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Akute Divertikulitis

  • F. P. Gall
  • W. Hohenberger
Conference paper
Part of the Langenbecks Archiv für Chirurgie book series (DTGESCHIR, volume 1988)

Zusammenfassung

Retrospektive Studie von 310 Patienten der Jahre 1978–87: Notfalloperationen wegen Peritonitis, Ileus (5%) und massiver Blutung (3%) in 22%, Eingriffe im akuten Stadium in 14% und elektive Operationen wegen Pseudotumoren, Fisteln, Stenosen in 41%. Konservative Behandlung in 23%, davon mußten später nur 7% wegen Komplikationen operiert werden, 68% blieben beschwerdefrei: Ergebnisse: Bei Peritonitis und Hartmannscher Operation Abnahme der Mortalität von früher 33 auf 16%, bei Perforationen ohne von 4 auf 0%, bei Abszessen von 12 auf 4% und bei elektiven primären Resektionen von 1,2 auf 0,6%.

Schlüsselwörter

Akute Divertikulitis Indikationen Ergebnisse 

Acute Diverticulitis

Summary

A retrospective study of 310 patients from 1978 to 87 showed emergency operations for peritonitis, acute obstruction (5%) and massive hemorrhage (3%) in 22% of the patients and various procedures for abscesses, such as delayed emergency in 14% and elective resections in 41%. Conservative treatment was given to 23% of patients with acute diverticulitis without further symptoms. During followup 68% had no symptoms, while 7% required resection for complications. The death rate for diffuse peritonitis has fallen: from 33 to 16% with Hartmann operation, and for perforations without and with abscesses from 4 to 0% and 12 to 4%, and from 1.2 to 0.6% in elective primary resection.

Key words

Acute diverticulitis indications results 

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Copyright information

© Springer-Verlag Berlin Heidelberg 1988

Authors and Affiliations

  • F. P. Gall
    • 1
  • W. Hohenberger
    • 1
  1. 1.Chirurgische Universitätsklinik Erlangen-NürnbergErlangenDeutschland

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