Orvosi Hetilap
Volume/Issue:
Volume 153: Issue 6
Colonic diverticular: disease diagnosis and therapy
Authors: László Lakatos 1 and Péter László Lakatos 2
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  • 1 Csolnoky Ferenc Megyei Kórház Belgyógyászati Centrum Veszprém Kórház u. 1. 8200
  • 2 Semmelweis Egyetem, Általános Orvostudományi Kar I. Belgyógyászati Klinika Budapest
DOI:
https://doi.org/10.1556/oh.2012.29311
Page Count:
205–213
Publication Date:
01 Feb 2012
Online Publication Date:
01 Feb 2012
Article Category:
Research Article
Open access

A diverticulosis a nyugati lakosságban az egyik leggyakoribb gastrointestinalis kórkép, amely 70 éves kor felett a lakosság több mint 50%-ában kimutatható. Tünetek az érintettek egynegyedében alakulnak ki, egyharmadukban szövődményekkel. A diagnózis ma legtöbbször kolonoszkópiával történik, a szövődmények közül a diverticulitisben a legfontosabb diagnosztikus módszer a hasi CT, vérzésben a kolonoszkópia, súlyos esetekben az angiográfia. A tünetekkel járó, szövődménymentes diverticularis betegség kezelésében előrehaladást jelentett a fel nem szívódó antibiotikumok és az 5-aminoszalicilátok adása. A szövődménymentes diverticulitis kezelésének legfontosabb eleme a széles spektrumú antibiotikumok adása, míg a szövődményes esetek nagyobb hányada sebészi kezelést igényel. A konzervatív kezelés, az endoszkópos és az invazív radiológiai módszerek fejlődésével csökken a sürgős műtétre szoruló betegek aránya, és az elektív műtéti indikációja is változik. Orv. Hetil., 2012, 153, 205–213.

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Cover Orvosi Hetilap
Orvosi Hetilap
Print ISSN:
0030-6002
Online ISSN:
1788-6120
Keywords:
colondiverticulum; diagnózis; kezelés; colon; diverticular disease; diagnosis; therapy

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