. Am J Dig Dis 1:562Google Scholar
  22. Catterall RD (1962) Anorectal gonorrhoea. Proc R Soc Med 55:871–873PubMedGoogle Scholar
  23. Chaudhary NA, Truelove SG (1963) Prognostic factors in the irritable colon syndrome. 2nd World Congress of Gastroenterology, Munchen 1962, vol II, p 844Google Scholar
  24. DeCosse JJ, Rhodes RS, Wentz WB (1969) The natural history and management of radiation induced injury of the gastrointestinal tract. Ann Surg 170:369–384PubMedGoogle Scholar
  25. Crespon B, Housset P, Mendez J, Berman H, Debray C (1975) Bilan de 1000 colonoscopies. Arch Fr Mai App Dig 64:299–308Google Scholar
  26. Dickson GH (1968) Three cases of ischaemic colitis. Gut 9:376–380PubMedGoogle Scholar
  27. Dronfield MW, Fletcher J, Langman MJS (1974) Coincident salmonella infections and ulcerative colitis: problems of recognition and management. Br Med J 1:99–100PubMedGoogle Scholar
  28. Farid Z, Elmasry NA, Young SW (1974) Treatment of schistosomal polyposis of the colon with niridazol (Ambilhar). J Trop Med Hyg 77:65–67PubMedGoogle Scholar
  29. Felton JS, Kahn E, Salick B, Natta FC van, Whitehouse MW (1972) Heavy metal poisoning: mercury and lead. Ann Intern Med 76:779Google Scholar
  30. Forlini A (1927) Stenosis del colon da pancreatitis. G Clin Med 8:609–620Google Scholar
  31. Fricke RD, Romine JS (1977) Thoracic spinal cord tumor presenting with dysautonomic diarrhea. Gastroenterology 73:1152PubMedGoogle Scholar
  32. Friedman HB, Silver GM, Brown CH (1968) Lymphoma of the colon simulating ulcerative colitis Am J Dig Dis 13:910–917Google Scholar
  33. Frohnert PP, Sheps SG (1967) Long-term follow-up study of periarteritis nodosa. Am J Med 43:8–14PubMedGoogle Scholar
  34. Frühmorgen P (1974) Diagnosis of inflammatory diseases of the colon by colonoscopy. Acta Gastroenterol Belg 37:154–158PubMedGoogle Scholar
  35. Gabrielson N, Granquist S, Ohlsen H (1976) Recurrent carcinoma of the colon in the anastomosis diagnosed by roentgen examination and colonoscopy. Endoscopy 8:47Google Scholar
  36. Geboes K, Vantrappen G (1975) The value of colonoscopy in the diagnosis of Crohn’s disease. Gastrointest Endosc 22:18–23PubMedGoogle Scholar
  37. Gelfand MD, Tepper M, Katz LA (1968) Acute irradiation proctitis in men. Gastroenterology 54:401–415PubMedGoogle Scholar
  38. Gharemani GG, Port RB, Beachley MC (1974) Pneumatosis coli in Crohn’s disease. Am J Dig Dis 19:315–323Google Scholar
  39. Ghazaly MI, El-Mazni A, Maamoun MH (1972) Surgical complications of bilharziasis of large gut. Egypt J Gastroenterol 6:35–53Google Scholar
  40. Glotzer DJ, Gardner RC, Goldman H, Hinrichs HR, Rosen H, Zetzel L (1976) Comparative features and course of ulcerative and granulomatous colitis. N Engl J Med 282:582–589Google Scholar
  41. Goligher JC (1967) Surgery of the anus, rectum and colon, 2nd edn. Baillière, Tindall & Cassell, LondonGoogle Scholar
  42. Goligher JC, DeDombal FT, Mac Watts J, Watkinson G (1968) Ulcerative colitis. Baillière, Tindall & Cassell, LondonGoogle Scholar
  43. Griffiths JD (1956) Surgical anatomy of the blood supply of the distal colon. Ann R Coll Surg 19:241Google Scholar
  44. Halter F (1967) Diagnostische Probleme und neuere therapeutische Möglichkeiten bei abdomineller Aktinomykose. Gastroenterologia (Basel) 108:44Google Scholar
  45. Harris TC, Dupont HL, Hornick RB (1972) Fecal leukocytes in diarrhea illness. Ann Intern Med 76:697PubMedGoogle Scholar
  46. Hawthrone HR, Kimbrough RA, Davis HC (1951) Concomittant endometriosis and carcinoma of the rectosigmoid. Am J Obstet Gynecol 62:681Google Scholar
  47. Heckar, zit. nach Catteral (1962)Google Scholar
  48. Henderson RG, Pinkerton H, Moore LT (1942) Histoplasma capsulatum as a cause of chronic ulcerative enteritis. JAMA 118:885Google Scholar
  49. Hook EW (1961) Samonellosis: Certain factors influencing the interaction of salmonella and the human host. Bull NY Acad Med 37:499–512Google Scholar
  50. Hoon JR, Dockerty MB, Pemberton J (1950) Ileocoecal tuberculosis including a comparison with nonspecific regional enterocolitis and noncaseous tuberculated enterocolitis. Int Obstet Surg 91:417–440Google Scholar
  51. Hunt DR, Mildenhall P (1975) Etiology of strictures of the colon associated with pancreatitis. Am J Dig Dis 20:941–946PubMedGoogle Scholar
  52. Jalan KN, Walker RJ, Prescott RJ, Butterworth STG, Smith AN, Sircus W (1970) Faecal stasis and diverticular disease in ulcerative colitis. Gut 11:688–696PubMedGoogle Scholar
  53. Kahn LB, Selzer G, Kaschula ROC (1972) Primary gastrointestinal lymphoma — clinicopathologic study of 57 cases. Am J Dig Dis 17:219–232PubMedGoogle Scholar
  54. Kilpatrick ZM (1972) Gonorrhoic proctitis. N Engl J Med 287:967–969PubMedGoogle Scholar
  55. Kilpatrick ZM, Silverman JF, Betancourt E (1968 a) Vascular occlusion of the colon and oral contraceptives. N Engl J Med 278:438PubMedGoogle Scholar
  56. Kilpatrick ZM, Farman J, Yesner R, Spiro HM (1968) Ischemic proctitis. JAMA 205:74PubMedGoogle Scholar
  57. Kirk ME, Lough J, Warner HA (1974) Histoplasma colitis: an electron microscopic study. Gastroenterology 61:46–54Google Scholar
  58. Kofler F, Schier J (1973) Dünndarmtumoren. In: Demling L (Hrsg) Klinische Gastroenterologie, Bd I. Thieme, Stuttgart, S 418Google Scholar
  59. Koss LG (1952) Abdominal gas cysts (pneumatosis cystoides intestinorum homines); analysis with report of case and critical review of literature. Arch Pathol 53:523–549Google Scholar
  60. Kratzer GL, Salvati EP (1955) Collective review of endometriosis of the colon. Am J Surg 90:866PubMedGoogle Scholar
  61. Kreeger N, Littman L (1954) Pneumatosis cystoides intestinorum: Report of a case confirmed by sigmoidoscopic biopsy. N Engl J Med 251:779–781PubMedGoogle Scholar
  62. Lake AM, Stauffer JQ, Stuart MJ (1978) Hemostatic alterations in inflammatory bowel disease. Am J Dig Dis 23:897–902PubMedGoogle Scholar
  63. Lehman SJ, Farid Z, Bassily S (1970) Intestinal protein loss in schistosomal polyposis of the colon. Gastroenterology 59:433–436PubMedGoogle Scholar
  64. Lennard-Jones JE (1972) Differentiation between Crohn’s disease, ulcerative colitis and diverticulitis. Clin Gastroenterol 1:367–375Google Scholar
  65. Lindahl F, Veslsted H, Backer OG (1972) Lesions of the colon following acute pancreatitis. Scand J Gastroenterol 7:375–378Google Scholar
  66. Lindeman RJ, Weinstein L, Levitan R (1967) Ulcerative colitis and intestinal salmonellosis. Am J Med Sci 254:855–861Google Scholar
  67. Lockhart-Mummery HE (1969) Clinical diagnosis and the use of instruments. In: Morson BC (ed) Diseases of the colon, rectum, and anus. Appleton-Century-Croft, New York, pp 34–35Google Scholar
  68. Lockhart-Mummery HE, Morson BC (1960) Crohn’s disease (regional enteritis) of the large intestine and its distinction from ulcerative colitis. Gut 1:87–105PubMedGoogle Scholar
  69. Lockhart-Mummery HE, Morson BC (1964) Crohn’s disease of the large intestine. Gut 5:493PubMedGoogle Scholar
  70. Lukash WM, Bishop RP (1967) Acute pancreatitis affecting the transverse colon: report of a case. Am J Dig 12:734–736Google Scholar
  71. Madanagopalan N, Vedachalam SP, Subramaniam R, Murugesan RG (1968) Rectal and colonic miocosal biopsy findings and faeces, sigmoidoscopy, and histopathological correlation in amoebiasis and other colitis. Gut 9:106–110PubMedGoogle Scholar
  72. Mair WSJ, McMahon MJ, Goligher JC (1976) Stenosis of the colon in acute pancreatitis. Gut 17:692–695PubMedGoogle Scholar
  73. Mandal BK, Mani V (1976) Colonic involvement in salmonellosis. Lancet 1:887–888PubMedGoogle Scholar
  74. Marcuson RW (1972) Ischaemic colitis. Clin Gastroenterol 1:745–763Google Scholar
  75. Margulis AR, Goldberg HI, Lawson TL (1971) The overlapping spectrum of ulcerative and granulomatous colitis: a roentgolographic-pathologic study. Am J Roentgenol 113:325–334Google Scholar
  76. Marshak RH, Lindner AE (1966) Ulcerative and granulomatous colitis. J Mount Sinai Hosp 33:444–502Google Scholar
  77. Marshak RH, Lipsay JJ (1972) Pneumatosis of the colon. JAMA 148:1416–1417Google Scholar
  78. Marston A, Pheils MT, Thomas ML, Morson BC (1966) Ischaemic colitis. Gut 7:1–15PubMedGoogle Scholar
  79. Mason RM, Barner CG (1969) Behcet’ s syndrome with arthritis. Ann Rheum Dis 28:95–103PubMedGoogle Scholar
  80. McAllister TA (1962) Diagnosis of amoebie colitis on routine from rectum and sigmoid colon. Br Med J 1:362PubMedGoogle Scholar
  81. McGee HJ (1960) Inflammatory fibroid polyps of the ileum and cecum. Arch Pathol 70:203Google Scholar
  82. McGovern VJ, Goulston SJM (1965) Ischaemic enterocolitis. Gut 6:213PubMedGoogle Scholar
  83. McGregor JK, McKinnon DA (1958) Intestinal interstitial emphysema (pneumatosis intestinalis). Gastroenterology 35:206–211PubMedGoogle Scholar
  84. McNeill C, Green G, Bannayan G, Weser E (1975) Ischaemic colitis diagnosed by early colonoscopy. Gastrointest Endosc 20:124–126Google Scholar
  85. Meisel JL, Bergman D, Graney D, Saunders DR, Rubin CE (1977) Human rectal mucosa: proctoscopic and morphological changes caused by laxatives. Gastroenterology 72:1274–1279PubMedGoogle Scholar
  86. Mohiuddin S, Sakiyalak P, Gullick HD, Webb WR (1971) Stenosing lesions of the colon secondary to pancreatitis. Arch Surg 102:229–231PubMedGoogle Scholar
  87. Morson BC (1972) Rectal biopsy in inflammatory bowel disease. N Engl J Med 287:1337–1339PubMedGoogle Scholar
  88. Nakanishi H, Leistner L, Hechelmann H (1968) Weitere Untersuchungen über das Vorkommen von Vibrio parahaemolyticus und Vinrio alginolyticus. Arch Lebensmittelhyg 19:49Google Scholar
  89. Nebel OT, El Masry NA, Castell DO, Farid Z, Fornes MF, Sparks HA (1974) Schistosomal disease of the colon: a reversible form of polyposis. Gastroenterology 67:939–943PubMedGoogle Scholar
  90. Norseth T, Clarkson TW (1971) Intestinal transport of 203 Hg labelled mathyl mercury chloride. Arch Environ Health 22:568PubMedGoogle Scholar
  91. O’Duffy JD, Carney J A, Deodhar S (1971) Behcet’s disease report of 10 cases, 3 with new manifestations. Ann Intern Med 75:561–570PubMedGoogle Scholar
  92. Ottenjann R, Lux G, Henke M, Strauch M (1973) Big particle biopsy. Endoscopy 5:139Google Scholar
  93. Ottenjann R, Kühner W, Frimberger E, Weingart J (1979) Assistierte Koloileoskopie Varia, Kolon-Karzinom. In: Ottenjann R, Classen M (Hrsg) Gastroenterologische Endoskopie. Enke, StuttgartGoogle Scholar
  94. Peachey RDG, Creamer B, Pierce JW (1969) Sclerodermatous involvement of the stomach and the small and large bowel. Gut 10:285–292PubMedGoogle Scholar
  95. Persson S, Danielsson D, Kjellander J, Wallensten S (1976) Studies on Crohn’s disease. 1. The relationship between Yersinia enterocolitica infection and terminal ileitis. Arch Chir Scand 142:84–90Google Scholar
  96. Pessel JF (1964) Irradiation bowel injury (rectal ulcer, fatitial proctitis, sigmoiditis, and enteritis).In: Bockus HL (ed) Gastroenterology, 2nd edn, vol II. Saunders, Philadelphia, pp 1042–1052Google Scholar
  97. Pike BF, Phillippi PJ, Lawson EH (1971) Soap colitis. N Engl J Med 285:217–218PubMedGoogle Scholar
  98. Remington JH, Mayo CW, Dockerty MB (1947) Stenosis of the colon secundary to chronic pancreatitis. Mayo Clin Proc 22:260–264Google Scholar
  99. Remmele W, Endris R (1977) PAS-positive Makrophagen in der Kolonschleimhaut — Kritische Anmerkungen zum Begriff „Kolonhistiozytose“. Leber Magen Darm 7:40–45PubMedGoogle Scholar
  100. Scott J, Stone AH (1966) Some observations in the diagnosis of rectal gonorrhoea in both sexes using a selective culture medium. Br J Vener Dis 42:103PubMedGoogle Scholar
  101. Samter TG, Alstott DF, Kurlander GJ (1966) Inflammatory fibroid polyps of the gastro-intestinal tract. Am J Clin Pathol 45:420PubMedGoogle Scholar
  102. Schiller JL, Piket-van Ulsen J, Veeken IVD, Michel MF, Stolz E (1979) Antibodies against chlamydia of lymphogranuloma venerum type in Crohn’s disease. Lancet 1:19–20Google Scholar
  103. Schmidt GT, Lennard-Jones JE, Morson BC (1968) Crohn’s disease of the colon and its distinction from diverticulitis. Gut 9:7–16PubMedGoogle Scholar
  104. Schuller JL, Piket-van Ulsen J, Veeken IVD, Michel MF, Stolz E (1979) Antibodies against chlamydia of lymphogranuloma-venerum type in Crohn’s disease. Lancet 1:19–20PubMedGoogle Scholar
  105. Schwartz S, Nadelhaft J (1957) Stimulation of colonic obstruction at the splenic flexure by pancreatitis: Roentgen features. Am J Roentgenol 78:607–616Google Scholar
  106. Shorter RG, Huizenga KA, Spencer RJ (1972) A working hypothesis for the etiology and pathogenesis of nonspecific inflammatory bowel diseases. Am J Dig Dis 17:1024–1032PubMedGoogle Scholar
  107. Smith GE, Kime LR, Pitcher JL (1973) The colitis of Behcet’s disease: a seperate entity? Colonoscopic findings and literature review. Am J Dig Dis 18:987–1000PubMedGoogle Scholar
  108. Smith WG, Anderson MJ, Pemerton HW (1958) Pneumatosis cystoides intestinalis involving left portions of colon. Report of four cases diagnosed at sigmoidoscopy. Gastroenterology 35:528–533PubMedGoogle Scholar
  109. Sprayregen S, Boley SJ (1978) Vascular ectasiasis of the right colon. JAMA 239:962PubMedGoogle Scholar
  110. Steger C, Noto L (1953) Granuloma del retto do tipo eosinofilo. Acta Chir Patav 9:339PubMedGoogle Scholar
  111. Stewart MJ, Hickman EM (1931) Observations on melanosis coli. J Pathol Bact 34:61Google Scholar
  112. Stuart C (1956) Acute pancreatitis: Preliminary investigation of a radiodiagnosticsign. J Fac Radiol 8:50–58Google Scholar
  113. Theodoropoulos G, Archimandritis A, Kalos A (1975) Stenosis of the colon secondary to pancreatitis: report of a case. Dis Colon Rectum 18:158–160PubMedGoogle Scholar
  114. Tong MJ, Martin DG, Cunningham J J (1970) Clinical and bacteriological evaluation of antibiotic treatment in shigellosis. JAMA 214:1841–1844PubMedGoogle Scholar
  115. Vantrappen G, Ponette E, Gebores K, Bertrand P (1976) Yersinia enteritis and enterocolitis. Gut 17:392PubMedGoogle Scholar
  116. Vantrappen G, Agg HO, Ponette E, Geboes K, Bertrand P (1977) Yersinia enteritis and enterocolitis: gastroenterological aspects. Gastroenterology 72:220–227PubMedGoogle Scholar
  117. Wagonfeld JB, Baker AL, Reed JS, Platz CF, Kirsner JB (1976) Acute dilatation of the colon in malignant lymphoma. Gastroenterology 70:264–267PubMedGoogle Scholar
  118. Wands JR, Weiss SW, Yardley JH, Maddrey WC (1974) Chronic inorganic mercury poisoning due to laxative abuse. Am J Med 57:92–101PubMedGoogle Scholar
  119. Watts JM, DeDombal FT, Watkinson G, Goligher JC (1966) Long-term prognosis of ulcerative colitis. Br Med J 1:1447–1453PubMedGoogle Scholar
  120. Williams CB (1979) Koloskopie-diagnostische Bedeutung bei entzündlichen Erkrankungen des Colons. In: Ottenjann R, Classen M (Hrsg) Gastroenterologische Endoskopie. Enke, StuttgartGoogle Scholar
  121. Williams NS, Macfie S, Celestin LR (1979) Anorectal Crohn’s disease. Br J Surg 66:743–748PubMedGoogle Scholar
  122. Wismer B (1956) Un diagnostic différentiel rare de la recto-colit ulcereuse, la maladie de BrillSymmers à localisation rectale. Gastroenterologia (Basel) 86:627Google Scholar
  123. Wittoesch JH, Jackman RJ, McDonald JR (1958) Melanosis coli: general review and a study of 887 cases. Dis Colon Rectum 1:172PubMedGoogle Scholar
  124. Wolff WI, Shinya H (1979) Kolonoskopie. In: Ottenjann R, Classen M (Hrsg) Gastroenterologische Endoskopie. Enke, StuttgartGoogle Scholar
  125. Wright R, Truelove SC (1965) A controlled therapeutic trials of various diets in ulcerative colitis. Br Med J 2:138–141PubMedGoogle Scholar
  126. Zen-Yoji H (1968) Vibrio parahemolyticus symposium of June 12, 1968; U.S. Department of Agriculture, Consumer and Marketings Service, Beltsville, MarylandGoogle Scholar
  127. Zetzel L (1976) Granulomatous (ileo)colitis. N Engl J Med 282:600–605Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1982

Authors and Affiliations

  • K. Müller-Wieland

There are no affiliations available

Personalised recommendations