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Management of diverticular disease is changing 被引量:7

Management of diverticular disease is changing
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摘要 结肠的憩室的疾病主要是人住在的疾病西洋化并且工业化国家。人住在工业化国家中的百分之六十个将开发结肠的憩室。它以前是稀罕的它发生在幼仔的 40 的年龄,而是对复杂并发症敏感的更多。在年龄 80,超过 65% 人有结肠的憩室。原因遗体不明确,却流行病的研究把它归因于饮食的纤维缺乏。憩室炎的原因仍然保持不明确,却新观察和假设建议它由于在肠墙中的慢性炎。肠休息和抗菌素的标准医药治疗仍然是推荐处理。然而,改变概念和新治疗 indicate 职业人员生命学可以是的反煽动性的代理人象 mesalamine 那样并且可能在弄短有用功课和也许阻止的复发。为为严重急性病的穿孔的标准外科疗法发展了以便二阶段的过程被推荐。另外, laparoscopic 外科证明了安全并且可以慢慢地成为选择的技术。 Diverticular disease of the colon is primarily a disease of humans living in westernized and industrialized countries. Sixty percent of humans living in industrialized countries will develop colonic diverticula. It is rare before the age of 40, but more prone to complications when it occurs in the young. By age 80, over 65% of humans have colonic diverticula. The cause remains uncertain, but epidemiologic studies attribute it to dietary fiber deficiency. The cause of diverticulitis remains uncertain, but new observations and hypotheses suggest that it is due to chronic inflammation in the bowel wall. Standard medical therapies of bowel rest and antibiotics are still the recommended treatment. However, changing concepts and new therapies indicate that anti-inflammatory agents such as mesalamine and possibly probiotics may be helpful in shortening the course and perhaps preventing recurrences. Standard surgical treatment for perforation for severe acute disease has developed so that two-stage procedures are recommended. In addition, laparoscopic surgery has proven safe and may slowly become the technique of choice.
出处 《World Journal of Gastroenterology》 SCIE CAS CSCD 2006年第20期3225-3228,共4页 世界胃肠病学杂志(英文版)
关键词 憩室炎 病理机制 临床表现 治疗 Diverticulitis Mesalamine Treatments
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参考文献34

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同被引文献25

  • 1Hyoung-Chul Park,Bong Hwa Lee.Suspected uncomplicated cecal diverticulitis diagnosed by imaging:Initial antibiotics vs laparoscopic treatment[J].World Journal of Gastroenterology,2010,16(38):4854-4857. 被引量:4
  • 2王锡明,武乐斌,李振家,柳澄,张安忠.64层螺旋CT成像技术在结肠癌诊断中的价值[J].中国医学影像技术,2005,21(11):1707-1710. 被引量:12
  • 3H. S. de Vries,D. Boerma,R. Timmer,B. van Ramshorst,L. A. Dieleman,H. L. van Westreenen.Routine colonoscopy is not required in uncomplicated diverticulitis: a systematic review[J].Surgical Endoscopy.2014(7)
  • 4Prashant V. Sharma,Timothy Eglinton,Phil Hider,Frank Frizelle.Systematic Review and Meta-analysis of the Role of Routine Colonic Evaluation After Radiologically Confirmed Acute Diverticulitis[J].Annals of Surgery.2014(2)
  • 5F. D. McDermott,D. Collins,A. Heeney,D. C. Winter.Minimally invasive and surgical management strategies tailored to the severity of acute diverticulitis[J].Br J Surg.2014(1)
  • 6Lidewine Daniels,?agdas ünlü,Thomas R. de Wijkerslooth,Evelien Dekker,Marja A. Boermeester.Routine colonoscopy after left-sided acute uncomplicated diverticulitis: a systematic review[J].Gastrointestinal Endoscopy.2013
  • 7Abbas Chabok,Kenneth Smedh,Sven Nilsson,Marianne Stenson,Lars P?hlman.CT-colonography in the follow-up of acute diverticulitis: patient acceptance and diagnostic accuracy[J].Scandinavian Journal of Gastroenterology.2013(8)
  • 8Carolyn M. Rutter,Eric Johnson,Diana L. Miglioretti,Margaret T. Mandelson,John Inadomi,Diana S. M. Buist.Adverse events after screening and follow-up colonoscopy[J].Cancer Causes & Control.2012(2)
  • 9Daniel L. Feingold.Laparoscopic Lavage for Hinchey Grade III Sigmoid Diverticulitis[J].Seminars in Colon and Rectal Surgery.2011(3)
  • 10Kristen DeStigter,David Keating.Imaging Update: Acute Colonic Diverticulitis[J].Clinics in Colon and Rectal Surgery.2009(03)

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