Lee In Kyu
Department of Surgery, The Catholic University of Korea School of Medicine, Seoul, Korea.
J Korean Soc Coloproctol. 2010 Aug;26(4):241-5. doi: 10.3393/jksc.2010.26.4.241. Epub 2010 Aug 31.
Although right colonic diverticultis (RCD) has been reported to be a rare disease in Western countries, RCD is a common diagnosis, with an incidence per 2.9-17 case of appendicitis, in Korea. Many Western studies have reported that it is difficult to differentiate the presenting symptoms of RCD from those of appendicitis before surgery because the signs and symptoms are similar. However, performing a computed tomography scan after the application of the diagnostic criteria for RCD has increased the preoperative RCD diagnostic rate. Treatment strategies have been difficult to define for this condition due to its low preoperative diagnosis rate. However, recent reports have shown that conservative medical treatment of uncomplicated RCD can be recommended and that such treatment is effective due to the benign and self-limited natural history of RCD. Therefore, in this review, we discuss the controversies surrounding RCD management.
虽然右半结肠憩室炎（RCD）在西方国家据报道是一种罕见疾病，但在韩国，RCD是一种常见诊断，发病率为每2.9 - 17例阑尾炎中有1例。许多西方研究报告称，由于体征和症状相似，术前很难将RCD的表现症状与阑尾炎的症状区分开来。然而，应用RCD诊断标准后进行计算机断层扫描提高了术前RCD的诊断率。由于其术前诊断率低，这种疾病的治疗策略一直难以确定。然而，最近的报告表明，可以推荐对无并发症的RCD进行保守药物治疗，并且由于RCD的良性和自限性自然病程，这种治疗是有效的。因此，在本综述中，我们讨论围绕RCD管理的争议。
