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[Internistic therapy of acute diverticulitis].
1Gastroenterologie und Infektionskrankheiten, Medizinische Universitätsklinik, Tübingen.
Schweizerische Rundschau Fur Medizin Praxis = Revue Suisse De Medecine Praxis
|June 23, 1992
Summary
Diverticular disease, common in Western societies, ranges from uncomplicated cases to acute peridiverticulitis. Dietary fiber intake can help reduce infectious complications associated with this condition.
Area of Science:
- Gastroenterology
- Colorectal Surgery
Background:
- Diverticular disease of the large bowel is highly prevalent in Western populations.
- It encompasses a spectrum from uncomplicated diverticular disease to acute peridiverticulitis, affecting approximately 25% of individuals with colonic diverticulosis.
- The clinical presentation can vary from indolent to fulminant, contingent upon the extent of colonic spillage and its containment.
Purpose of the Study:
- To outline the clinical spectrum of diverticular disease.
- To describe the typical therapeutic approaches for diverticular disease and acute peridiverticulitis.
- To highlight preventive strategies for infectious complications.
Main Methods:
- Review of clinical patterns and therapeutic interventions for diverticular disease.
- Analysis of factors influencing disease severity.
- Evaluation of dietary impact on infectious complications.
Main Results:
- Acute peridiverticulitis occurs in about one in four patients with colonic diverticulosis.
- Medical management (bowel rest, antibiotics, analgesics) is standard for uncomplicated cases.
- Surgical intervention is indicated for complications like peritonitis, abscesses, fistulas, hemorrhage, or obstruction.
Conclusions:
- Diverticular disease management ranges from conservative medical treatment to surgical intervention based on complication severity.
- A high-fiber diet is recommended to mitigate infectious complications in patients with diverticular disease.