Department of Surgery, University of Otago, PO Box 4345, Christchurch, 8140, New Zealand.
Dig Dis Sci. 2022 Apr;67(4):1156-1162. doi: 10.1007/s10620-021-06956-w. Epub 2021 Mar 31.
Acute diverticulitis is one of the leading gastrointestinal causes for hospitalization. The incidence of acute diverticulitis has been increasing in recent years, especially in patients under 50 years old. Historically, acute diverticulitis in younger patients was felt to represent a separate entity, being more virulent and associated with a higher rate of recurrence. Accordingly, young patients were often managed differently to older counterparts. Our understanding of the natural history of this condition has evolved, and current clinical practice guidelines suggest age should not alter management. The purpose of this review is to evaluate the changing epidemiology of acute diverticulitis, consider potential explanations for the observed increased incidence in younger patients, as well as review the natural history of acute diverticulitis in the younger population.
急性憩室炎是导致住院的主要胃肠道原因之一。近年来，急性憩室炎的发病率一直在上升，尤其是在 50 岁以下的患者中。从历史上看，年轻患者的急性憩室炎被认为是一种独立的实体，病情更为严重，复发率更高。因此，年轻患者的治疗方法往往与老年患者不同。我们对这种疾病自然史的认识已经发生了变化，目前的临床实践指南表明，年龄不应改变治疗方法。本综述的目的是评估急性憩室炎的不断变化的流行病学，考虑观察到年轻患者发病率增加的潜在原因，并回顾年轻人群中急性憩室炎的自然史。
