THE SURGICAL SIGNIFICANCE OF DUODENAL DIVERTICULA
THE SURGICAL SIGNIFICANCE OF DUODENAL DIVERTICULA
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DOI：
10.1056/nejm195202282460901
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发表时间：
1952-01-01
影响因子：
158.5
通讯作者：
MUDGE, TJ
中科院分区：
文献类型：
--
作者：
CATTELL, RB;MUDGE, TJ
十二指肠憩室并不罕见，但手术切除的报道并不多见。这种罕见可能比其他任何事情都更能反映出，在确定已知憩室是否是患者痛苦的根源以及切除憩室所涉及的危险时所遇到的困难。由于这些病变通常存在时不会引起症状，而且当它们出现时，症状也不遵循明确的临床模式，因此在没有保证手术有合理成功机会的情况下，应犹豫是否让患者接受具有重大风险的手术。犹豫和怀疑仍在继续，尽管我们知道……
DIVERTICULA of the duodenum are not uncommon, but reports of their surgical removal are infrequent. This infrequency reflects, probably more than anything else, the difficulty encountered in deciding whether a known diverticulum is the source of a patient's distress as well as the dangers involved in its excision. Because these lesions usually exist without causing symptoms and because, when they do, the symptoms follow no clear-cut clinical pattern, one should hesitate to submit a patient to a procedure of significant risk without assurance that the operation has a reasonable chance of success. Hesitancy and doubt continue, despite the knowledge that . . .