小肠憩室：有新的发现吗？
Small intestine diverticula: Is there anything new?
机构信息
Dimitris Mantas, Stylianos Kykalos, Dimitris Patsouras, Gregory Kouraklis, 2nd Department of Propedeutic Surgery, Medical School of Athens University, Laiko General Hospital, Tilou 12, 15344, Athens, Greece.
出版信息
World J Gastrointest Surg. 2011 Apr 27;3(4):49-53. doi: 10.4240/wjgs.v3.i4.49.
AIM
To globally approach the clinical entity of small bowel diverticulosis and, at the same time, set out the treatment options.
METHODS
We analysed 77 cases of diverticula located in the duodenum, jejunum and ileum that were treated in our department, evaluating the symptoms, diagnostic approach and offered treatment.
RESULTS
Almost half of the diverticula (46.7%) were incidentally discovered and Meckel's diverticula represented the majority (43%) that were actually the only true diverticula. A high complication rate (53%) which included inflammation with or without perforation (22%), bleeding (10%) or obstructive ileus (12%) due to small bowel diverticulosis was reported. The preoperative diagnosis was often impossible (44% of complicated cases).
CONCLUSION
Although small bowel diverticulosis has a low incidence, it should be in the clinician's mind in order to avoid misdiagnosis.
目的
全面探讨小肠憩室这一临床实体，并同时阐述其治疗选择。
方法
我们分析了在我科治疗的 77 例位于十二指肠、空肠和回肠的憩室，评估了症状、诊断方法和治疗方法。
结果
近一半的憩室（46.7%）是偶然发现的，梅克尔憩室占多数（43%），实际上它们是唯一真正的憩室。由于小肠憩室病，报告了高并发症发生率（53%），包括炎症伴或不伴穿孔（22%）、出血（10%）或小肠梗阻（12%）。术前诊断往往是不可能的（44%的复杂病例）。
结论
尽管小肠憩室病的发病率较低，但临床医生应将其牢记在心，以避免误诊。
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