Apl Professor der Medizinischen, Fakultät, Universität Köln, Cologne, Germany.
Klinik und Poliklinik für Allgemein-, Viszeral-, Transplantations-, Gefäß- und Kinderchirurgie, Zentrum für Operative Medizin, Universitätsklinikum Würzburg, Würzburg, Germany.
United European Gastroenterol J. 2022 Nov;10(9):940-957. doi: 10.1002/ueg2.12313. Epub 2022 Dec 2.
Diverticulosis and diverticular disease are ranked among the most common gastroenterological diseases and conditions. While for many years diverticulitis was found to be mainly an event occurring in the elder population, more recent work in epidemiology demonstrates increasing frequency in younger subjects. In addition, there is a noticeable trend towards more complicated disease. This may explain the significant increase in hospitalisations observed in recent years. It is not a surprise that the number of scientific studies addressing the clinical and socioeconomic consequences in the field is increasing. As a result, diagnosis and conservative as well as surgical management have changed in recent years. Diverticulosis, diverticular disease and diverticulitis are a complex entity and apparently an interdisciplinary challenge. To meet theses considerations the German Societies for Gastroenterology and Visceral Surgery decided to create joint guidelines addressing all aspects in a truely interdisciplinary fashion. The aim of the guideline is to summarise and to evaluate the current state of knowledge on diverticulosis and diverticular disease and to develop statements as well as recommendations to all physicians involved in the management of patients with diverticular disease.
憩室病和憩室疾病是最常见的胃肠疾病和病症之一。虽然多年来憩室炎被发现主要发生在老年人群中，但最近的流行病学研究表明，这种疾病在年轻人群中的发病率正在上升。此外，疾病的复杂性也明显增加。这可能解释了近年来观察到的住院人数显著增加的原因。因此，越来越多的科学研究关注该领域的临床和社会经济学后果也就不足为奇了。结果是，憩室病、憩室疾病和憩室炎的诊断以及保守和手术治疗在近年来已经发生了变化。憩室病、憩室疾病和憩室炎是一种复杂的实体，显然是一个跨学科的挑战。为了应对这些考虑因素，德国胃肠病学和内脏外科学会决定制定联合指南，以真正跨学科的方式解决所有方面的问题。该指南的目的是总结和评估目前关于憩室病和憩室疾病的知识状况，并为所有参与憩室疾病患者管理的医生制定陈述和建议。
