Chappuis C W, Cohn I
Department of Surgery, Louisiana State University Medical Center, New Orleans.
Surg Clin North Am. 1988 Apr;68(2):301-13. doi: 10.1016/s0039-6109(16)44479-8.
Colonic diverticulosis is truly a disease of the 20th century. A direct correlation is thought to exist between the incidence of diverticular disease and the amount of dietary fiber. Acute colonic diverticulitis occurs in approximately 25 per cent of the patients with diverticula, and 20 per cent of the patients with diverticulitis will ultimately require surgical intervention. Because of the often virulent nature of the disease in younger patients and the prevalence in the geriatric population, an aggressive approach is advocated. Primary resection of the involved segment of colon is advocated in all cases requiring operation. A primary anastomosis can be constructed in stage I and some cases of stage II disease. This results in lower morbidity and mortality rates as well as fewer days of hospitalization and disability. Newer techniques such as diagnostic CT scanning, percutaneous drainage of diverticular abscess, and greater application of surgical stapling devices have done much to improve the ultimate outcome of colonic diverticulitis.
结肠憩室病确实是一种20世纪才出现的疾病。人们认为憩室病的发病率与膳食纤维的摄入量之间存在直接关联。急性结肠憩室炎约发生于25%的憩室患者中，而憩室炎患者中有20%最终需要手术干预。鉴于该病在年轻患者中往往病情凶险，且在老年人群中普遍存在，故主张采取积极的治疗方法。对于所有需要手术的病例，均主张对受累结肠段进行一期切除。在Ⅰ期及部分Ⅱ期病例中可进行一期吻合。这会降低发病率和死亡率，减少住院天数和残疾情况。诸如诊断性CT扫描、憩室脓肿经皮引流以及手术吻合器的更多应用等新技术，对改善结肠憩室炎的最终治疗效果起到了很大作用。
