Diverticulitis: New Therapy for Bowel Disease

Diverticulitis: New Therapy for Bowel Disease

Experts recommend new therapy concepts for bowel disease

Diverticulitis is a disease of the large intestine, which often leads to very uncomfortable symptoms. In addition to abdominal pain, there is usually fever and indigestion. Experts are now recommending new concepts for the treatment of bowel disease.

Intestinal wall protrusions In western industrialized countries, diverticulum formation in the large intestine is common and increases with age. Diverticula are small pockets in the intestinal wall that ignite, break open and can damage neighboring organs, such as the bladder. If intestinal contents enter the abdomen (intestinal breakthrough) through a ruptured diverticulum, there is a risk to life. Inflammation of diverticula (diverticulitis) usually leads to abdominal pain on the left and, in rare cases, also in the right half of the abdomen. Other symptoms include fever, nausea and vomiting, and a change in bowel movements from diarrhea to constipation.

New therapy guidelines Up to now, those affected have usually been prescribed antibiotics at an early stage. But new studies have now shown that this often has no advantage, as the “Apotheken Umschau” (1/2015 A) reports. The inflammation often torments patients repeatedly. "A few years ago, it was the rule to operate after the second flare of inflammation," explained Professor Martin Kreis, director of the General Surgery Clinic at the Berlin Charité. "This recommendation no longer exists." Studies on this would have shown that the complication rate does not increase with the number of inflammations. Today, doctors should wait more often according to new therapy guidelines and only intervene if complications so require. (ad)

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