Langenfeld Sean J
Department of Surgery, University of Nebraska Medical Center, Omaha, Nebraska.
Clin Colon Rectal Surg. 2021 Mar;34(2):86-90. doi: 10.1055/s-0040-1716699. Epub 2021 Feb 24.
Uncomplicated diverticulitis is common, and its evaluation and treatment have evolved over time. Most patients present in a nontoxic manner with localized pain, leukocytosis, and reliable findings on computed tomography (CT). Healthy and stable patients are typically treated in the outpatient setting with very high rates of success. Recently, the necessity of antibiotic therapy has come into question, and several alternative agents have emerged, with the jury still out on their relative roles in diverticular disease. Currently, colonoscopy is still recommended after the resolution of an index episode of uncomplicated diverticulitis, and recurrence rates remain low. Several diet and lifestyle modifications have been shown to impact the rates of diverticulitis recurrence.
单纯性憩室炎很常见，其评估和治疗方法也随着时间的推移而不断演变。大多数患者表现为非中毒性，伴有局部疼痛、白细胞增多，以及计算机断层扫描（CT）检查结果可靠。健康且病情稳定的患者通常在门诊接受治疗，成功率很高。最近，抗生素治疗的必要性受到质疑，几种替代药物已经出现，但关于它们在憩室病中的相对作用尚无定论。目前，仍建议在单纯性憩室炎首次发作缓解后进行结肠镜检查，复发率仍然较低。已经证明，一些饮食和生活方式的改变会影响憩室炎的复发率。
