Marianne Chee, Ur Rehman Mutee, Min Hoe Chew
Department of General Surgery, Sengkang Health Pte Ltd., 378 Alexandra Road, Singapore 159964, Singapore.
Department of Surgery, Sengkang Health Pte Ltd., 378 Alexandra Road, Singapore 159964, Singapore.
Int J Surg Case Rep. 2018;44:82-84. doi: 10.1016/j.ijscr.2018.02.024. Epub 2018 Feb 19.
A gastric diverticulum is a rare form of diverticular disease due to outpouching of the gastric wall. It is equally presented within both sexes and commonly occurs in fifth and sixth decades of life. Patients mostly asymptomatic but may present with mild gastric symptoms. Surgical treatment is largely dependent on the patient's symptoms, and a laparoscopic approach is usually recommended for surgery.
A 77-year-old gentleman presented to the outpatient clinic with a one-month history of passing black stools. He was arranged for an oesophagogastroduodenoscopy (OGD) which revealed a gastric body polyp and a diverticulum in the fundus of the stomach.
Gastric diverticulum is defined as an outpouching of the gastric wall. They are uncommon, with an incidence between 0.01-0.11%. Predisposing factors include: areas of weakness caused by splitting of the longitudinal muscle fibres, an absence of peritoneal membrane and perforating arterioles. The management of patients with gastric diverticulum depend largely on their symptoms. There is no specific treatment required for an asymptomatic diverticulum.
Gastric diverticula are rare conditions which are largely asymptomatic but may present with varying signs and symptoms and may require surgical intervention.
胃憩室是憩室病的一种罕见形式，由于胃壁向外突出形成。男女发病率相同，常见于50至60岁。大多数患者无症状，但可能出现轻微胃部症状。手术治疗很大程度上取决于患者症状，通常建议采用腹腔镜手术方法。
一名77岁男性到门诊就诊，有一个月排黑便病史。他接受了食管胃十二指肠镜检查（OGD），结果显示胃体部有息肉，胃底部有一个憩室。
胃憩室定义为胃壁向外突出。它们并不常见，发病率在0.01 - 0.11%之间。诱发因素包括：纵向肌纤维分裂导致的薄弱区域、腹膜缺失和穿通小动脉。胃憩室患者的管理很大程度上取决于其症状。无症状憩室无需特殊治疗。
胃憩室是罕见疾病，大多无症状，但可能出现不同的体征和症状，可能需要手术干预。
