Spinzi G, Minoli G, Beretta A, Sacchi F, Terruzzi V
Minerva Med. 1983 May 31;74(22-23):1345-8.
Four cases of gastric diverticula culled from a series of about 3600 oesophagogastroduodenoscopies performed at the digestive endoscopy service of the Valduce Hospital, Como, between 1977 and 1980 are discussed. In the first case, the diverticulum involved the fundus; in the second, a small diverticulum of the greater curvature was combined with postpyloric substenosis that could not be passed by the instrument; in the third, a diverticulum of the fundus was accompanied by a 0.5 cm diameter polyp on the greater curvature; in the fourth, a diverticulum of the fundus was accompanied by a small diverticulum near the duodenal ampulla. Stress is laid on the usefulness of endoscopy in both diagnosis and treatment, as a means of distinguishing cases open to medical management from those that can be more profitably treated surgically.
本文讨论了1977年至1980年间在科莫瓦尔杜塞医院消化内镜科进行的约3600例食管胃十二指肠镜检查中筛选出的4例胃憩室病例。第一例中，憩室累及胃底；第二例中，大弯处的一个小憩室合并了幽门后狭窄，器械无法通过；第三例中，胃底憩室伴有大弯处一个直径0.5厘米的息肉；第四例中，胃底憩室伴有十二指肠壶腹附近的一个小憩室。强调了内镜检查在诊断和治疗中的有用性，作为一种区分适合药物治疗的病例和更适合手术治疗的病例的手段。
