大腸の逆転性疾患である
Neil Stollman1, Jeffrey B Raskin
1Division of Gastroenterology, San Francisco General Hospital, and University of California San Francisco, San Francisco, CA 94110, USA. NStollman@medsfgh.ucsf.edu
Lancet (London, England)
|February 28, 2004
まとめ
kolon diverticulosisは,腸内の小さな袋を伴うもので,しばしば栄養不良や老化に関連しています. 通常は無症状ですが,角膜炎や出血などの合併症が発生し,高齢者により増加します.
科学分野:
- 胃腸内科 胃腸内科
- 結腸直腸の健康について
- 老化と病気について
背景:
- kolon diverticulosisは,大腸の壁に外出袋があることが特徴です.
- 病原産は,異常な結腸の運動性と,栄養繊維の摂取量が低いことと関連しています.
- 流行率は年齢とともに増加し,先進国では一般的です.
研究 の 目的:
- 結腸門疾患の発生率,病理生理学,臨床表現,および管理をレビューする.
- 高齢者集団におけるダイヴェルティキュラー疾患の増加傾向を強調する.
- 主要な臨床的合併症について説明します. ダイヴェルティキュライトとダイヴェルティキュラー出血.
主な方法:
- 大腸ダイバーティキュロシスとその合併症に関する研究の文献レビュー.
- 流行と危険因子に関する疫学データの分析.
- 病理生理学と臨床管理に関する現在の理解の統合.
主要な成果:
- 椎間板症は,人口のかなりの部分,特に高齢者に影響を及ぼします.
- ほとんどの症例は無症状であるが,10~20%が症状を発症する.
- ディヴェルティキュライトとディヴェルティキュラー出血は,最も一般的な臨床症状です.
結論:
- 椎間板炎は一般的な疾患で,人口高齢化により罹患率が上昇すると予想されています.
- 病理生理学と臨床プレゼンテーションを理解することは,効果的な管理に不可欠です.
- 早期診断と適切な管理は,合併症を予防するために不可欠です.
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