Zusammenfassung
Mit einer globalen Incidenzquote von 5–37% stellt die Divertikelerkrankung des Colons heute das häufigste Dickdarmleiden dar. Charakteristisch ist die Krankheitszunahme mit fortschreitendem Alter, ferner ihr häufiger Beginn im Sigma mit der Neigung zur Ascension. Wir sehen aber auch den umgekehrten Weg mit Primärbefall des rechten Colons und zunehmend distalem Befall, wie das von Malta, Japan und dem Vorderen Orient berichtet wird [1, 14, 15, 17, 25, 31, 33, 34, 43, 49, 59, 66, 68, 75, 87, 93, 118, 122, 124, 125] (Abb.l).
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Literatur
Akovbiantz A, Aeberhard P, Arma S (1968) Kolondivertikulose-Divertikulitis. Praxis 57:375–379
Arfwidsson S, Lehmann L, Winberg T (1964) Pathogenesis of multiple diverticula of the sigmoid colon in diverticular disease. Acta Chir Scand 342:1–68
Asch MJ, Markowitz AN (1967) Diverticulitis coli: A surgical appraisal. Surgery 62:239–247
Attisha RP, Smith AN (1969) Pressure acitivity of the colon and rectum in diverticular disease before and after sigmoid myotomy. Br J Surg 56:891–894
Auguste LJ, Wise L (1981) Surgical management of perforated diverticuhtis. Am J Surg 141:122–127
Bacon HE, Nagsnoc M (1964) A plea for prophylactic resection as definitive therapy for diverticulitis of the colon. Am J Surg 108:830–833
Becker V (1976) Pathologisch-anatomische Aspekte zur Entstehung von Divertikeln und ihre Komplikationen. Langenbecks Arch Chir 342:401–409
Berman PM, Kirsner JB (1972) Diverticular disease of the colon in the elderly. Geriatrics 1:70–75
Berman PM, Kirsner JB (1973) Diverticular disease of the colon — the possible role of “Roughage” in both food and life. Dig Dis 18:506–507
Boles RS, Jordan SM (1958) The clinical significance of diverticulosis Gastroenterology 35:579–582
Boh DE Hughes CE (1966) Diverticulitis, a follow up of 100 cases. Br Med J 1:1205–1209
Botsford TW, Zolhnger RM, Hicks R (1971) Mortahty of the surgical treatments of diverticuhtis. Am J Surg 121:702–705
Boyden AM (1950) The surgical treatment of diverticulitis of the colon. Ann Surg 132:94–99
Brodribb AM (1977) The treatment of symptomatic diverticular disease with highfibre diet. Lancet 1:644–647
Brodribb AM, Humpfreys DM (1976) Diverticular disease: Three studies. Parti — Relation to other disorders and fibre intake. Br Med J 1:424–430
Brwon HW, Roy S (1968) Haemorrhage in diverticulitis. Int Surg 49:135–142
Burkitt DP (1973) Some diseases characteristic of modem western civihsation: Br Med J 1:274–278
Burkitt DP (1976) A deficiency of dietary fibre may be one cause of certain colonic and venous disorders. Dig Dis 21:104–109
Byrne JJ, Garick EI (1971) Surgical treatment of diverticulitis Am J Surg 121:379–384
Carlson AJ, Hoelzel F (1949) Relation of diet to diverticulitis of the colon in rats. Gastroenterology 12:108–115
Chapmann M, Misiewicz JJ (1968) Changes in the haustral pattern in diverticular disease and the irritable colon syndrom. Gut 9:735
Charnock FML, Rennie JR, Wollwood JM, Todd JP (1977) Results of colectomy for diverticular disease of the colon. Br J Surg 64:417–419
Chaudhary NA, Truelove SC (1961) Human colonic activity: A comparative study of normal subjects with ulcerative cohtis, and patients with the irritable colon syndrome. Part I-III. Gastroenterology 40:1–36
Chowdhary AR, Lorber SH (1977) Effects of glucagon and secretin on food — of morphine — induced motor activity of the distal colon, rectum and sphincter. Dig Dis 22:775–780
Classen M (1973) Divertikel des Darmes. In: Demling L (Hrsg) Klinische Gastroenterologie. Thieme, Stuttgart, S 359–365
Colcock BP (1958) Surgical management of complicated diverticuhtis. N Engl J Med 259:570–575
Council AM (1975) Applied physiology of the colon: Factors relevant to diverticular disease. Clin Gastroenterol 4:23–30
Daniels O, Basu PK, Al-Samarrai HM (1974) Use of glucagon in the treatment of acute diverticuhtis. Br Med J 3:720–722
Dietz R, Encke A (1976) Zur Behandlung der Sigmadivertikuhtis. Med Welt 27:292–295
Eastwood MA (1975) Medical and dietary management. Clin Gastroenterol 4:85–97
Elhs H (1970) Colonic diverticula: Pathology and natural history. Br Med J 3:565–567
Eng K, Ranson JHC, Locaho SA (1977) Resection of the perforated segment. Am J Surg 133:67–72
Ernsting MD (1972) Beziehung der Divertikulose zum Lebnsalter. Med Dissertation, Universität Erlangen Nürnberg
Eusebio EB, Eisenberg MM (1973) Natural history of diverticular disease of the colon in young patients. Am J Surg 125:308–311
Filippini L (1969) Die Divertikulitis des Dickdarms. Internist (Berlin) 10:275–278
Filippini L (1977) Die Divertikelkrankheit des Sigmas. Schweiz Rundsch Med 66:295–302
Findlay J, Smith AN, Sharriff S, Mitchell WD, Eastwood MA (1974) The effect of bran on transit time, bile acid concentration and motility in colonic diverticular disease. Br J Surg 61:323–331
Fischer R, Petri H, Friedel C (1964) Klinik und Behandlung der Colondivertikel. Gastroenterologica 101:339–356
Gabella G (1974) Structural changes in the taenia coli during elongation and shortening. J Physiol London 242:36–38
Gabella G (1976) Structural changes in smooth muscle cells during isotonic contraction. Cell Tissue Res 170:187–201
Gabella G (1977) Arrangement of smooth muscle cells and intramuscular septa in the taenia coh. Cell Tissue Res 184:195–212
Gallagher DM, Russel TR (1978) Surgical management of diverticular disease. Surg Clin North Am 58:563–572
Gear JSS, Fawsdon P, Nolan OJ, Ware A, Menn JJ, Brodribb AJM (1979) Symptomless diverticular disease and intake of dietary fibre. Lancet 1:511–514
Glauser R, Filippini L (1977) Divertikelkrankheit des Dickdarms. Dtsch Med Wochenschr 102:755–759
Graudins J (1973) Die Dignität der Dickdarmdivertikel in der Chirurgie. Taegl Prax 14:41–46
Graves HA, Frankhn RM, Robbins LB, Sawyers JL (1973) Surgical management of perforated diverticulitis of the colon. Am Surg 56:142–147
Greene WW (1957) Diverticulitis of the colon — radical versus conservative treatment.
Haberschon SO (1857) Observations on diseases of the alimentary canal. J. Churchill-London
Härb H, Kyrle P, Leitner R (1969) Divertikuhtis, Diverticulosis coli. Wien Med Wochenschr 119:133–135
Hamelmann H, Thiede A, Poser H, Sellschopp C (1980) Pathophysiologie und pathophysiologisch orientierte Therapiekonzepte der Divertikulose/Divertikuhtis des Dickdarms. Arzt Krankenhaus 6:9–19
Hartley RC (1964) Dangers of diverticuhtis coh: An estimation of the place of resection in avoidence of complications. Br J Surg 51:45–49
Havia I (1971) Diverticulosis of the colon: A clinical and histological study. Acta Chir Scand [Suppl] 415
Havia I, Manner R (1971) The irritable colon syndrome. A follow-up study with special referance to the developement of diverticula. Acta Chir Scand 137:569–572
Hodgson J (1972) Effect of methylcellulose on rectal and colonic pressures in treatment of diverticular disease. Br Med J 3:729–731
Hodgson J (1973) Transverse taeniamyotomy for diverticular disease. Dis Colon Rectum 16:283–289
Hodgson J (1974) Transverse taeniamyotomy. A new surgical approach for diverticular disease Ann R Coll Surg Eng 55:80–89
Hodgson WJB, Schanzer J, Bakare S, McElhinney AJ (1979) Transverse taeniamyotomy in localised acute diverticuhtis. Am J Gastroenterol 71:61–67
Höhender LF, Meyer C, Bur F, Marie A (1974) Plädoyer für die Frühresektion der Sigma-Divertikulitis. In: Reifferscheid M (Hrsg) Kolondivertikuhtis. Thieme, Stuttgart S72–84
Horner JL (1958) Natural history of diverticulosis of the colon. Am J Dig Dis 3:343–350
Hughes LE (1969) Postmortem survey of diverticular disease of the colon. Gut 10:336–351
Hyland JMP, Taylor J (1980) Does a high fibre diet prevent the complications of diverticular disease. Br J Surg 67:77–79
Johnson AG (1972) The effect of transverse section of taenia coli on intracolonic pressures in the rabbit. Scand J Gastroenterol 7:321–327
Kasper H (1979) Die Bedeutung der Ballaststoffe für die Entstehung der Behandlung gastroenterologischer Erkrankungen. Med Klin 74:1563–1568
Kelly RE, Rice RV (1969) Ultrastructural studies on the contraction mechanism of smooth muscle. J Cell Biol 42:683–694
Kettlewell MGW, Chir M, Moloney GE (1977) Combined horizontal and longitudinal colomyotomy for diverticular disease. Dis Colon Rectum 20:24–28
Kirwan WO, Smith AM (1977) Colonic propulsion in diverticular disease, idiopathic constipation, and the irritable colon syndrome. Scand J Gastroenterol 12:331–335
Klems H (1970) Klinik und Therapie der Dickdarmdivertikulose. Med Klin 65:579–584
Körte W (1921) Über entzündliche Geschwülste am Darm. Lang. Arch. klin. Chir. 118:138–163
Kraft-Kinz J, Prexl HI (1976) Die komplizierte Divertikulitis und ihre Behandlung. Langenbecks Arch Chir 342:432–437
Kümmerle F, Brückner R (1977) Chirurgische Therapie der Divertikelkrankheit des Dickdarms. Schweiz Med Wochenschr 107:498–505
Kümmerle F, Brückner R, Fuchs HF, Ottenjann R, Painter NS, Railly M (1980) Standpunkte: Klinik und Therapie der Divertikuhtis des Dickdarms. Dtsch Med Wochenschr 105:661–665
Landi E (1979) Résultats chniques et manométriques un an après l’intervention de myotomie transversale multiple pour la maladie diverticulaire du côlon sigmoide. J Chir (Paris) 115:167–170
Landi E, Fanchini A, Landa L, Maniscalco L (1979) Multiple transverse taeniomyotomy for diverticular disease. Surg Gynecol Obstet 148:221–226
Lane BP (1965) Alterations in the cytologic datail of intestinal smooth muscle cells in varous stages of contraction. J Cell Biol 27:199–213
Liebert CW, De Weese BM (1981) Primary resection without anastomosis for perforation of acute diverticuhtis. Surg Gynecol Obstet 152:30–32
Mann CV (1979) Neues über die Divertikuhtis. Proktologie 1:20–25
Manousos ON, Truelove SC, Kumsden K (1967) Prevalence of colonic diverticulosis in general population of Oxford area. Br Med J 3:762–763
Marshall SF (1963) Earlier resection in one stage for diverticulitis of the colon. Am J Surg 29:337–341
Matzkies F, Berg G (1978) Dietary fibre syndrome as the cause of disease in civihsed societies. Acta Hepatogastroenterol (Stuttg) 25:402–407
Ming SC, Fleischner FG (1965) Diverticulitis of the sigmoid colon. Surgery 58:627–633
Misiewicz IJ (1975) Colonic motility. Gut 16:311–314
Mitty WF (1969) Surgical management of complications of diverticuhtis in patients over seventy years of age. Am J Surg 117:270–276
Morson BC (1975) Pathology of diverticular disease of the colon. Clin Gastroenterol 4:37–52
Painter NS (1972) Diverticular disease of the colon and constipation and their relationship to our diet. Nurs Times 68:564–565
Painter NS (1977) The epidemiology, history and pathogenesis of diverticulosis coh — basis for treatment with improcessed bran. Schweiz Med Wochenschr 107:486–493
Parks AG (1975) Ätiologie und Pathogenese der Divertikulose. Schweiz Med Wochenschr 105:825–835
Parks TG (1970) Rectal and colonic studies after resection of the sigmoid for diverticular disease. Gut 11:121–125
Parks TG (1970) Prognosis in diverticular disease of the colon. Proc Sec Med 63:1262–1263
Parks TG, Council AM (1969) Motihty studies in diverticular disease of the colon. Gut 10:534–542
Parks TG, Connell AM (1970) The outcome in 455 patients admitted for treatment of diverticular disease of the colon. Br J Surg 57:775–778
Paulino F, Roselh A, Martins U (1971) Pathology of diverticular disease of the colon. Surgery 69:63–69
Penfold JC (1973) Management of uncomplicated diverticular disease by colonic resection in patients at St. Mark’s Hospital 1964–1969. Br J Surg 60:695–698
Phillip J (1978) Behandlung der Divertikelkrankheit des Colons. Dtsch Med Wochenschr 104:995–996
Pitzler K, Rupprecht H (1977) Die chirurgische Therapie der Sigmadivertikuhtis. Zentralbl Chir 102:243–251
Podesta MT, Pace JL (1975) Distribution of diverticula of the large intestine based on post-mortem studies Int Surg 60:395–399
Ponka JL, Shaalan AK (1964) Changing aspects in surgery of diverticulitis. Surgery 56:31–42
Prasad JK, Daniel O (1971) Recurrence of high intracolonic pressure following sigmoid myotomy. Br J Surg 58:304–309
Pross E, Kümmerle F (1973) Die Kolon-Divertikulitis. Dtsch Med Wochenschr 98:1108–1112
Raguse T (1979) Die Myotomie im Therapiekonzept der Dickdarmdivertikulitis. Langenbecks Arch Chir 348:51–60
Raguse T (1980) Funktionelle Untersuchungen vor und nach operativer Behandlung der Sigmadivertikulitis. In: Reifferscheid M, Peters H (Hrsg) Gastrointestinale Endoskopie. Bibliomed, Melsungen, S 33–44
Raguse T (1980) Untersuchungen zur Divertikelerkrankung des Kolons. Habilitationsschrift, RWTH Aachen
Raguse T (1980) Horizontal myotomy — Causal procedure in diverticular disease. In: Pichlmaier H, Grundmann R (eds) Surgery of the colon and rectum. Thieme, Stuttgart, pp 75–80
Raguse T, Bubenzer J (1979) Funktionelle und morphologische Untersuchungen zur Divertikelerkrankung des Dickdarms. Langenbecks Arch Chir [Suppl] 139–143
Raguse T, Kühnel W (1980) Funktionsorientiertes Therapiekonzept bei der Divertikelerkrankung des Kolons. Langenbecks Arch Chir 352:611
Raguse T, Kühnel W (1981) Zur Pathogenese der Divertikelerkrankung des Kolons. Leber Magen Darm 11:147–158
Raia A, Gama AH, Pinotti HW, Rodrigues JJG (1973) Diverticular disease in the transposed colon used for esophagoplasty: Report of two cases. Ann Surg 177:70–74
Reifferscheid M (1967) Pathogenese der Sigma-Divertikulitis und die Indikation zur Resektionsbehandlung. Langenbecks Arch Chir 318:134–160
Reifferscheid M (1976) Die Frühresektion der Divertikuhtis. Langenbecks Arch Chir 342:439–444
Reifferscheid M (1979) Resektion und Myotomie des Divertikeldarms. Dtsch Med Wochenschr 18:671–675
Reifferscheid M, Raguse T (1977) Die chirurgische Behandlung der Divertikuhtis. Chirurg 48:577–582
Reilly M (1964) Sigmoid myotomy. Proc R Soc Med 57:556–557
Reilly M (1970) Sigmoid myotomy: Five-year resuhs. Proc R Soc Med 63:139–144
Rodkey GV, Welch CE (1965) Diverticulitis of the colon. Evolution in concept and therapy. Surg Clin North Am 45:1231–1243
Rodkey GV, Welch CE (1974) Colonic diverticular disease with surgical treatment. A study of 338 cases. Surg Chn North Am 54:655–674
Rugtiv GM (1975) Diverticuhtis: Selective surgical management. Am J Surg 130:219–225
Schellerer W (1970) Die Behandlung der Sigmadivertikuhtis. Dtsch Med Wochenschr 13:690–694
Schellerer W (1976) Nachuntersuchungsergebnisse konservativ behandelter Divertikuhtis-Patienten. Langenbecks Arch Chir 342:449–452
Schreiber W (1965) Neue Gesichtspunkte zur Divertikuhtis des Dickdarms. Dtsch Med Wochenschr 90:1998–2003
Simonowitz D, Paloyan D (1977) Diverticular disease of the colon in patients under 40 years of age. Am J Gastroenterol 67:69–72
Slack WW (1966) Bowel muscle in divertiuclar disease. Gut 7:668–670
Smith AN, Attisha RP, Balfour T (1969) Chnical and monometric results one year after sigmoid myotomy for diverticular disease. Br J Surg 56:895–899
Smith AN, Giaunakos V, Clarke S (1971) Late results of colomyotomy. J R Coll Surg 16:276–280
Smith AN, Kirwan WO, Shariff PS (1974) Motihty effects of operations performed for diverticular disease. Proc R Soc Med 67:1041–1043
Smith AN, Shariff PS, Giaunakos V (1976) The effect of diet and operations on experimental diverticular disease. EUSRMB [Suppl] 8:16
Stelzner F (1976) Strukturveränderungen der Colonwand als Ursache der Diverticulose und der Diverticuhtis. Langenbecks Arch Chir 342:411–412
Strohmeyer G (1976) Internistische Aspekte der Divertikulose und Divertikuhtis. Langenbecks Arch Chir 342:413–420
Strohmeyer G (1978) Funktionelle Störungen des Gastrointestinaltraktes. Leber Magen Darm 8:177–182
Targat REB (1969) Diverticular disease of the colon: Chnical aspects. Br J Surg 56:417–423
Taylor I, Duthie HL (1974) The effect of stimulation on the myoelectrical activity of the rectosigmoid in man. Gut 15:599–607
Taylor I, Duthie HL (1976) Bran tablets and diverticular disease. Br Med J 1:988–990
Taylor I, Duthie HL, Smallwood R (1975) The effects of glucagon on colonic myoelectrical activity. In: Vantrappen G, Agg HO (eds) Proceeding of the 5th international Symposium on gastrointestinal motihty. Typoff, Herentals, pp 76–81
Watkins GL, Oliver GA (1966) Management of perforative sigmoid diverticuhtis with diffusing peritonitis. Arch Surg 92:928–933
Watkins GL, Oliver GA (1971) Surgical treatment of acute perforative sigmoid diverticulitis. Surgery 69:215–219
Wilhams I (1963) Changing emphasis in diverticulr disease of the colon. Br J Radiol 36:393–406
Williams I (1968) Diverticular disease of the colon. Gut 9:498–501
Zollinger RW (1968) The prognosis of diverticulitis of the colon Arch Surg 97:418–422
Zollinger RW, Zollinger RM (1971) Diverticular disease of the colon. Adv Surg 5:255–280
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Raguse, T. (1983). Pathogenese und elektive Therapie der Peridiverticulitis. In: Ottenjann, R., Fahrländer, H. (eds) Entzündliche Erkrankungen des Dickdarms. Interdisziplinäre Gastroenterologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-69062-4_14
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