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[Acute diverticulitis (10): indication of elective surgery after recurrent diverticulitis]

¾Æ·¡ ÀÚ·á´Â EndoTODAY ±Þ¼º °Ô½Ç¿°À¸·Î ¿Å°å½À´Ï´Ù.


¼­¾ç¿¡¼­ ³»°úÀûÀ¸·Î Ä¡·áÇÑ °Ô½Ç¿°ÀÇ Àç¹ß·üÀº 7-45%À̸ç, ÀÌ Áß Àý¹ÝÀº 1³â À̳»¿¡ ¹ß»ýÇÕ´Ï´Ù (8ÆÇ Sleisenger). ù¹ø° °Ô½Ç¿°º¸´Ù Àç¹ßÀÇ °æ¿ì ³»°úÄ¡·á¿¡ ¹ÝÀÀÇÒ È®·üÀÌ ³·°í »ç¸Á·üÀÌ ³ô½À´Ï´Ù.

°Ô½Ç¿° Àç¹ßÀº ¹Ýµå½Ã ¼ö¼úÇØ¾ß ÇÑ´Ù´Â ÁÖÀåµµ ÀÖ½À´Ï´Ù. ±×·¯³ª ¸î ¹ø° Àç¹ß¿¡¼­ ¼ö¼úÀ» ÇØ¾ß ÇÏ´ÂÁö ³í¶õÀÔ´Ï´Ù. 8ÆÇ Sleisenger (2006)¿¡¼­´Â ´ÙÀ½°ú °°ÀÌ ¾º¿© ÀÖ½À´Ï´Ù.

"Elective resection generally is recommended after two attacks of uncomplicated diverticulitis, although this recommendation is now being challenged, many experts preferring to wait for two or more attacks before advising surgery."

¼­¾ç°ú µ¿¾çÀÇ Àç¹ß·ü Â÷ÀÌ¿¡ ´ëÇÑ ¾ö¹ÐÇÑ ºñ±³¿¬±¸´Â ¾ø½À´Ï´Ù. ±×·¯³ª ¿ì¸®³ª¶ó °Ô½Ç¿° ȯÀÚÀÇ Àç¹ß·üÀº ¼­¾çº¸´Ù ÈξÀ ³·½À´Ï´Ù. ÁßÁõµµµµ ´úÇÕ´Ï´Ù. µ¿¾ç¿¡¼± ¿ìÃø °Ô½Ç¿°ÀÌ ¸¹½À´Ï´Ù. ¿ìÃø °Ô½Ç¿°Àº ÁÂÃø °Ô½Ç¿°¿¡ ºñÇÏ¿© óÀ½À̳ª Àç¹ß ¸ðµÎ¿¡¼­ ³»°úÄ¡·á¿¡ Àß ¹ÝÀÀÇÕ´Ï´Ù (Komuta (2004)). µû¶ó¼­ °Ô½Ç¿°ÀÌ µÎ ¹ø ¹ß»ýÇÏ¿´´Ù´Â ÀÌÀ¯¸¸À¸·Î ¿ì¸® ȯÀÚµéÀ» ¼ö¼úÀåÀ¸·Î º¸³¾ ÀÌÀ¯´Â ¾ø´Ù°í »ý°¢ÇÕ´Ï´Ù.

Àú´Â ¾ÆÁ÷±îÁö Àç¹ßÇÏ¿´´Ù´Â ÀÌÀ¯·Î ȯÀÚ¸¦ ¿Ü°ú·Î º¸³½ ±â¾ïÀÌ ¾ø½À´Ï´Ù.


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