Zusammenfassung
Das Stellen einer Operationsindikation bei der Divertikelkrankheit ist komplex und bedarf der Zusammenschau aller zur Verfügung stehenden anamnestischen, klinischen, laborchemischen und radiologischen Daten. Anhand dieser Patientendaten kann die Divertikelkrankheit klassifiziert und typgerecht behandelt werden. Anforderungen an ein Klassifikationssystem sind dabei die prätherapeutische Anwendbarkeit und die Abbildung sämtlicher Krankheitstypen.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Literatur
Al-Khamis A, Abou Khalil J, Demian M, Morin N, Vasilevsky CA, Gordon PH, Boutros M (2016) Sigmoid Colectomy for Acute Diverticulitis in Immunosuppressed vs Immunocompetent Patients: Outcomes From the ACS-NSQIP Database. Diseases Dis Colon Rectum 59: 101–109
Ambrosetti P (2008) Acute diverticulitis of the left colon: value of the initial CT and timing of elective colectomy. J Gastrointest Surg 12: 1318–1320
Ambrosetti P, Chautems R, Soravia C, Peiris-Waser N, Terrier F (2005) Long-term outcome of mesocolic and pelvic diverticular abscesses of the left colon: a prospective study of 73 cases. Dis Colon Rectum 48: 787–791
Andersen JC, Bundgaard L, Elbrond H, Laurberg S, Walker LR, Stovring J, Danish Surgical S (2012) Danish national guidelines for treatment of diverticular disease. Dan Med J 59: C4453
Andeweg CS, Mulder IM, Felt-Bersma RJ, Verbon A, van der Wilt GJ, van Goor H, Lange JF, Stoker J, Boermeester MA, Bleichrodt RP (2013) Guidelines of Diagnostics and Treatment of Acute Left-Sided Colonic Diverticulitis. Dig Surg 30: 278–292
Biondo S (2012) Age and immunocompromised status in acute diverticulitis. Colorectal Dis 14: 1553–1554; author reply 1554–1555
Biondo S, Borao JL, Kreisler E, Golda T, Millan M, Frago R, Fraccalvieri D, Guardiola J, Jaurrieta E (2012) Recurrence and virulence of colonic diverticulitis in immunocompromised patients. Am J Surg 204: 172–179
Biondo S, Lopez Borao J, Millan M, Kreisler E, Jaurrieta E (2012) Current status of the treatment of acute colonic diverticulitis: a systematic review. Colorectal Dis 14: e1-e11
Boostrom SY, Wolff BG, Cima RR, Merchea A, Dozois EJ, Larson DW (2012) Uncomplicated diverticulitis, more complicated than we thought. J Gastrointest Surg 16: 1744–1749
Brandt D, Gervaz P, Durmishi Y, Platon A, Morel P, Poletti PA (2006) Percutaneous CT scan-guided drainage vs. antibiotherapy alone for Hinchey II diverticulitis: a case-control study. Dis Colon Rectum 49: 1533–1538
Chapman JR, Dozois EJ, Wolff BG, Gullerud RE, Larson DR (2006) Diverticulitis: a progressive disease? Do multiple recurrences predict less favorable outcomes? Ann Surg 243: 876–830; discussion 880–873
Chautems RC, Ambrosetti P, Ludwig A, Mermillod B, Morel P, Soravia C (2002) Long-term follow-up after first acute episode of sigmoid diverticulitis: is surgery mandatory?: a prospective study of 118 patients. Dis Colon Rectum 45: 962–966
Collins D, Winter DC (2008) Elective resection for diverticular disease: an evidence-based review. World J Surg 32: 2429–2433
Durmishi Y, Gervaz P, Brandt D, Bucher P, Platon A, Morel P, Poletti PA (2006) Results from percutaneous drainage of Hinchey stage II diverticulitis guided by computed tomography scan. Surg Endosc 20: 1129–1133
Farmakis N, Tudor RG, Keighley MR (1994) The 5-year natural history of complicated diverticular disease. Brit J Surg 81: 733–735
Floch CL, Ndsg (2008) Emergent and elective surgery for diverticulitis. J Clin Gastroenterol 42: 1152–1153
Garcea G, Majid I, Sutton CD, Pattenden CJ, Thomas WM (2006) Diagnosis and management of colovesical fistulae; six-year experience of 90 consecutive cases. Colorectal Dis 8: 347–352
Hall JF, Roberts PL, Ricciardi R, Read T, Scheirey C, Wald C, Marcello PW, Schoetz DJ (2011) Long-term follow-up after an initial episode of diverticulitis: what are the predictors of recurrence? Dis Colon Rectum 54: 283–288
Holmer C, Lehmann KS, Engelmann S, Frericks B, Loddenkemper C, Buhr HJ, Ritz JP (2010) Microscopic findings in sigmoid diverticulitis--changes after conservative therapy. J Gastrointest Surg 14: 812–817
Horgan AF, McConnell EJ, Wolff BG, The S, Paterson C (2001) Atypical diverticular disease: surgical results. Dis Colon Rectum 44: 1315–1318
Jurowich CF, Jellouschek S, Adamus R, Loose R, Kaiser A, Isbert C, Germer CT, von Rahden BH (2011) How complicated is complicated diverticulitis?--phlegmonous diverticulitis revisited. Int J Colorectal Dis 26: 1609–1617
Kaiser AM, Jiang JK, Lake JP, Ault G, Artinyan A, Gonzalez- Ruiz C, Essani R, Beart RW, Jr. (2005) The management of complicated diverticulitis and the role of computed tomography. Am J Gastroenterol 100: 910–917
Kohler L, Sauerland S, Neugebauer E (1999) Diagnosis and treatment of diverticular disease: results of a consensus development conference. The Scientific Committee of the European Association for Endoscopic Surgery. Surg Endosc 13: 430–436
Kruis W, Germer CT, Leifeld L (2014) Diverticular Disease: Guidelines of the German Society for Gastroenterology, Digestive and Metabolic Diseases and the German Society for General and Visceral Surgery. Digestion 90: 190–207
Lamb MN, Kaiser AM (2014) Elective resection versus observation after nonoperative management of complicated diverticulitis with abscess: a systematic review and meta-analysis. Dis Colon Rectum 57: 1430–1440
Leifeld L, Germer CT, Bohm S, Dumoulin FL, Hauser W, Kreis M, Labenz J, Lembcke B, Post S, Reinshagen M, Ritz JP, Sauerbruch T, Wedel T, von Rahden B, Kruis W (2014) S2k guidelines diverticular disease/diverticulitis. Z Gastroenterol 52: 663–710
Mueller MH, Glatzle J, Kasparek MS, Becker HD, Jehle EC, Zittel TT, Kreis ME (2005) Long-term outcome of conservative treatment in patients with diverticulitis of the sigmoid colon. Eur J Gastroenterol Hepatol 17: 649–654
Parks TG (1969) Natural history of diverticular disease of the colon. A review of 521 cases. Brit Med J 4: 639–642
Rafferty J, Shellito P, Hyman NH, Buie WD, Standards Committee of American Society of C, Rectal S (2006) Practice parameters for sigmoid diverticulitis. Dis Colon Rectum 49: 939–944
Ritz JP, Lehmann KS, Frericks B, Stroux A, Buhr HJ, Holmer C (2011) Outcome of patients with acute sigmoid diverticulitis: multivariate analysis of risk factors for free perforation. Surgery 149: 606–613
Ritz JP, Lehmann KS, Loddenkemper C, Frericks B, Buhr HJ, Holmer C (2010) Preoperative CT staging in sigmoid diverticulitis--does it correlate with intraoperative and histological findings? Langenbeck’s Arch Surg 395: 1009–1015
Rose J, Parina RP, Faiz O, Chang DC, Talamini MA (2015) Long-term Outcomes After Initial Presentation of Diverticulitis. Ann Surg 262: 1046–1053
Sallinen V, Mali J, Leppaniemi A, Mentula P (2015) Assessment of risk for recurrent diverticulitis: a proposal of risk score for complicated recurrence. Medicine 94: e557
Shaikh S, Krukowski ZH (2007) Outcome of a conservative policy for managing acute sigmoid diverticulitis. Brit J Surg 94: 876–879
Siewert B, Tye G, Kruskal J, Sosna J, Opelka F, Raptopoulos V, Goldberg SN (2006) Impact of CT-guided drainage in the treatment of diverticular abscesses: size matters. AJR 186: 680–686
Simianu VV, Fichera A, Bastawrous AL, Davidson GH, Florence MG, Thirlby RC, Flum DR (2016) Number of Diverticulitis Episodes Before Resection and Factors Associated With Earlier Interventions. JAMA Surg 151: 604–610
Simianu VV, Strate LL, Billingham RP, Fichera A, Steele SR, Thirlby RC, Flum DR (2016) The Impact of Elective Colon Resection on Rates of Emergency Surgery for Diverticulitis. Ann Surg 263: 123–129
Solkar MH, Forshaw MJ, Sankararajah D, Stewart M, Parker MC (2005) Colovesical fistula--is a surgical approach always justified? Colorectal Dis 7: 467–471
Tan JP, Barazanchi AW, Singh PP, Hill AG, Maccormick AD (2016) Predictors of acute diverticulitis severity: A systematic review. Int J Surg 26: 43–52
von Rahden BH, Germer CT (2012) Pathogenesis of colonic diverticular disease. Langenbeck’s Arch Surg 397: 1025–1033
Yoo PS, Garg R, Salamone LF, Floch MH, Rosenthal R, Longo WE (2008) Medical comorbidities predict the need for colectomy for complicated and recurrent diverticulitis. Am J Surg 196: 710–714
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer-Verlag GmbH Deutschland
About this chapter
Cite this chapter
Jurowich, C., Germer, CT. (2018). Indikationen zur chirurgischen Therapie bei Divertikulitis. In: Germer, CT., Leifeld, L., Kruis, W. (eds) Divertikulose und Divertikelkrankheit. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-53549-3_10
Download citation
DOI: https://doi.org/10.1007/978-3-662-53549-3_10
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-53548-6
Online ISBN: 978-3-662-53549-3
eBook Packages: Medicine (German Language)