Colorectal emergencies: perforated diverticulitis (operative and nonoperative management).

Colorectal emergencies: perforated diverticulitis (operative and nonoperative management).
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结直肠急症:穿孔憩室炎(手术和非手术治疗)。

DOI:
10.1007/s11605-013-2352-9
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发表时间:
2014
期刊:
Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract
影响因子:
--
通讯作者:
Yoo,James
Yoo,James
中科院分区:
--
文献类型:
--
作者:
Khalil,HassanA;Yoo,James

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憩室炎是憩室病最常见的表现。在美国,每年大约有15万人住院,导致约5万例肠道切除术。它被简单地定义为憩室穿孔引起的炎症。憩室病,定义为结肠憩室的存在,在20世纪之前是罕见的。从那时起,在所有年龄组中,憩室病和憩室炎的发病率显著增加。这种发病率的上升与19世纪晚期工业辊磨的出现相吻合,这种工艺将全谷物变成了精制的白面粉,并导致西方社会纤维消费量的显著减少。我们目前估计大约有5-10%的美国人在40岁之前患有结肠憩室。到80岁时,发病率增加到60-70%。在所有憩室病患者中,10-25%会出现症状。低膳食纤维导致粪便体积减少,导致胃肠运输减慢和结肠运动改变,导致局部结肠(腔内)压力升高
Diverticulitis is the most common manifestation of diverticulosis. It accounts for roughly 150,000 hospital admissions in the USA per year, resulting in~ 50,000 bowel resections. It is defined simply as inflammation due to perforation of a diverticulum.Diverticulosis, defined as the presence of diverticula in the colon, was rare prior to the 1900s. Since that time, there has been a significant increase in the incidence of diverticulosis and diverticulitis, across all age groups. 1, 2 This rising incidence coincided with the advent of industrial roller milling in the late 1800 s, a process that turned whole grains into refined white flour and led to a significant reduction in fiber consumption in western societies. We currently estimate that roughly 5–10% of the US population has diverticula present in their colon by the age of 40. This incidence increases to 60–70% by the age of 80. Of all patients who have diverticulosis, 10–25% will become symptomatic. Low dietary fiber results in diminished stool bulk, resulting in slower gastrointestinal transit and changes in colonic motility, leading to elevated regional colonic (intraluminal) pressures
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DOI: --
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影响因子: --
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影响因子: 3.1
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发表时间: 1987
影响因子: 4.8
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