Touzios John G, Dozois Eric J
Division of Colon and Rectal Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN 66905, USA.
Gastroenterol Clin North Am. 2009 Sep;38(3):513-25. doi: 10.1016/j.gtc.2009.06.004.
Colonic diverticulosis is a common, usually asymptomatic, entity of Western countries, with an incidence that increases with age. When these diverticula become infected and inflamed, patients can present with a wide variety of clinical manifestations. Management of acute, uncomplicated diverticulitis can often be treated successfully with antibiotics alone and the decision to proceed with more aggressive measures such as surgical intervention is made on a case-by-case basis. The treatment algorithm for diverticular disease continues to evolve as the pathophysiology, etiology, and natural history of the disease becomes better understood.
结肠憩室病在西方国家是一种常见的、通常无症状的病症，其发病率随年龄增长而增加。当这些憩室发生感染和炎症时，患者会出现各种各样的临床表现。急性非复杂性憩室炎通常仅用抗生素就能成功治疗，而是否采取更积极的措施（如手术干预）则需根据具体情况决定。随着对憩室病的病理生理学、病因和自然史的了解不断深入，憩室病的治疗方案也在不断演变。
