Flor Nicola, Soldi Simone, Zanchetta Edoardo, Sbaraini Sara, Pesapane Filippo
*Diagnostic and Interventional Radiology Unit, San Paolo University Hospital †Postgraduation School in Radiodiagnostics, School of Medicine, University of Milan, Milan, Italy.
J Clin Gastroenterol. 2016 Oct;50 Suppl 1:S23-5. doi: 10.1097/MCG.0000000000000597.
Different scenarios embrace computed tomography imaging and diverticula, including asymptomatic (diverticulosis) and symptomatic patients (acute diverticulitis, follow-up of acute diverticulitis, chronic diverticulitis). If the role of computed tomography is validated and widely supported by evidence in case of acute diverticulitis, this is not the case of patients in their follow-up for acute diverticulitis or with symptoms related to diverticula, but without acute inflammation. In these settings, computed tomography colonography is gaining consensus as the preferred radiologic test.
不同的情况包括计算机断层扫描成像和憩室,涵盖无症状(憩室病)和有症状的患者(急性憩室炎、急性憩室炎的随访、慢性憩室炎)。如果计算机断层扫描在急性憩室炎病例中的作用得到证据的验证和广泛支持,那么在急性憩室炎随访患者或有与憩室相关症状但无急性炎症的患者中情况并非如此。在这些情况下,计算机断层扫描结肠造影作为首选的放射学检查正逐渐获得共识。