Wolff B G, Devine R M
Mayo Clinic and Mayo Foundation, Rochester, Minnesota 55905, USA.
Am Surg. 2000 Feb;66(2):153-6.
Diverticular disease, and particularly diverticulitis, has an increasing incidence in Westernized countries because of low-fiber diet. Diverticular disease may be classified as asymptomatic, atypical, acute or uncomplicated, and complicated. Conservative or medical management is usually indicated for acute or uncomplicated diverticulitis, with elective surgical resection generally being recommended after two documented episodes. Complicated diverticulitis, because of the high rate of recurrent problems, is generally managed promptly with sigmoid resection. Sigmoid resection for diverticulitis, under appropriate circumstances, has one of the highest success rates of any of the common gastrointestinal procedures.
由于膳食纤维摄入不足，憩室病，尤其是憩室炎，在西方国家的发病率呈上升趋势。憩室病可分为无症状型、非典型型、急性或非复杂性、复杂性。急性或非复杂性憩室炎通常采用保守或药物治疗，一般在有两次确诊发作后建议择期手术切除。由于复发问题发生率高，复杂性憩室炎一般迅速进行乙状结肠切除术。在适当情况下，乙状结肠切除术治疗憩室炎的成功率是常见胃肠道手术中最高的之一。
