Böhm Stephan K, Kruis Wolfgang
Bülach Hospital, Bülach, Switzerland.
Köln-Kalk Evangelical Hospital, Köln, Germany -
Minerva Gastroenterol Dietol. 2017 Jun;63(2):110-118. doi: 10.23736/S1121-421X.17.02371-6. Epub 2017 Feb 1.
Diverticulosis is a very common condition. Around 20% of the carriers of diverticula are believed to suffer from diverticular disease during their lifetime. This makes diverticular disease one of the clinically and economically most significant diseases in gastroenterology. The etiopathogenesis of diverticulosis and diverticular disease is not well understood. Epidemiological studies allow defining risk factors for the development of diverticulitis and its complications. A comprehensive literature search was performed and the current knowledge about risk factors for diverticulitis and associated conditions reviewed. Besides non-controllable risk factors like age and sex, lifestyle factors like food, drinks and physical activity, drugs are described to increase or decrease the risk to develop diverticulitis or to suffer from complications. The recognition of risk factors for the development of diverticular disease or even complicated disease like lifestyle habits or medication is crucial for patient management.
憩室病是一种非常常见的病症。据信，约20%的憩室携带者在其一生中会患上憩室疾病。这使得憩室疾病成为胃肠病学中临床上和经济上最重要的疾病之一。憩室病和憩室疾病的病因发病机制尚未完全了解。流行病学研究有助于确定憩室炎及其并发症发生的风险因素。我们进行了全面的文献检索，并对目前关于憩室炎风险因素及相关情况的知识进行了综述。除了年龄和性别等不可控风险因素外，食物、饮料和体育活动等生活方式因素以及药物也被描述为会增加或降低患憩室炎或出现并发症的风险。认识到憩室疾病甚至复杂疾病（如生活习惯或药物治疗）发生的风险因素对于患者管理至关重要。
