DuBois Ben, Powell Ben, Voeller Guy
The University of Tennessee Health Science Center, Memphis, TN, USA.
JSLS. 2012 Jul-Sep;16(3):473-7. doi: 10.4293/108680812X13462882736330.
Gastric diverticulum (GD) is an extremely rare disorder that can easily be overlooked when investigating the cause of abdominal pain. Its diagnosis is founded on a history of gastrointestinal symptoms and a typically unrevealing physical examination, and diagnosis requires confirmation from UGI contrast studies, EGD, and CT scan. Symptomatic GD should be kept in consideration as a cause of abdominal issues, because not only is it treatable, but also complications of GD can be life threatening. The surgical treatment of GDs has evolved from thoraco-abdominal incisions in the early twentieth century to the laparoscopic approach used today.
The patient is a 45-y-old male presenting with a 4-mo case of dysphagia, small amounts of regurgitation, and abdominal pain but no other symptoms.
The patient was diagnosed with a gastric diverticulum, which was subsequently successfully treated with a laparoscopic gastric diverticulectomy.
Laparoscopic gastric diverticulectomy is a safe procedure and should be considered as an option to treat symptomatic GD.
胃憩室（GD）是一种极为罕见的疾病，在调查腹痛原因时很容易被忽视。其诊断基于胃肠道症状史和通常无异常发现的体格检查，诊断需要上消化道造影检查、内镜逆行性胃十二指肠镜检查（EGD）和CT扫描来确认。有症状的GD应被视为腹部问题的一个病因，因为它不仅可以治疗，而且GD的并发症可能危及生命。GD的手术治疗已从20世纪初的胸腹联合切口发展到如今使用的腹腔镜手术方法。
该患者为一名45岁男性，有4个月的吞咽困难、少量反流和腹痛病史，但无其他症状。
该患者被诊断为胃憩室，随后通过腹腔镜胃憩室切除术成功治愈。
腹腔镜胃憩室切除术是一种安全的手术方法，应被视为治疗有症状GD的一种选择。
