[症状性胃憩室的诊断与外科治疗]

[Diagnosis and surgical treatment of symptomic stomach diverticulum].

作者信息

Shlyakhovsky I A, Yartsev P A, Bognitskaya T V, Gurtsiev M Kh, Eletskaya E S, Koroshvili V T, Kim T E

机构信息

Sklifosovsky Research Institute of Emergency Care of the Moscow Healthcare Department, Moscow, Russia.

出版信息

Khirurgiia (Mosk). 2020(4):70-73. doi: 10.17116/hirurgia202004170.

DOI:10.17116/hirurgia202004170

PMID:32352672

Abstract

Gastric diverticulum is a rather rare disease. This lesion is diagnosed in about 0.01% of cases during contrast-enhanced X-ray examination and in 0.04-0.11% of patients undergoing endoscopic examination. Symptomatic diverticulum is complicated by diverticulitis, bleeding, perforation and malignant transformation. Therefore, surgical resection is indicated. We report surgical treatment of a patient with diverticulum of the cardiac part of the stomach. Endoscopic and X-ray examination was valuable to establish the correct diagnosis. Laparoscopic approach minimized surgical trauma and reduced surgery time.

摘要

胃憩室是一种相当罕见的疾病。在增强X线检查中，约0.01%的病例可诊断出这种病变，而在接受内镜检查的患者中，这一比例为0.04 - 0.11%。有症状的憩室会并发憩室炎、出血、穿孔和恶变。因此，需要进行手术切除。我们报告了一例胃贲门部憩室患者的手术治疗情况。内镜检查和X线检查对于明确正确诊断很有价值。腹腔镜手术方法使手术创伤最小化并缩短了手术时间。