[Diverticular disease : Complications and differential diagnosis]. / Divertikelerkrankung : Komplikationen und Differenzialdiagnosen.
Radiologe
; 58(4): 334-343, 2018 Apr.
Article
in De
| MEDLINE
| ID: mdl-29500612
ABSTRACT
BACKGROUND:
Diverticular disease is becoming increasingly more common in the western world. It is clinically subdivided into uncomplicated diverticular disease and diverticular disease with a complicated course. In approximately 20% of cases the diverticula will become symptomatic during the lifetime of patients.RESULTS:
In contrast to previous medical opinions, the occurrence of diverticula cannot be prevented by a diet rich in fiber; however, the development into complicated diverticulitis can be reduced by dietary measures. Complications include perforations, abscess and fistula formation or mechanical ileus. In addition, hemorrhage can occur as a complication, which can, however, occur in diverticulosis and also diverticulitis and especially in the chronic form. For the differential diagnostics a broad spectrum of inflammatory and noninflammatory diseases of the abdomen and pelvis must be taken into consideration.CONCLUSION:
According to the new S2K guidelines the subdivision of diverticulitis should be implemented using the so-called classification of diverticular diseases (CDD). This enables a stratification of patients for outpatient or inhospital treatment.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Diagnosis, Differential
/
Diverticulitis
Type of study:
Diagnostic_studies
/
Guideline
Limits:
Humans
Language:
De
Journal:
Radiologe
Year:
2018
Document type:
Article