结肠憩室病的诊疗进展OA

Colonic diverticular disease is one of the common diseases of the digestive tract and can be classified into asymptomatic diverticular disease,symptomatic uncomplicated diverticular disease,and complicated diverticular disease.Colonic diverticula often have an insidious onset and are easily overlooked and underestimated in clinical practice.The pathogenesis of colonic diverticula includes genetic factors,alterations in the intestinal microenvironment,structural and functional disorders of the colonic wall,and chronic inflammation.Symptomatic colonic diverticular disease typically presents with abdominal pain,abdominal distension or discomfort,and changes in bowel habits.In severe cases,it may lead to peridiverticular abscess,diverticular bleeding,fistula formation,intestinal obstruction,and intestinal perforation.Color Doppler ultrasonography of the abdomen,CT,colonoscopy,and related laboratory examinations are helpful for the diagnosis of colonic diverticular disease.Treatment of colonic diverticular disease includes dietary modification,the use of probiotics and antibiotics,endoscopic therapy,and surgical intervention.