Zusammenfassung
In diesem Kapitel werden zwei der drei typischen Pathomechanismen von Dickdarmerkrankungen, das toxische Megakolon und die Dickdarmperforation, dargestellt, während der Dickdarmileus als dritte Hautursache in einem separaten Kapitel abgehandelt wird. Darüber hinaus werden die spezifischen Krankheitsbilder der chronisch entzündlichen Dickdarmerkrankungen, der Divertikulitis, der ischämischen Kolitis und der Dickdarmtumoren als Ursachen für das akute Abdomen im Bereich des Dickdarms systematisch betrachtet.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Weiterführende Literatur
Ambrosetti P, Becker C, Terrier F (2002) Colonic diverticulitis: impact of imaging on surgical management – a prospective study of 542 patients. Eur Radiol 12: 1145–1149
Carlson RM, Madoff RD (2011) Is »ischemic« colitis ischemic? Dis Colon Rectum 54: 370–373
Chapman J, Davies M, Wolff B et al (2005) Complicated diverticulitis: is it time to rethink the rules? Ann Surg 242: 576-581; discussion 581–583
Chapman JR, Dozois EJ, Wolff BG et al (2006) Diverticulitis: a progressive disease? Do multiple recurrences predict less favorable outcomes? Ann Surg 243: 876–830
Díaz Nieto R, Varcada M, Ogunbiyi OA, Winslet MC (2011) Systematic review on the treatment of ischaemic colitis. Colorectal Dis 13: 744–747
Foutch PG, Zimmerman K (1996) Diverticular bleeding and the pigmented protuberance (sentinel clot): clinical implications, histopathological correlation, and results of endoscopic intervention. Am J Gastroenterol 91: 2589–2593
Gan SI, Beck FRCP, Beck PL (2003) A new look at toxic megacolon: an update and review of incidence, etiology, pathogenesis, and management. Am J Gastroenterol 98: 2363–2371
Goligher JC, Hoffman DC, DeDombal FT et al (1970) Surgical treatment of severe attacks of ulcerative colitis, with special reference to the advantages of early operation. Br Med J 4:703–706
Grant CS, Dozois RR (1984) Toxic megacolon: ultimate fate of patients after successful medical management. Am J Surg 147: 106–110
Green BT, Tendler DA (2005) Ischemic colitis: a clinical review. South Med J 98: 217–222
Greenstein AJ, Sachar DB, Gibas A et al (1985) Outcome of toxic dilatation in ulcerative and Crohn's colitis. J Clin Gastroenterol 7: 137–143
Higgins PD, Davis KJ, Laine L (2004) Systematic review: the epidemiology of ischaemic colitis. Aliment Pharmacol Ther 19(7): 729–738
Hoffmann JC, Zeitz M, Bischoff SC et al (2004) Diagnostik und Therapie der Colitis ulcerosa: Ergebnisse einer evidenzbasierten Konsensuskonferenz der Deutschen Gesellschaft für Verdauungs- und Stoffwechselerkrankungen zusammen mit dem Kompetenznetz chronisch entzündliche Darmerkrankungen. Z Gastroenterol 42(9): 979–983
Hoffmann JC, Preiss JC, Autschbach F et al (2008) S3-Leitlinie »Diagnostik und Therapie des Morbus Crohn«. Ergebnisse einer Evidenz-basierten Konsensuskonferenz der Deutschen Gesellschaft für Verdauungs- und Stoffwechselkrankheiten zusammen mit dem Kompetenznetz Chronisch entzündliche Darmerkrankungen. Z Gastroenterol 46: 1094–1146
Imbriaco M, Balthazar EJ (2001) Toxic megacolon: role of CT in evaluation and detection of complications. Clin Imaging 25: 349–354
Jalan K, Sircus W, Card WI et al (1969) An experience of ulcerative colitis. I. Toxic dilation in 55 cases. Gastroenterology 57: 68–82
Janes S, Meagher A, Frizelle FA (2005) Elective surgery after acute diverticulitis. Br J Surg 92: 133–142
Jurowich CF, Jellouschek S, Adamus R et al (2011) How complicated is complicated diverticulitis? - Phlegmonous diverticulitis revisited. Int J Colorectal Dis 26: 1609–1617
Kaiser AM, Jiang J-K, Lake J-P et al (2005) The management of complicated diverticulitis and the role of computed tomography. Am J Gastroenterol 100: 910–917
Klarenbeek BR, Veenhof AA, Bergamaschi R et al (2009) Laparoscopic sigmoid resection for diverticulitis decreases major morbidity rates: a randomized control trial: short-term results of the Sigma Trial. Ann Surg 249: 39–44
Latella G, Vernia P, Viscido A et al (2002) GI distension in severe ulcerative colitis. Am J Gastroenterol 97: 1169–1175
Leifeld L, Germer CT, Böhm S et al (2014) S2k-Leitlinie Divertikelkrankheit/Divertikulitis. Z Gastroenterol 52: 663–710
Lewis M ;NDSG (2008) Bleeding colonic diverticula. J Clin Gastroenterol 42: 1156–1158
Lüning TH, Keemers-Gels ME, Barendregt WB et al (2007) Colonoscopic perforations: a review of 30,366 patients. Surg Endosc 21: 994–997
MacDonald PH (2002) Ischaemic colitis. Best Pract Res Clin Gastroenterol 16: 51–61
Marshak RH, Lester LJ, Friedman AI (1950) Megacolon, a complication of ulcerative colitis. Gastroenterology 16: 76–8
Matthes K, Jung Y, Kato M et al (2011) Efficacy of full-thickness GI perforation closure with a novel over-the-scope clip application device: an animal study. Gastrointest Endosc 74(6): 1369–1375
Meagher AP, Frizelle FA, Janes S (2007) Practice parameters for sigmoid diverticulitis. Dis Colon Rectum 50: 683–685
Rafferty J, Shellito P, Hyman NH et al (2006) Standards Committee of American Society of Colon and Rectal Surgeons. Practice parameters for sigmoid diverticulitis. Dis Colon Rectum 49: 939–044
Raue W, Paolucci V, Asperger W et al; LAPDIV-CAMIC Trial Group (2011) Laparoscopic sigmoid resection for diverticular disease has no advantages over open approach: midterm results of a randomized controlled trial. Langenbecks Arch Surg 396: 973–980
Schmiegel W, Pox C, Reinacher-Schick A et al (2010) S3-Leitlinie »Kolorektales Karzinom« - Aktualisierung 2008. Z Gastroenterol 48: 65–136
Sheth SG, LaMont JT (1998) Toxic megacolon. Lancet 351: 509–513
Sileri P, Del Vecchio Blanco G, Benavoli D, Gaspari AL (2009) Iatrogenic rectal perforation during operative colonoscopy: closure with endoluminal clips. JSLS 13: 69–72
Stollman NH, Raskin JB (1999) Diagnosis and management of diverticular disease of the colon in adults: Ad Hoc Practice Parameters Committee of the American College of Gastroenterology. Am J Gastroenterol 94: 3110–3121
Strauss RJ, Flint GW, Platt N et al (1976) The surgical management of toxic dilatation of the colon: a report of 28 cases and review of the literature. Dickdarmperforationen (spontan/iatrogen). Ann Surg 184: 682–688
Thoeni RF, Cello JP (2006) CT imaging of colitis. Radiology 240: 623–638
Trecca A, Gaj F, Gagliardi G (2008) Our experience with endoscopic repair of large colonoscopic perforations and review of the literature. Tech Coloproctol12: 315-321; discussion 322
von Rahden BHA, Germer CT (2011) Operative Verfahrenswahl bei Sigmadivertikelkrankheit. Coloproctology 33(4): 228–231
von Rahden BHA, Isbert C, Jurowich CF, Germer CT (2010) Sigmadivertikulitis - Gibt es heute harte Kriterien zur Operationsindikation? Chir Praxis 71: 415–424
von Rahden BHA, Jurowich, Kircher S et al (2011a) Allergic predisposition, histamine and histamine receptor expression (H1R, H2R) are associated with complicated courses of sigmoid diverticulitis. J Gastrointest Surg 16: 173-182; discussion 182
von Rahden BHA, Kircher, Thiery S et al (2011b) Association of steroid use with complicated sigmoid diverticulitis: potential role of activated 6 CD68+/CD163+ macrophages. Langenbecks Arch Surg 396: 759–768
von Rahden BHA, Kircher, Landmann D et al (2012) Glucocorticoid induced tumour necrosis factor receptor expression: a potential molecular link between steroid intake and complicated diverticulitis? Colorectal Dis 14(10): 1276–1286
Wedel T, Büsing V, Heinrichs G et al (2010) Diverticular disease is associated with an enteric neuropathy as revealed by morphometric analysis. Neurogastroenterol Motil 22: 407-414, e93–4
Zielinski MD, Merchea A, Heller SF, You YN (2011) Emergency management of perforated colon cancers: how aggressive should we be? J Gastrointest Surg 15: 2232–2238
Zou X, Cao J, Yao Y et al (2009) Endoscopic findings and clinicopathologic characteristics of ischemic colitis: a report of 85 cases. Dig Dis Sci 54(9): 2009–2015
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer-Verlag Wien
About this chapter
Cite this chapter
Germer, CT., von Rahden, B. (2016). Dickdarm. In: Hauser, H., Buhr, H., Mischinger, HJ. (eds) Akutes Abdomen. Springer, Vienna. https://doi.org/10.1007/978-3-7091-1473-5_43
Download citation
DOI: https://doi.org/10.1007/978-3-7091-1473-5_43
Publisher Name: Springer, Vienna
Print ISBN: 978-3-7091-1472-8
Online ISBN: 978-3-7091-1473-5
eBook Packages: Medicine (German Language)