Steenvoorde P, Vogelaar F J, Oskam J, Tollenaar R A E M
Department of Surgery, Rijnland Hospital, Leiderdorp, The Netherlands.
Dig Surg. 2004;21(1):1-6; discussion 6. doi: 10.1159/000074833. Epub 2003 Nov 19.
A rare complication of diverticulosis of the colon is giant colonic diverticula (GCD). The condition was first described in English literature in 1953.
A Medline search was undertaken for English, French and German language articles on 'giant colonic diverticula'.
A total of 135 patients were identified, presenting with a total of 155 GCD. With a complication rate of 28% and an operative mortality of 5%, GCD seems to have a high clinical significance. Radiological examination of choice seems to be plain abdominal X-ray and CT examination, barium enema carries the risk of perforation of the diverticulum, and should not be performed.
There are different therapeutic options, in our opinion diverticulectomy alone is not the treatment of choice. Because of the possibility of recurrence and oncological reasons, colectomy seems to be the best treatment. The creation of a protecting colostomy depends on other operative findings.
结肠憩室病的一种罕见并发症是巨型结肠憩室（GCD）。该病于1953年首次在英文文献中被描述。
对Medline数据库进行检索，查找有关“巨型结肠憩室”的英文、法文和德文文章。
共识别出135例患者，共有155个巨型结肠憩室。并发症发生率为28%，手术死亡率为5%，巨型结肠憩室似乎具有较高的临床意义。首选的放射学检查似乎是腹部平片和CT检查，钡灌肠有憩室穿孔的风险，不应进行。
有不同的治疗选择，我们认为单纯憩室切除术不是首选治疗方法。由于存在复发的可能性和肿瘤学原因，结肠切除术似乎是最佳治疗方法。是否创建保护性结肠造口术取决于其他手术发现。
