Parfenov A I, Krums L M, Pavlov M V
A.S. Loginov Moscow Clinical Research and Practical Center of the Department of Health of Moscow, Moscow, Russia.
Ter Arkh. 2019 Mar 17;91(2):4-8. doi: 10.26442/00403660.2019.02.000080.
The prevalence of small intestinal diverticula (SID) in the population is 0.5-2.3%, and in most cases they are asymptomatic. In the presence of small intestinal bacterial overgrowth this results in chronic diarrhea and malabsorption. When it is complicated by diverticulitis it causes pain and other symptoms of inflammatory bowel disease. Inflammatory process progression may be accompanied by bleeding, invagination, intestinal obstruction, diverticulum abscess and perforation with peritonitis development. SID include separate nosological forms such as paraphateral diverticulum and Meckel's diverticulum. In diagnosis of SID ray and endoscopic methods are crucial. The basis of small intestine diverticular disease treatment is intestinal antiseptics, antibiotics as well as surgical intervention for severe complications. Two cases are discussed, the first one confirms a possibility of development of severe malabsorption syndrome with chronic diarrhea, and the second one is a complication in a form of severe diverticulitis, abscess with perforation and peritonitis.
人群中小肠憩室（SID）的患病率为0.5%-2.3%，大多数情况下它们无症状。当存在小肠细菌过度生长时，会导致慢性腹泻和吸收不良。当并发憩室炎时，会引起疼痛及其他炎症性肠病症状。炎症过程进展可能伴有出血、肠套叠、肠梗阻、憩室脓肿以及穿孔并发展为腹膜炎。SID包括不同的病种形式，如旁侧憩室和梅克尔憩室。在SID的诊断中，影像学和内镜检查方法至关重要。小肠憩室病治疗的基础是肠道防腐剂、抗生素以及针对严重并发症的手术干预。讨论了两个病例，第一个病例证实了慢性腹泻伴严重吸收不良综合征发生的可能性，第二个病例是以严重憩室炎、脓肿伴穿孔和腹膜炎形式出现的并发症。
