Aouad Soumaya, Ricou Camille, Mouraux Stéphane, Bochatay Laurent
Service de médecine interne, Groupement hospitalier de l'Ouest lémanique, Hôpital de Nyon, 1260 Nyon.
Service de gastroentérologie, Groupement hospitalier de l'Ouest lémanique, Hôpital de Nyon, 1260 Nyon.
Rev Med Suisse. 2021 Oct 13;17(754):1740-1744.
Acute diverticulitis is the most common complication of diverticular disease, increasing in industrialized countries and in young people under 45 years of age. The modified Hinchey classification remains the most widely used and includes simple diverticulitis, i.e. localized inflammation without sepsis, and complicated diverticulitis from pericolic abscess to stercoral peritonitis. Recent studies recommend conservative management of uncomplicated forms. This article summarizes the management of simple acute left-sided diverticulitis based on the new recommendations and focusing on antibiotic treatment, outpatient or inpatient management and indications for colonoscopy.
急性憩室炎是憩室病最常见的并发症，在工业化国家以及45岁以下的年轻人中发病率呈上升趋势。改良的欣奇分类法仍是使用最广泛的分类法，包括单纯性憩室炎，即无脓毒症的局限性炎症，以及从结肠周围脓肿到粪性腹膜炎的复杂性憩室炎。最近的研究建议对非复杂性形式进行保守治疗。本文基于新的建议，总结了单纯性急性左侧憩室炎的治疗方法，重点关注抗生素治疗、门诊或住院治疗以及结肠镜检查的指征。
