title: [Diverticulosis of the colon and its complications. Surgical and clinical aspects].
abstract: Colonic diverticula in reality are herniations of the mucosa through a thickened musculature of the bowel wall where it is penetrated by the vasa recta. Their prevalence increases with western food and with age. Low-residue diet and increased intraluminal pressure are considered to be etiologic factors. Diverticular disease is characterised by inflammatory and bleeding complications. Diverticulitis may lead to peridiverticulitis and pericolitis with frank peritonitis. Uncomplicated diverticulosis warrants observation only under dietary guidance. Repeated complications indicate elective operation by one-stage-resection. Perforation, abscess and massive bleeding necessitate immediate operative treatment aimed at elimination of the involved segment.
mesh_terms: D001466:Barium Sulfate; D012809:Colon, Sigmoid / Q000473:pathology; D003108:Colonic Diseases / Q000473:pathology*; D004043:Dietary Fiber / Q000627:therapeutic use; D004240:Diverticulum / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D006471:Gastrointestinal Hemorrhage / Q000601:surgery; D006801:Humans; D008722:Methods; D009751:Nutritional Requirements; D011859:Radiography
chemical_list: D004043:Dietary Fiber; D001466:Barium Sulfate
vernacular_title: Die Divertikulose des Kolons und ihre Komplikationen. Chirurgisch-klinische Aspekte.