Rotenberg M I
Vestn Rentgenol Radiol. 1995 Jan-Feb(1):31-4.
On the basis of survey of the special literature about the etiology of diverticula of the oesophagus, author stressed that the origin of the disease still remain unclear. Apparently, the scientists did not take into account the polyetiological factors in origin of the oesophagus' diverticula. Besides, the opinion of on benignity of diverticula and the absence of detailed classification of them were also hindrances to establishment of the problem. The clinical significance of asymptomatic diverticula of the oesophagus, according to the author's experience is not limited to the possible occurrence of complications (diverticulitis, etc). So, between 909 patients subjected to x-ray examination of the oesophagus in 106 (11.6%) of cases were found diverticula of it. In the aged group (59/336)--17.5% and in the cancerous patients even--23.4% (17/72). Diverticula of the oesophagus were found in other groups also (pulmonary tuberculosis--6.1% (6/64), bronchial cancer--5% (7/140), etc. Proceed from this the author counts that in number of cases oesophagus' diverticula are in indirect symptom of different (often severe) affections of the adjacent or distant organs.
基于对有关食管憩室病因的专业文献的研究,作者强调该疾病的起源仍不明确。显然,科学家们在食管憩室起源问题上没有考虑到多病因因素。此外,关于憩室良性的观点以及缺乏对其详细分类也阻碍了该问题的解决。根据作者的经验,食管无症状憩室的临床意义不仅限于可能发生的并发症(憩室炎等)。因此,在909例接受食管X线检查的患者中,有106例(11.6%)发现有食管憩室。在老年组(59/336)中占17.5%,在癌症患者中甚至占23.4%(17/72)。在其他组中也发现了食管憩室(肺结核患者中占6.1%(6/64),支气管癌患者中占5%(7/140)等。据此,作者认为在许多情况下,食管憩室是相邻或远处器官不同(通常严重)病变的间接症状。