Divertikelkrankheit des Kolons

Living reference work entry
Part of the Springer Reference Medizin book series (SRM)

Zusammenfassung

Die Divertikulose ist ein weit verbreitetes, absolut und mit steigendem Lebensalter in ihrer Häufigkeit zunehmendes Krankheitsbild. Sie umfasst verschiedene Ausprägungen von der asymptomatischen Divertikulose bis zur komplizierten Divertikulitis. Die akute Divertikulitis ist eine primär klinische Diagnose, basierend auf den Symptomen linksseitige Unterbauchschmerzen, Fieber und Stuhlunregelmäßigkeiten. Laborchemische Entzündungszeichen unterstützen die Verdachtsdiagnose, eine Bildgebung mittels Sonographie und CT dient der Bestätigung der Diagnose und der Erfassung von Komplikationen. Therapeutisch stehen die Gabe von Antibiotika, interventionelle Drainagen und operative Maßnahmen zur Verfügung. Die aktuelle deutsche S2k-Leitlinie aus 2014 fasst den gegenwärtigen evidenzbasierten Kenntnisstand der Erkrankung zusammen.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  1. 1.Medizinische Klinik IIKlinikum AschaffenburgAschaffenburgDeutschland

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