Die Perforation stellt die häufigste und gefährlichste Komplikation der Sigmadivertikulitis dar. Der weitere Verlauf wird entscheidend durch das gewählte Therapiekonzept beeinfluβt. Dabei steht neben der chirurgischen Therapie die intensivmedizinische Behandlung im Vordergrund. Als determinierende Faktoren kommen der Sepsis und der Peritonitis eine besondere Bedeutung zu. Die frühzeitige operative Intervention, die intensivmedizinische Behandlung und die spezifische Therapie der Peritonitis und der septischen Komplikationen dieses gravierenden Krankheitsbildes sind von gröβter Bedeutung in der Behandlung der schwerkranken Patienten. Dennoch geht diese Erkrankung auch unter dem Einsatz aller Mittel noch mit einer hohen Letalität einher

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