Department of Surgery, Region Västmanland Hospital, Västerås, Sweden.
Centre for Clinical Research Uppsala University, Region Västmanland Hospital, Västerås, Sweden.
Scand J Surg. 2021 Jun;110(2):180-186. doi: 10.1177/14574969211011032. Epub 2021 May 3.
Left-sided colonic diverticulitis is a common condition with significant morbidity and health care costs in Western countries. Acute uncomplicated diverticulitis which is characterized by the absence of organ dysfunction, abscesses, fistula, or perforations accounts for around 80% of the cases. In the last decades, several traditional paradigms in the management of acute uncomplicated diverticulitis have been replaced by evidence-based routines. This review provides a comprehensive evidence-based and clinical-oriented overview of up-to-date diagnostics with computer tomography, non-antibiotic treatment, outpatient treatment, and surgical strategies as well as follow-up of patients with acute uncomplicated diverticulitis.
左侧结肠憩室炎是一种常见疾病，在西方国家具有较高的发病率和医疗保健费用。急性单纯性憩室炎的特征为无器官功能障碍、脓肿、瘘管或穿孔，占病例的 80%左右。在过去几十年中，急性单纯性憩室炎的管理中的几个传统模式已被基于证据的常规所取代。本综述提供了对急性单纯性憩室炎的最新计算机断层扫描诊断、非抗生素治疗、门诊治疗、手术策略以及患者随访的全面基于证据和以临床为导向的概述。
