Besznyák G, Bak G, Kovács L
Heves Megyei Onkormányzat Markhot Ferenc Körház-Rendelöintézet, Eger II. Belgyógyászati Osztály.
Orv Hetil. 1996 Sep 8;137(36):1983-5.
In connection with two cases authors review our current body of knowledge on Saint's triad that means the concomitant occurrence of cholelithiasis, hiatus hernia and colonic diverticulosis. Though each component of this syndrome is fairly common, the Saint's triad is relatively seldom encountered. It does happen so because not all the components are likely to cause clinical symptoms. Consequently diagnosis and subsequent therapy are targeted at the dominating symptoms. On the other hand, the existence of the syndrome is also not sufficiently known in clinical practice. Authors stress that in the event of simultaneous symptoms suggestive of atypic cholelithiasis, colonic diverticulosis and hiatus hernia one has to consider a potential Saint's triad. Therefore it is recommended to verify or exclude each of the three components to establish a precise diagnosis and adequate subsequent therapy.
作者结合两例病例回顾了我们目前关于圣氏三联征的知识体系,圣氏三联征是指胆结石、食管裂孔疝和结肠憩室病同时出现。虽然该综合征的每个组成部分都相当常见,但圣氏三联征相对较少见。之所以如此,是因为并非所有组成部分都可能引起临床症状。因此,诊断和后续治疗针对的是主要症状。另一方面,该综合征在临床实践中的存在也未得到充分认识。作者强调,在同时出现提示非典型胆结石、结肠憩室病和食管裂孔疝的症状时,必须考虑潜在的圣氏三联征。因此,建议对这三个组成部分逐一进行核实或排除,以确立准确的诊断和适当的后续治疗。