Bertschinger P
Departement Innere Medizin, Universitätsspital Zürich.
Schweiz Rundsch Med Prax. 1993 Apr 20;82(16):487-9.
Diverticula of the colon are very common in developed countries. In most of those affected diverticulosis is an asymptomatic condition. Only 20% complain of recurrent symptoms. Symptomatic diverticulosis is common only after the age of 50. Dietary treatment combined with antispasmodics is generally sufficient. Diverticular disease is complicated by bleeding or by diverticulitis in 20% of symptomatic patients. Diverticulitis itself can be complicated by intra-abdominal abscess, fistulas, perforation with generalized peritonitis or bowel obstruction. Each clinical appearance is described and treatment is discussed.
结肠憩室在发达国家非常常见。在大多数受影响的人群中，憩室病是一种无症状的病症。只有20%的人会诉说反复出现的症状。有症状的憩室病通常在50岁以后才常见。饮食治疗结合解痉药通常就足够了。在20%有症状的患者中，憩室病会并发出血或憩室炎。憩室炎本身可能会并发腹腔内脓肿、瘘管、伴有弥漫性腹膜炎的穿孔或肠梗阻。对每种临床表现进行了描述并讨论了治疗方法。
