Tsuchigame Tadatoshi, Ogata Ichiro, Mitsuzaki Katsuhiko, Urata Joji, Arakawa Akihiko, Saito Ryuichi, Uozumi Hideaki, Yamashita Yasuyuki, Tomiguchi Seiji, Korogi Yukunori, Bussaka Hiromasa
Department of Radiology, Kumamoto University School of Medicine.
Nihon Igaku Hoshasen Gakkai Zasshi. 2003 Jan;63(1):36-40.
The aim of this study was to evaluate the clinical conditions of gastric diverticulum. Fifty-four patients with gastric diverticulum (20 men and 34 women among 34,314 patients who underwent medical check-ups) were evaluated on indirect radiographs, for an incidence of 0.16% among the total number of examined cases, a rate lower than that of previous reports. Almost all cases were asymptomatic, had a single diverticulum, and showed a saccular shape. The age distribution indicated higher frequencies in the 5th and 6th decades, and the posterior wall of the fornix was the most common location. Size ranged from 0.6 cm to 12 cm, and 41 cases (75.9%) were between 1.0 cm and 4.0 cm in size. This entity should be kept in mind when reading radiographs of upper gastrointestinal series as well as recognition of pseudodiverticulum and aberrant pancreas as noted for the stomach in several past report. Diverticulum on the cardia, which was previously classified as gastric diverticulum, should be excluded because of the possibility of normal variation.
本研究的目的是评估胃憩室的临床情况。在34314例接受体检的患者中，有54例胃憩室患者（男性20例，女性34例），在所有检查病例中的发生率为0.16%，低于以往报告的发生率。几乎所有病例均无症状，为单个憩室，呈囊状。年龄分布显示，五、六十岁年龄段的发生率较高，穹窿后壁是最常见的部位。大小范围为0.6厘米至12厘米，41例（75.9%）大小在1.0厘米至4.0厘米之间。在阅读上消化道造影X线片时，应牢记这一病变，同时也要注意识别过去几份报告中提到的胃假性憩室和胰腺异位。由于存在正常变异的可能性，以前归类为胃憩室的贲门部憩室应予以排除。
