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[Colonic diverticular disease: diagnosis and therapy].
Orv Hetil. 2012 Feb 12; 153(6):205-13.OH

Abstract

Colonic diverticular disease is one of the most common gastrointestinal disorders in the Western world, affecting approximately 50% of the population above the age of 70 years. Symptoms develop only in about one quarter of the affected individuals with complications in one-third of the symptomatic patients. Diagnosis is mostly confirmed by colonoscopy. Abdominal CT is the most sensitive for the diagnosis of complicated severe diverticulitis, while colonoscopy or in severe cases angiography may be performed in bleeding patients. Initial therapy of non-complicated symptomatic diverticulitis includes antibiotics and more recently non-absorbable antibiotics. In complicated cases should be treated with broad spectrum i.v. antibiotics, however surgery may became necessary in a minority of the cases. The proportion of patients needing acute surgical intervention has decreased in the last decades with the advancement of conservative management including medical therapy, endoscopy and imaging techniques and the indication of elective was also changed.

Authors+Show Affiliations

Csolnoky Ferenc Megyei Kórház, Belgyógyászati Centrum Veszprém. lakatos.lazlo@vmkorhaz.huNo affiliation info available

Pub Type(s)

English Abstract
Journal Article
Review

Language

hun

PubMed ID

22296924

Citation

Lakatos, László, and Péter László Lakatos. "[Colonic Diverticular Disease: Diagnosis and Therapy]." Orvosi Hetilap, vol. 153, no. 6, 2012, pp. 205-13.
Lakatos L, Lakatos PL. [Colonic diverticular disease: diagnosis and therapy]. Orv Hetil. 2012;153(6):205-13.
Lakatos, L., & Lakatos, P. L. (2012). [Colonic diverticular disease: diagnosis and therapy]. Orvosi Hetilap, 153(6), 205-13. https://doi.org/10.1556/OH.2012.29311
Lakatos L, Lakatos PL. [Colonic Diverticular Disease: Diagnosis and Therapy]. Orv Hetil. 2012 Feb 12;153(6):205-13. PubMed PMID: 22296924.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Colonic diverticular disease: diagnosis and therapy]. AU - Lakatos,László, AU - Lakatos,Péter László, PY - 2012/2/3/entrez PY - 2012/2/3/pubmed PY - 2012/3/16/medline SP - 205 EP - 13 JF - Orvosi hetilap JO - Orv Hetil VL - 153 IS - 6 N2 - Colonic diverticular disease is one of the most common gastrointestinal disorders in the Western world, affecting approximately 50% of the population above the age of 70 years. Symptoms develop only in about one quarter of the affected individuals with complications in one-third of the symptomatic patients. Diagnosis is mostly confirmed by colonoscopy. Abdominal CT is the most sensitive for the diagnosis of complicated severe diverticulitis, while colonoscopy or in severe cases angiography may be performed in bleeding patients. Initial therapy of non-complicated symptomatic diverticulitis includes antibiotics and more recently non-absorbable antibiotics. In complicated cases should be treated with broad spectrum i.v. antibiotics, however surgery may became necessary in a minority of the cases. The proportion of patients needing acute surgical intervention has decreased in the last decades with the advancement of conservative management including medical therapy, endoscopy and imaging techniques and the indication of elective was also changed. SN - 0030-6002 UR - https://www.unboundmedicine.com/medline/citation/22296924/[Colonic_diverticular_disease:_diagnosis_and_therapy]_ L2 - https://akjournals.com/doi/10.1556/OH.2012.29311 DB - PRIME DP - Unbound Medicine ER -