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Korean J Gastroenterol 2022 Jun;79(6):233-243

Department of Internal Medicine, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea.

Colonic diverticulosis is one of the most common conditions of the digestive system and patients generally remain asymptomatic. However, about 20% of patients develop symptomatic diverticular disease such as acute diverticulitis or diverticular hemorrhage, and these have become a huge burden on healthcare systems worldwide. Recent understanding of the pathophysiology of diverticulosis and diverticular disease suggests the role of multiple factors including genetic and environment. Read More

Medicina (Kaunas) 2022 Jun 2;58(6). Epub 2022 Jun 2.

Department of Pathology, Uijeongbu Eulji Medical Center, Eulji University School of Medicine, Uijeongbu 11759, Korea.

This study aimed to investigate the estimated rate and risk of recurrence of uncomplicated diverticulitis (UCD) after the first episode through a meta-analysis. Eligible studies were searched and reviewed; 27 studies were included in this study. Subgroup analyses were performed, based on lesion location, medical treatment, follow-up period, and study location. Read More

Cochrane Database Syst Rev 2022 06 22;6:CD009092. Epub 2022 Jun 22.

Department of Surgical Gastroenterology , Hvidovre University Hosipital , Copenhagen, Denmark.

Background: Diverticulitis is a complication of the common condition, diverticulosis. Uncomplicated diverticulitis has traditionally been treated with antibiotics, as diverticulitis has been regarded as an infectious disease. Risk factors for diverticulitis, however, may suggest that the condition is inflammatory rather than infectious which makes the use of antibiotics questionable. Read More

ANZ J Surg 2022 06;92(6):1579

Colorectal Surgery, Gosford Hospital, Sydney, New South Wales, Australia.

Rozhl Chir 2022 ;101(5):244-249

Introduction: Chronic defects and hernias of the abdominal wall are a common complication of repeated surgical procedures and/or their accompanying complications. Reconstruction of the abdominal wall is difficult in these defects/hernias and debates of an ideal method of treatment have not reached a conclusion. Primary suture is usually impossible. Read More

Gastroenterology 2022 Jun 3. Epub 2022 Jun 3.

Division of Gastroenterology and Hepatology, University of Maryland School of Medicine, Baltimore, MD, USA.

J Surg Case Rep 2022 May 31;2022(5):rjac204. Epub 2022 May 31.

Department of Gastroenterological and Pediatric Surgery, Oita University Faculty of Medicine, Japan.

Although intussusception in adults generally results from malignant tumors and polyps, intussusception caused by chronic diverticulitis is extremely rare. We present the case of a 59-year-old man treated with steroids and biopharmaceuticals at the Department of Dermatology for psoriasis vulgaris. Cecal diverticulitis frequently recurred, for which he was treated during follow-up. Read More

J Med Cases 2022 May 12;13(5):212-218. Epub 2022 Apr 12.

Department of Pulmonology and Critical Care, Saint Francis Presence Hospital, Evanston, IL, USA.

() is an aero-tolerant, gram-positive, endospore-forming, and non-exotoxin-producing bacillus that has colonized the gastrointestinal tract of animals and humans. It is considered a rare pathogen of humans, possibly because of its low virulence. Most infections in the reviewed literatures were predominately reported among neutropenic hosts with hematological malignancies. Read More

J Surg Case Rep 2022 May 23;2022(5):rjac161. Epub 2022 May 23.

Department of Surgery, Suwa Central Hospital, Nagano, Japan.

A large bowel obstruction (LBO) is an emergency condition that requires early diagnosis and prompt treatment, and it is also crucial to identify the cause of the obstruction. Here, we describe a 76-year-old woman who presented to the hospital with a 1-day history of abdominal pain and vomiting and was diagnosed with LBO. Endoscopic findings showed that the cause of the LBO was initially determined to be a Bormann Type I tumour in the sigmoid colon. Read More

Surg Case Rep 2022 May 18;8(1):97. Epub 2022 May 18.

Department of Surgery, Doshinkai Tohyama Hospital, Minami-Shinmachi 17-22, Tsu, Mie, 514-0043, Japan.

Background: Ceftriaxone, a third-generation cephalosporin antibiotic with a long plasma half-life, is widely used to treat various infections. The use of ceftriaxone can sometimes induce biliary sludge or stone formation. Although most cases of ceftriaxone-induced pseudolithiasis are asymptomatic or mild and resolve with discontinuation of the drug, we experienced an elderly case of severe acute necrotizing calculous cholecystitis after administration of ceftriaxone. Read More

BMC Surg 2022 May 16;22(1):191. Epub 2022 May 16.

Department of Digestive Surgery, Rouen University Hospital, Rouen, France.

Background: Traditionally, patients with peritonitis Hinchey III and IV due to perforated diverticulitis were treated with Hartmann's procedure. In the past decade, resection and primary anastomosis have gained popularity over Hartmann's procedure and recent guidelines recommend Hartmann's procedure in two situations only: critically ill patients and in selected patients with multiple comorbidity (at high risk of complications). The protective stoma (PS) is recommended after resection with primary anastomosis, however its interest has never been studied. Read More

Int J Surg Case Rep 2022 Jun 12;95:107184. Epub 2022 May 12.

Department of Surgery, Atago Hospital, Kochi, Japan.

Introduction: We experienced a rare case of right-sided large bowl obstruction (LBO) of the colon caused by chronic diverticulitis, which was challenging to diagnose.

Presentation Of Case: A young male was admitted to our department with a fever, diarrhea, and right-sided lateral abdominal pain for several days. CT showed a thickened ascending colon wall with stenosis and adjacent retroperitoneal inflammation without marked diverticula. Read More

Cureus 2022 Apr 12;14(4):e24070. Epub 2022 Apr 12.

Hospital Medicine, Christus Spohn, Corpus Christi, USA.

Much of the control over the coronavirus disease 2019 (COVID-19) pandemic has been achieved by mass vaccination against the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the etiologic agent that causes COVID-19. The COVID-19 mRNA (messenger RNA) vaccines are relatively newly approved and have been widely used in the US since they first became available. However, with passing time, data regarding adverse events associated with the mRNA vaccines have become clearer. Read More

Int J Surg Case Rep 2022 Jun 4;95:107157. Epub 2022 May 4.

Breast and Endocrine Surgery Department, King Fahad Specialist Hospital, Dammam, Saudi Arabia.

Introduction: Fish bone ingestion is one of the common medical complaint. Most foreign bodies passed safely through gastrointestinal tract (GIT) without any complications. The clinical presentation of foreign body ingestion is similar to other conditions such as diverticulitis. Read More

Cureus 2022 Apr 7;14(4):e23927. Epub 2022 Apr 7.

General Surgery, Auckland City Hospital, Auckland, NZL.

Colonic diverticulitis is one of the common causes of surgical intervention in general surgical practice. In most cases, surgical intervention depends on the presence of a collection around the sigmoid colon, the feasibility of percutaneous drainage, and the patient's medical condition. The collection can occur in the thigh in rare cases due to a fistulous communication with the retroperitoneum and can track gravitationally along the psoas muscle into the thigh and leg without any discernible collection around the sigmoid colon or in the abdominal cavity. Read More

Ann Surg Open 2022 Jun 4;3(2). Epub 2022 May 4.

Department of Urology, Vanderbilt University Medical Center, Nashville, TN.

Objective: This study employs qualitative methodology to assess surgeons' perspective on decision making in management of recurrent diverticulitis to improve patient-centered decision making.

Summary Background Data: The decision to pursue colectomy for patients with recurrent diverticulitis is nuanced. Strategies to enact broad acceptance of guidelines for surgery are hindered because of a knowledge gap in understanding surgeons' current attitudes and opinions. Read More

Intern Med 2022 May 7. Epub 2022 May 7.

Department of Gastroenterology, Toyonaka Municipal Hospital, Japan.

Objective Treatment for uncomplicated diverticulitis (UD) is not well established. We evaluated the strategy of reviewing intravenous antibiotics for hospitalized Japanese patients with UD. Methods Treatment was based on the physician's choice until August 2018; the indications for hospitalization and treatment have been standardized since September 2018. Read More

J Gastrointest Surg 2022 May 6. Epub 2022 May 6.

Mongan Institute Center for Aging and Serious Illness, Massachusetts General Hospital, Boston, MA, USA.

Background: Older adults often prioritize independence and time spent at home when making major treatment decisions. Identifying preoperative predictors of non-home discharge (i.e. Read More

Eur J Case Rep Intern Med 2022 5;9(4):003271. Epub 2022 Apr 5.

RWJ Barnabas Health/Trinitas Regional Medical Center, Elizabeth, NJ, USA.

Diverticulitis and ulcerative colitis (UC) are two separate colonic pathologies with different underlying mechanisms. Diverticulosis involves herniation of mucosal and submucosal tissue through muscular tissue in response to increased intraluminal pressure. In contrast, it is believed that the muscular tone in patients with UC is reduced due to chronic inflammatory changes. Read More

Surgery 2022 May 2. Epub 2022 May 2.

Cardiovascular Outcomes Research Laboratories, Department of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, CA. Electronic address:

Background: Frailty has been associated with greater postoperative morbidity and mortality but its impact has not been investigated in patients with diverticulitis undergoing elective colon resection. Therefore, the present study examined the association of frailty with perioperative outcomes following elective colectomy for diverticular disease.

Methods: The 2017-2019 American College of Surgeons-National Surgical Quality Improvement Program data registry was queried to identify patients (aged ≥18 years) undergoing elective colon resection for diverticular disease. Read More

Int J Colorectal Dis 2022 Jun 4;37(6):1251-1256. Epub 2022 May 4.

Department of General Surgery A, Meir Medical Center, Kfar Sava, Israel.

Background: While left-sided colonic diverticular disease is common in Western Caucasian populations, right-sided colonic disease (RCD) is rare. The present study aimed to determine the rate of RCD and to identify the symptoms, clinical features, treatment, and outcomes in a single medical center in Israel.

Methods: Data for this descriptive retrospective analysis were collected from the electronic medical records of all patients diagnosed with colonic diverticulitis from January 2014 to June 2019. Read More

Ulus Travma Acil Cerrahi Derg 2022 Apr;28(4):537-540

Department of General Surgery, İstanbul University İstanbul Faculty of Medicine, İstanbul-Turkey.

Actinomycosis is a rare, chronic granulomatous disease that is challenging to diagnose because the clinical symptoms and signs are nonspecific. Usage of intrauterine device (IUD) or being immunocompromised is facilitating factors. Clinical and radiological findings can mimic malignant neoplasm, inflammatory bowel disorder, or acute diverticulitis. Read More

Am Surg 2022 Apr 28:31348221087378. Epub 2022 Apr 28.

Department of Surgery, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL, USA.

Introduction: Diverticular disease is one of the most common gastrointestinal diseases that require hospital admission. This study aims to identify trends in prior hospital admissions for patients that ultimately require a Hartmann's procedure for complicated diverticulitis.

Methods: The Nationwide Readmissions Database for 2010-2014 was queried for all patients aged 18 years or older admitted with an ICD-9 code for colonic diverticulitis and end colostomy creation. Read More

J Visc Surg 2022 Apr 19. Epub 2022 Apr 19.

Department of digestive surgery, centre hospitalier départemental de Vendée, 85000 La-Roche-sur-Yon, France.

Introduction: Recent clinical practice recommendations have radically modified the management of colonic diverticulitis. The goal of our study was to evaluate a treatment pathway for uncomplicated diverticulitis and to analyze the outcome (patient compliance, treatment failure and complications).

Patients And Methods: All patients who presented to the emergency department with the diagnosis of uncomplicated diverticulitis were prospectively included in this study. Read More

Orv Hetil 2022 Apr 17;163(16):614-623. Epub 2022 Apr 17.

1 Debreceni Egyetem, Általános Orvostudományi Kar, Klinikai Központ, Gasztroenterológiai Klinika Debrecen, Nagyerdei krt. 98., 4032 Magyarország.

Összefoglaló. A vastagbél-diverticulosis előfordulási gyakorisága világszerte növekszik, aminek hátterében elsősorban diétás és életmódbeli változások állnak. Az esetek jelentős hányadában a vastagbél-diverticulosis semmiféle panaszt nem okoz, véletlenül fedezik fel, így kezelést sem igényel. Read More

Praxis (Bern 1994) 2022 04;111(5):312-313

Universitätsspital Zürich, Zürich, Schweiz.

J Clin Med 2022 Mar 30;11(7). Epub 2022 Mar 30.

Gastroenterology and Endoscopy, IRCCS San Raffaele Hospital and Vita-Salute San Raffaele University, 20132 Milan, Italy.

Diverticular disease (DD) is a common gastrointestinal condition. Patients with DD experience a huge variety of chronic nonspecific symptoms, including abdominal pain, bloating, and altered bowel habits. They are also at risk of complications such as acute diverticulitis, abscess formation, hemorrhage, and perforation. Read More

Clin Ther 2022 May 7;44(5):657-670. Epub 2022 Apr 7.

University of North Carolina at Chapel Hill, Chapel Hill, North Carolina. Electronic address:

Purpose: Diet plays an important role in common benign colorectal diseases. This article reviews the evidence for diet and supplemental fiber in patients with chronic constipation, irritable bowel syndrome, inflammatory bowel disease, colonic diverticulitis, and fecal incontinence.

Methods: We performed a narrative review of the evidence for diet and supplemental fiber in patients with 5 common benign colonic diseases and summarized guideline recommendations for each condition. Read More

BMC Surg 2022 Apr 7;22(1):132. Epub 2022 Apr 7.

Department of General Surgery, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200336, China.

Background: Acute right-sided colonic diverticulitis (RCD) is a common disease in Asian populations for which the optimal treatment remains controversial. The aim of this study was to investigate management and evaluate long-term outcomes of treatment in patients with acute RCD.

Methods: We retrospectively collected and analyzed clinical data for patients with acute RCD admitted to the Tongren Hospital, Shanghai Jiao Tong University School of Medicine from December 2015 to December 2020. Read More

Int J Surg Case Rep 2022 Apr 29;93:106996. Epub 2022 Mar 29.

Department of Clinical Science and Education, Södersjukhuset, Karolinska Institute, Stockholm, Sweden; Department of Surgery, Södersjukhuset, Stockholm, Sweden.

Introduction: Incarcerated inguinal hernia is one of the most common emergencies in surgery. The diagnosis is usually made by physical examination, but the contents of the hernia sac may vary.

Case Presentation: We present a rare case of inflamed diverticulum of the sigmoid colon found within an incarcerated right inguinal hernia sac in a 77-year-old man. Read More