Vajrabukka T, Saksornchai K, Jimakorn P
Dis Colon Rectum. 1980 Apr;23(3):151-4. doi: 10.1007/BF02587617.
A 5-year retrospective case review and 6-month clinical observation, in a teaching and general hospital in Bangkok, Thailand, show that colonic diverticular disease is not so common as in the West and has many distinctive features. Solitary cecal diverticula are at least five times more common, accounting for about one-fourth of all diverticula of the large bowel, and show definite male preponderance and occur in younger patients. Their congenital origin is supported by the lack of association with social classes, by the finding of structural relationship with the appendix in one of the patients, and by the presence of the muscular coat. On the other hand, multiple colonic diverticulosis is essentially a disease of those above the age of 40 years and shows slight female preponderance. The diverticula appear segmental and need not originate in the sigmoid colon first. Almost all multiple diverticula show radiologic features of simple massed diverticulosis and seem to be associated with higher social classes. The differences in the pattern of diverticular disease in this series and in the West cannot be readily explained on the basis of the difference in dietary habit or psychologic stress.
在泰国曼谷的一家教学医院和综合医院进行的一项为期5年的回顾性病例研究以及6个月的临床观察表明，结肠憩室病在泰国不像在西方那么常见，且具有许多独特特征。孤立性盲肠憩室至少比其他类型常见五倍，约占大肠所有憩室的四分之一，男性明显居多，且发病年龄较轻。其先天性起源的依据包括：与社会阶层无关；在一名患者中发现与阑尾存在结构关系；以及存在肌层。另一方面，多发性结肠憩室病本质上是一种40岁以上人群的疾病，女性略占多数。憩室呈节段性分布，不一定首先起源于乙状结肠。几乎所有多发性憩室都表现出单纯聚集性憩室病的放射学特征，且似乎与较高的社会阶层有关。该系列病例中憩室病模式与西方的差异，难以单纯基于饮食习惯或心理压力的不同来解释。
