Diverticulitis in the young patient-Is it different?  

作　　者：Adi Lahat Yoram Menachem Benjamin Avidan Henit Yanai Emad Sakhnini Eytan Bardan Simon Bar-Meir 

机构地区：[1]Department of Gastroenterology,Chaim Sheba Medical Center and Sackler School of Medicine,Tel Aviv University,Tel Aviv,Israel

出　　处：《World Journal of Gastroenterology》2006年第18期2932-2935,共4页世界胃肠病学杂志（英文版）

摘　　要：AIM： To prospectively study the incidence and the natural history of acute diverticulitis in young patients. METHODS： A total of 207 patients hospitalized at our hospital between January 2000 to February 2005 with the diagnosis of acute diverticulitis were included. Their demographic characteristics, medical history, physical, radiographic and endoscopic findings as well as therapy were recorded. Patients were followed every 6 mo for the first year and later annually. RESULTS： The mean patients＇ age was 61 （range 27-92） years. Twenty- five patients （12%） were younger than 45 years. Acute diverticulitis was significantly more prevalent among male in the young age group as compared to the older age group （19/25, 76% vs 61/182, 33%, respectively, P = 0.0001）. Complications occurred more often in the young age group; 32% vs 13%, （P = 0.002）. During follow-up, 6 patients （28%） remained asymptomatic in the young age group as compared to 87 patients （55%） in the older age group （P = 0.024）. As a result, sigmoidectomies were performed twice as often in the young age group （38% vs 13%, P = 0.002）. CONCLUSION： Diverticulitis in young patients has a male predominance, a more aggressive course with a higher rate of complications and a higher recurrence rate. An earlier surgical approach might be considered in young patients with acute diverticulitis.瞄准：有希望地在年轻病人学习发生和尖锐憩室炎的自然科学。方法：与尖锐憩室炎的诊断在我们在 2000 年 1 月之间的医院就医到 2005 年 2 月的 207 个病人的一个总数被包括。他们的人口统计的特征，病历， physical， X 光线照相术、内视镜的调查结果以及治疗被记录。病人们被跟随为第一年的每 6 瞬间并且以后每年。结果：吝啬的病人的年龄是 61 (范围 27-92 ) 年。25 个病人(12%) 比 45 年年轻。尖锐憩室炎是显著地，在在年轻年龄组的男性之中流行的更多作为与老年相比组织(19/25， 76% 对 61/182， 33% ，分别地 P = 0.0001 ) 。复杂并发症更经常发生在年轻年龄组；32% 对 13% ，(P = 0.002 ) 。在后续期间， 6 个病人(28%) 在老年组作为与 87 个病人(55%) 相比在年轻年龄组仍然保持无征状(P = 0.024 ) 。作为结果， sigmoidectomies 是被执行两次经常在年轻年龄组(38% 对 13% ， P = 0.002 ) 。结论：在年轻病人的憩室炎有男优势，有复杂并发症和更高的再发率的更高的率的一堂更好攻击的功课。一条更早外科的途径可能与尖锐憩室炎在年轻病人被考虑。

关 键 词：DIVERTICULITIS Young patient COMPLICATIONS SIGMOIDECTOMY 

分 类 号：R656.7[医药卫生—外科学]