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机构地区:[1]Department of Internal Medicine,Ye Hospital,Anyang,Korea [2]Department of Obstetrics and Gynecology,Kyung Hee University Hospital,Kyung Hee University College of Medicine,Seoul,Korea
出 处:《Chinese Medical Journal》2021年第12期1511-1512,共2页中华医学杂志(英文版)
摘 要:To the Editor:Colonic diverticulosis is a common colon disorder worldwide and is mostly observed in the right colon in Asian patients,unlike in western patients.Inverted colonic diverticula(ICD)are less common and are observed in about 0.7%of colonoscopy procedures.Because ICD often resemble colon polyps,they are difficult to distinguish by colonoscopy.Thus,bowel perforation after biopsy or endoscopic resection may be a serious complication.The colonoscopy maneuvers described to help diagnose ICD include radiating pillow sign,the use of air insufflation and water jet,and reversion of the ICD with forceps.Aurora rings,most recently described as concentric pale rings surrounding the lesion,also can help to diagnose ICD without the need for maneuvers.The present report describes the cases that underwent endoscopic maneuvers by submucosal saline injection.The results of this clinical trial may help to distinguish ICD from colon polyps.
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