Ross C B, Richards W O, Sharp K W, Bertram P D, Schaper P W
Department of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.
Am Surg. 1990 May;56(5):319-24.
Jejunal diverticulosis is an uncommon, acquired condition that has been encountered recently in four patients. These cases (two patients with diverticulitis, one patient with chronic abdominal pain, and one patient incidentally discovered at laparotomy for colonic diverticulitis) are reported. Acute complications of jejunal diverticulosis include diverticulitis, bleeding, and intestinal obstruction. Chronic complications include intractable abdominal pain, malabsorption, and intestinal pseudo-obstruction. Up to 15 per cent of patients with jejunal diverticulosis may require small-bowel resection for treatment of these acute or chronic complications. The clinical significance, proper diagnostic evaluation, and treatment of jejunal diverticular disease are reviewed.
空肠憩室病是一种罕见的后天性疾病，最近在4例患者中发现。本文报告了这些病例（2例憩室炎患者、1例慢性腹痛患者以及1例在因结肠憩室炎行剖腹手术时偶然发现的患者）。空肠憩室病的急性并发症包括憩室炎、出血和肠梗阻。慢性并发症包括顽固性腹痛、吸收不良和假性肠梗阻。高达15%的空肠憩室病患者可能需要行小肠切除术来治疗这些急性或慢性并发症。本文对空肠憩室病的临床意义、正确的诊断评估及治疗进行了综述。
