Donkervoort S C, Baak L C, Blaauwgeers J L G, Gerhards M F
Department of Surgery, Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands.
JSLS. 2006 Oct-Dec;10(4):525-7.
Gastric diverticula are rare and occasionally symptomatic. A sensation of fullness in the upper abdomen immediately after meals is the most common symptom. Dyspepsia and vomiting are less common. Ulceration with hemorrhage or perforation has been reported. If it is thought that complaints can be ascribed to the diverticulum and if proton pump inhibitors do not relieve symptoms, surgical resection is an option. Knowledge of the pitfalls in diagnosis and treatment of a gastric diverticulum are essential for successful and complete relief of symptoms. We report a successful laparoscopic approach as a minimally invasive solution to a symptomatic gastric diverticulum.
胃憩室罕见,偶有症状。餐后上腹部立即出现饱胀感是最常见的症状。消化不良和呕吐则较少见。已有溃疡伴出血或穿孔的报道。如果认为症状可归因于憩室,且质子泵抑制剂不能缓解症状,手术切除是一种选择。了解胃憩室诊断和治疗中的陷阱对于成功且完全缓解症状至关重要。我们报告了一例成功的腹腔镜手术方法,作为有症状胃憩室的微创解决方案。