5,674 results match your criteria Colon Diverticulitis


Colonic diverticulitis following open-heart surgery: a case report of an unusual postoperative gastrointestinal complication.

J Surg Case Rep 2020 Jun 22;2020(6):rjaa186. Epub 2020 Jun 22.

Icahn School of Medicine at Mount Sinai, NY, NY.

Diverticulitis, though a common gastrointestinal disease, is rare following open-heart surgery. There is insufficient data regarding its incidence and management post-cardiac surgery. Especially in patients with atypical presentation, diagnosis and management can be challenging. Read More

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http://dx.doi.org/10.1093/jscr/rjaa186DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7310676PMC

Resolution of multiply recurrent and multifocal diverticulitis after fecal microbiota transplantation.

Tech Coloproctol 2020 Jun 29. Epub 2020 Jun 29.

Division of Colon and Rectal Surgery, University of Massachusetts Medical School, University of Massachusetts Memorial Medical Center, 67 Belmont Street, Worcester, MA, 01605, USA.

Background: The exact pathophysiology of diverticulitis is not well understood and may be multifactorial. Recent studies highlight dysbiosis as a plausible mechanism. FMT is a safe strategy to restore commensal colon microbiota and has proven to be an effective treatment for gastrointestinal dysbiosis such as Clostridium difficile infection (CDI). Read More

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http://dx.doi.org/10.1007/s10151-020-02275-wDOI Listing

Management and Outcomes of Diverticulitis After Lung Transplantation.

Prog Transplant 2020 Jun 25:1526924820933830. Epub 2020 Jun 25.

Norton Thoracic Institute, St Joseph's Hospital and Medical Center, Phoenix, AZ, USA.

Introduction: Most lung transplant patients are older than 50 years. Complications from colonic diverticula are not uncommon, especially with chronic immunosuppression. However, limited data exist regarding the optimal management of these patients. Read More

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http://dx.doi.org/10.1177/1526924820933830DOI Listing

Laparoscopic Key-hole modified technique for stomal prolapse repair.

Colorectal Dis 2020 Jun 24. Epub 2020 Jun 24.

Department of Surgery, ULSS6 Euganea, Cittadella, Italy.

In this video we present the case of a 71 year-old male with a stomal prolapse following a Hartmann procedure performed one year earlier for perforated diverticulitis. We performed a combined operation with a Key-hole technique followed by a creation of a conduit as in the 'sandwich' technique but without a mesh, therefore reducing the risk of mesh erosion, especially in the portion of mesh wrapping the 'parietalized' descending colon. A Dynamesh IPOM mesh (88% PVDF and 12% polypropylene) was inserted through the 10 mm trocar after precutting with a slit. Read More

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http://dx.doi.org/10.1111/codi.15212DOI Listing

Task-based characterization of a deep learning image reconstruction and comparison with filtered back-projection and a partial model-based iterative reconstruction in abdominal CT: A phantom study.

Phys Med 2020 Jun 20;76:28-37. Epub 2020 Jun 20.

Department of Diagnostic and Interventional Radiology, Lausanne University Hospital (CHUV) and University of Lausanne (UNIL), Rue du Bugnon 46, 1011 Lausanne, Switzerland. Electronic address:

Purpose: We aimed to thoroughly characterize image quality of a novel deep learning image reconstruction (DLIR), and investigate its potential for dose reduction in abdominal CT in comparison with filtered back-projection (FBP) and a partial model-based iterative reconstruction (ASiR-V).

Methods: We scanned a phantom at three dose levels: regular (7 mGy), low (3 mGy) and ultra-low (1 mGy). Images were reconstructed using DLIR (low, medium and high levels) and ASiR-V (0% = FBP, 50% and 100%). Read More

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http://dx.doi.org/10.1016/j.ejmp.2020.06.004DOI Listing

No need to watch the clock: persistence during laparoscopic sigmoidectomy for diverticular disease.

Surg Endosc 2020 Jun 17. Epub 2020 Jun 17.

Department of Colon and Rectal Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic, 9500 Euclid Ave/A30, Cleveland, OH, 44195, USA.

Background: Laparoscopic sigmoidectomy is the preferred approach in the elective surgical management of diverticulitis. However, it is unclear if the benefits of laparoscopy persist when operative times are prolonged. We aimed to investigate if the recovery benefits associated with laparoscopy are retained when operative times are long. Read More

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http://dx.doi.org/10.1007/s00464-020-07717-yDOI Listing

Study protocol for daiobotanpito combined with antibiotic therapy for treatment of acute diverticulitis: a study protocol for a randomized controlled trial.

Trials 2020 Jun 16;21(1):531. Epub 2020 Jun 16.

Department of Molecular-Targeting Cancer Prevention, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 3-2-17-2F Imabashi, Chuo-ku, Osaka, 541-0042, Japan.

Background: Colonic diverticular disease has been increasing in prevalence due to the rapidly aging global population, but standard treatment has not changed dramatically in recent years. Daiobotanpito (DBT; Da Huang Mu Dan Tang in Chinese) has been used in medical treatment of acute abdominal abscesses, such as appendicitis or diverticulitis in traditional Japanese (Kampo) medicine for many years, based on more than 3000 years of experience. Prior to this study, a retrospective open-label trial was conducted to compare patients with acute diverticulitis who received oral DBT combined with intravenous antibiotics with those who received intravenous antibiotic alone; it showed a positive effect of DBT on acute diverticulitis. Read More

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http://dx.doi.org/10.1186/s13063-020-04370-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7298760PMC

Computed tomography diagnosed first time diverticulitis and colorectal cancer.

Int J Colorectal Dis 2020 Jun 10. Epub 2020 Jun 10.

Department of Clinical Sciences, Division of Surgery, Danderyd Hospital, Karolinska Institute, S-182 88, Stockholm, Sweden.

Background: Computed tomography (CT) with intravenous contrast is the gold standard for diagnosing diverticulitis. Published results concerning follow-up colonoscopy after an episode of acute diverticulitis to rule out cancer are conflicting. This study aimed to evaluate the risk of underlying colonic malignancy in patients diagnosed with a first time diverticulitis with a state of the art CT investigation with intravenous contrast. Read More

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http://dx.doi.org/10.1007/s00384-020-03607-wDOI Listing

The retro-ileal pull-through technique for colorectal and coloanal anastomosis.

Tech Coloproctol 2020 Jun 6. Epub 2020 Jun 6.

Department of Colorectal Surgery, Cleveland Clinic Florida, 2950 Cleveland Clinic Blvd., Weston, FL, 33331, USA.

Background: Performing a tension-free anastomosis following extensive left-sided colorectal resection can be challenging due to limited length. The retro-ileal pull-through approach, where the colon is carefully delivered to the pelvis through a mesenteric window made under the ileocolic vessels, is a technique to perform such an anastomosis.

Methods: This series is a retrospective review of patients who underwent a colorectal or coloanal anastomosis using the retro-ileal pull-through approach. Read More

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http://dx.doi.org/10.1007/s10151-020-02244-3DOI Listing

Segmental colectomy for ulcerative colitis: is there a place in selected patients without active colitis ? An international multicentric retrospective study in 72 patients.

J Crohns Colitis 2020 Jun 4. Epub 2020 Jun 4.

Department of Colorectal Surgery, Beaujon Hospital, Assistance Publique-Hôpitaux de Paris, Clichy and Université de Paris, France.

Background And Aims: The aim of this study was to report a multicentric experience of segmental colectomy (SC) in ulcerative colitis (UC) patients without active colitis in order to assess if SC can represent or not an alternative to ileal pouch-anal anastomosis (IPAA).

Methods: All UC patients undergoing SC were included. Postoperative complications according to Clavien-Dindo's classification, long- term results and risk factors for postoperative colitis and reoperation for colitis on the remnant colon were assessed. Read More

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http://dx.doi.org/10.1093/ecco-jcc/jjaa107DOI Listing

Laparoscopic Sigmoid Resection for Diverticulitis.

Authors:
Brian L Bello

Dis Colon Rectum 2020 Jul;63(7):e472

MedStar Washington Hospital Center, Washington, DC.

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http://dx.doi.org/10.1097/DCR.0000000000001702DOI Listing

Jejunal Diverticulosis Complicated by Diverticulitis and Small Bowel Obstruction.

Cureus 2020 May 28;12(5):e8347. Epub 2020 May 28.

Trauma and Surgical Critical Care, Warren Alpert Medical School of Brown University, Providence, USA.

Diverticular disease is common in the Western population and can cause considerable morbidity. The prevalence of colonic diverticulosis reaches 60% by the age of 60 years. Small bowel diverticulosis is much rarer and, when present, most commonly occurs in the duodenum. Read More

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http://dx.doi.org/10.7759/cureus.8347DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7263004PMC

Incidental Finding of Diverticulosis of the Appendix with Sessile Serrated Adenoma.

Cureus 2020 May 21;12(5):e8230. Epub 2020 May 21.

General Surgery, Edward Via College of Osteopathic Medicine, Blacksburg, USA.

Diverticulosis and sessile serrated adenomas of the colon are common findings on routine colonoscopy. However, diverticulosis of the appendix is rare and is usually only discovered due to conversion to diverticulitis or as an incidental finding. Diverticulitis of the appendix can present as appendicitis but is associated with more risks. Read More

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http://dx.doi.org/10.7759/cureus.8230DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7263007PMC

Bilateral Epiploic Appendagitis: A Rather Benign but Diagnostically Challenging Cause of Acute Abdominal Pain.

Cureus 2020 Apr 30;12(4):e7897. Epub 2020 Apr 30.

General Surgery, Hamad Medical Corporation, Doha, QAT.

Epiploic appendagitis (EA) is a rare and often misdiagnosed cause of acute abdominal pain. It is a benign and self-limited condition but mimics other underlying causes of acute abdominal pain like acute diverticulitis, acute appendicitis, acute cholecystitis, etc. Inaccurate diagnosis can lead to iatrogenic adverse outcomes. Read More

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http://dx.doi.org/10.7759/cureus.7897DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7263009PMC

Comparison of clinical and pathological findings of patients undergoing elective colectomy for uncomplicated diverticulitis.

Sci Rep 2020 Jun 1;10(1):8854. Epub 2020 Jun 1.

Department of Medical and Surgical Sciences and Advanced Technologies "G.F. Ingrassia", University of Catania, Via S. Sofia 78, 95123, Catania, Italy.

Diverticular disease affects ∼5-10% people worldwide, yet the indications for elective colectomy in uncomplicated diverticulitis are unclear. As there is no strong scientific evidence regarding histology in diverticular disease, the primary outcome of the study was to analyze the degree of inflammation of colonic wall in patients that underwent elective colectomy for uncomplicated diverticulitis and to retrospectively assess the correlation between patient clinical history and pathological features of surgical specimens in order to find some predictive factors that may be strictly correlated with histology. An observational retrospective study was conducted. Read More

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http://dx.doi.org/10.1038/s41598-020-65727-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7264214PMC

Risk factors for endoscopic severity of diverticular disease of the colon and its outcome: a real-life case-control study.

Eur J Gastroenterol Hepatol 2020 May 29. Epub 2020 May 29.

Department of Medicine and Surgery, Gastroenterology Unit, University of Parma, Parma.

Background: Diverticular disease is an increasing global problem.

Aims: To assess the factors associated with the severity of diverticular disease and its outcome, analyzing a real-life population.

Methods: A cohort of patients, submitted to colonoscopy from 1 January 2012 to 30 April 2018 was revised. Read More

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http://dx.doi.org/10.1097/MEG.0000000000001787DOI Listing

Clinical outcome for management of colonic diverticulitis: characteristics and surgical factor based on two institution data at South Korea.

Int J Colorectal Dis 2020 May 27. Epub 2020 May 27.

Division of Colon and Rectal Surgery, Department of Surgery, Yonsei University College of Medicine, Seoul, South Korea.

Purpose: The aim of this study was to analyze clinical outcomes after surgical and/or conservative management of patients with colonic diverticulitis.

Material And Methods: Between January 2001 and November 2018, data for 1175 patients (right (Rt.) side: n = 1037, left (Lt. Read More

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http://dx.doi.org/10.1007/s00384-020-03639-2DOI Listing

Not Your Typical Mucocele: A Case Report of a Benign Sigmoidal Diverticular Mucocele.

Cureus 2020 Apr 20;12(4):e7743. Epub 2020 Apr 20.

Gastroenterology, Banner University Medical Center, Phoenix, USA.

In recent literature, mucoceles have been discovered to be in the appendix vermiformis or in the nasal sinuses. Although rare, colonic mucoceles, as well as rectal mucoceles, have also been encountered. Furthermore, colonic mucoceles arising from a diverticulum is an even more unusual occurrence, and to date, there has been only one reported case. Read More

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http://dx.doi.org/10.7759/cureus.7743DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7241229PMC

Mega-megacolon: a case report.

Int J Colorectal Dis 2020 May 24. Epub 2020 May 24.

1st Department of Propaedeutic Surgery, Athens Medical School, Hippocration General Athens Hospital, National and Kapodistrian University of Athens, 114 Vasilissis Sofias Avenue, 115 27, Athens, Greece.

Purpose: Large bowel obstruction and megacolon formation secondary to complicated diverticulitis is rare.

Methods: We present a case of an 84-year-old woman surviving large bowel obstruction and mega-megacolon formation secondary to complicated diverticulitis, with an impressive presentation of abdominal distention.

Results: The patient's symptoms, laboratory test results, and imaging were consistent with large bowel obstruction. Read More

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http://dx.doi.org/10.1007/s00384-020-03642-7DOI Listing

Diagnostic accuracy of acute diverticulitis with unenhanced low-dose CT.

BJS Open 2020 May 20. Epub 2020 May 20.

Centre for Clinical Research Uppsala University, Västerås, Sweden.

Background: The aim of this study was to evaluate the diagnostic accuracy of unenhanced low-dose CT (LDCT) in acute colonic diverticulitis in comparison with contrast-enhanced standard-dose CT (SDCT).

Methods: All patients with clinically suspected diverticulitis who underwent LDCT followed by SDCT between January and October 2017 were evaluated prospectively. CT examinations were assessed for signs of diverticulitis, complications and other differential diagnoses by three independent radiologists (two consultants and one fourth-year resident) using SDCT as the reference method. Read More

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http://dx.doi.org/10.1002/bjs5.50290DOI Listing

Acute diverticulitis: Key features for guiding clinical management.

Eur J Radiol 2020 Jul 30;128:109026. Epub 2020 Apr 30.

Department of Radiology and Biomedical Imaging, University of California, San Francisco, CA, United States.

Diverticular disease of the colon and small bowel is an important cause of pathology leading to emergency department visits and urgent gastrointestinal surgery. CT is a highly sensitive and specific modality for the diagnosis of acute diverticulitis and its complications as well as for the exclusion of alternate causes of pathology. Ultrasound, MRI and virtual CT colonoscopy have important adjunct roles for screening and workup of complications in specific patient populations. Read More

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http://dx.doi.org/10.1016/j.ejrad.2020.109026DOI Listing

Expression of CA2 and CA9 carbonic anhydrases in ulcerative colitis and ulcerative colitis-associated colorectal cancer.

Pathol Int 2020 May 14. Epub 2020 May 14.

Department of Pathology, Kitasato University School of Medicine, Kanagawa, Japan.

Ulcerative colitis (UC) is characterized by chronic inflammation in the colonic mucosa and submucosa with repeating relapse and remission, but the pathogenesis is unknown. Patients with long-standing UC are at high risk of neoplasm development. The aim of the present study was to identify molecules whose expression is associated with UC and UC-associated colorectal cancer (UCCA). Read More

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http://dx.doi.org/10.1111/pin.12949DOI Listing

Risk of Emergency Surgery or Death After Initial Nonoperative Management of Complicated Diverticulitis in Scotland and Switzerland.

JAMA Surg 2020 May 13. Epub 2020 May 13.

Academic Coloproctology, University of Edinburgh/Western General Hospital, Edinburgh, United Kingdom.

Importance: National guidelines on interval resection for prevention of recurrence after complicated diverticulitis are inconsistent. Although US and German guidelines favor interval colonic resection to prevent a perceived high risk of recurrence, UK guidelines do not.

Objectives: To investigate patient management and outcomes after an index inpatient episode of nonoperatively managed complicated diverticulitis in Switzerland and Scotland and determine whether interval resection was associated with the rate of disease-specific emergency surgery or death in either country. Read More

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http://dx.doi.org/10.1001/jamasurg.2020.0757DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7221865PMC

Pyogenic Liver Abscess Secondary to Sigmoid Diverticulitis: An Unusual Presentation.

Case Rep Gastroenterol 2020 Jan-Apr;14(1):165-171. Epub 2020 Apr 17.

Southmead Hospital, North Bristol Trust, Bristol, United Kingdom.

Pyogenic liver abscesses, despite being a rare complication of diverticulitis and inflammatory bowel disease, are potentially serious life-threatening pathologies. Diverticular diseases can lead to disruption of the colonic mucosal barrier and can serve as a route for bacterial infection via the portal venous system. This patient had such a delayed presentation due to his atypical symptoms; he developed large abscess formation, detected by computed tomography, eventually requiring an ultrasound-guided drain followed by a colonoscopy. Read More

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http://dx.doi.org/10.1159/000506932DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7204770PMC

Operative Surgery Is Rarely Required in the Acute Management of Diverticulitis in the Modern Era.

Am Surg 2020 Apr;86(4):308-312

From the *School of Medicine, Griffith University, Gold Coast, Australia and.

Acute diverticulitis is an emergency surgical condition that is commonly managed an acute surgical unit model. Operative surgery is indicated in selected situations including generalized peritonitis or fistulous disease; however, limited data exist on how borderline patients potentially needing surgery may be salvaged by close clinical management with modern interventional techniques. The aims of the study were to identify the operative surgery rates in acute diverticulitis and predictors for identifying patients with complicated diverticulitis. Read More

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2020 update of the WSES guidelines for the management of acute colonic diverticulitis in the emergency setting.

World J Emerg Surg 2020 May 7;15(1):32. Epub 2020 May 7.

Department of Emergency Surgery, Parma Maggiore Hospital, Parma, Italy.

Acute colonic diverticulitis is one of the most common clinical conditions encountered by surgeons in the acute setting. An international multidisciplinary panel of experts from the World Society of Emergency Surgery (WSES) updated its guidelines for management of acute left-sided colonic diverticulitis (ALCD) according to the most recent available literature. The update includes recent changes introduced in the management of ALCD. Read More

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http://dx.doi.org/10.1186/s13017-020-00313-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7206757PMC
May 2020
1.062 Impact Factor

Solitary Cecal Diverticulitis Mimicking Acute Appendicitis in a Child: Intraoperative Diagnosis.

Sisli Etfal Hastan Tip Bul 2019 3;53(4):433-436. Epub 2019 Dec 3.

Department of General Surgery, Medicana International Samsun Hospital, Samsun, Turkey.

Right colonic and cecal diverticulitis can mimic acute appendicitis. A 14-year-old, 105-kg boy presented at the emergency department with symptoms mimicking acute appendicitis. Surgery revealed a case of perforated solitary cecal diverticulitis. Read More

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http://dx.doi.org/10.14744/SEMB.2017.76588DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7192303PMC
December 2019

Correction: In the Clinic: Acute Colonic Diverticulitis.

Authors:

Ann Intern Med 2020 May;172(9):640

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http://dx.doi.org/10.7326/L20-0235DOI Listing

National Landscape of Unplanned 30-Day Readmission Rates for Acute Non-hemorrhagic Diverticulitis: Insight from National Readmission Database.

Dig Dis Sci 2020 May 1. Epub 2020 May 1.

Department of Gastroenterology and Hepatobiliary Disease, Westchester Medical Center at New York Medical College, 100 Woods Road, Valhalla, NY, 10595, USA.

Background: Early readmissions are an important indicator of the quality of care. Limited data exist describing hospital readmissions in acute diverticulitis. The study aimed to describe unplanned, 30-day readmissions among adult acute diverticulitis patients and to assess readmission predictors. Read More

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http://dx.doi.org/10.1007/s10620-020-06284-5DOI Listing

Small Bowel Sigmoid Colon Fistula Resulting from Diverticulitis Causing an Internal Hernia.

J Gastrointest Surg 2020 Apr 22. Epub 2020 Apr 22.

Division of Acute Care Surgery and Trauma, Department of Surgery, Beth Israel Deaconess Medical Center, 110 Francis Street, Suite 2, Boston, MA, 02215, USA.

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http://dx.doi.org/10.1007/s11605-020-04605-7DOI Listing

MDCT in the Setting of Suspected Colonic Diverticulitis: Prevalence and Diagnostic Yield for Diverticulitis and Alternative Diagnoses.

AJR Am J Roentgenol 2020 Jul 22;215(1):39-49. Epub 2020 Apr 22.

Department of Diagnostic and Interventional Radiology and Nuclear Medicine, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, Hamburg, Germany 20251.

The purpose of this study was to determine the prevalence and demographic distribution of colonic diverticulitis (CD) and alternative diagnoses (AD), as well as the diagnostic accuracy of MDCT in patients with suspected CD. This study retrospectively included 1069 patients (560 women) undergoing MDCT for the evaluation of suspected CD. The prevalence of CD and AD was determined and the diagnostic accuracy of MDCT calculated. Read More

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http://dx.doi.org/10.2214/AJR.19.21852DOI Listing

Use of Robotic Technology in the Management of Complex Colorectal Pathology.

Mo Med 2020 Mar-Apr;117(2):149-153

Claire Wunker, MD, is a Resident Physician and Grace Montenegro, MD, MS, is Assistant Professor, Department of Surgery, Colon and Rectal Surgery, Saint Louis University School of Medicine, St. Louis, Missouri.

Use of robotic surgery is increasing in multiple surgical specialties including colorectal. We argue that the improved visualization and better instrumentation outweigh the increased cost and operating room time. However, the indications for its use are not clearly defined. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7144695PMC

Sigmoid Perforation Secondary to Accidental Ingestion of a Chicken Bone.

Ir Med J 2020 Jan 16;113(1):12. Epub 2020 Jan 16.

Department of Surgery, Connolly Hospital Blanchardstown, Dublin 15.

Presentation We describe an unusual presentation of sigmoid colon perforation secondary to an ingested chicken bone. Diagnosis The patient presented with a 4 day history of abdominal pain and distension. On examination there were signs of peritonism. Read More

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January 2020

Magnetic compression anastomosis with atypical anastomosis for anastomotic stenosis of the sigmoid colon: a case report.

Surg Case Rep 2020 Mar 30;6(1):59. Epub 2020 Mar 30.

Department of Surgery, International University of Health and Welfare Hospital, 537-3, Iguchi, Nasushiobara, Tochigi, 329-2763, Japan.

Background: Magnetic compression anastomosis (MCA) is mainly applied in the gastrointestinal and biliary tracts through a nonsurgical procedure that can create an anastomosis similar to that obtained through surgery. Magnets usually adsorb in the end-to-end direction (end-to-end anastomosis), exert a strong magnetic force and create an anastomosis according to the size of the magnets. Regular endoscopic dilation is required to prevent restenosis when the anastomotic size is small. Read More

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http://dx.doi.org/10.1186/s40792-020-00826-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7156530PMC

Extravasation and fluid collection on computed tomography imaging in patients with colonic diverticular bleeding.

PLoS One 2020 9;15(4):e0229884. Epub 2020 Apr 9.

First Department of Internal Medicine, Faculty of Medicine, University of Yamanashi, Yamanashi, Japan.

Objective: We evaluated the characteristics of patients with diverticular bleeding in whom emergency endoscopy should be proactively performed and those in whom it is unnecessary for spontaneous hemostasis following conservative treatment.

Methods: This study involved 132 patients in whom diverticular bleeding was diagnosed on lower gastrointestinal endoscopy. We evaluated the rate of identification of the bleeding diverticulum during endoscopy and the rate of spontaneous hemostasis following conservative treatment. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0229884PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7145113PMC

Systematic Review and Meta-analysis on Colorectal Cancer Findings on Colonic Evaluation After CT-Confirmed Acute Diverticulitis.

Dis Colon Rectum 2020 May;63(5):701-709

Department of Colorectal Surgery, Singapore General Hospital.

Background: CT findings of acute diverticulitis can overlap with features of malignancy, and current guidelines recommend colonic evaluation after acute diverticulitis. However, the benefits of routine colonic evaluation have been questioned.

Objective: We review 30 studies, composed of 29,348 subjects, to evaluate the role of routine colonic evaluation after CT-proven acute diverticulitis. Read More

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http://dx.doi.org/10.1097/DCR.0000000000001664DOI Listing
May 2020
3.749 Impact Factor

Free abdominal gas on computed tomography in the emergency department: aetiologies and association between amount of free gas and mortality.

Ann R Coll Surg Engl 2020 Apr 1:1-9. Epub 2020 Apr 1.

Sheba Medical Center, Ramat Gan, , Israel.

Introduction: Free abdominal gas is an important finding with major clinical implications. However, data on the aetiologies and prognosis of patients with free gas are scarce. Our primary aim was to describe the sources of free abdominal gas on emergency department (ED) computed tomography (CT). Read More

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http://dx.doi.org/10.1308/rcsann.2020.0057DOI Listing

Optimal Operative Strategy for Hinchey III Sigmoid Diverticulitis: A Decision Analysis.

Dis Colon Rectum 2020 Mar 30. Epub 2020 Mar 30.

Institute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, Ontario.

Background: Operative approaches for Hinchey III diverticulitis include the Hartmann's procedure, primary resection and anastomosis, and laparoscopic lavage. Several randomized controlled trials and meta-analyses have compared these approaches; however, results are conflicting and previous studies have not captured the complexity of balancing surgical risks and quality-of-life.

Objective: To determine the optimal operative strategy for patients with Hinchey III sigmoid diverticulitis. Read More

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http://dx.doi.org/10.1097/DCR.0000000000001648DOI Listing

Acute Colonic Diverticulitis and Cirrhosis: Outcomes of Laparoscopic Colectomy Compared with an Open Approach.

J Am Coll Surg 2020 Jun 27;230(6):1045-1053. Epub 2020 Mar 27.

Comparative Effectiveness and Clinical Outcomes Research Center, Riverside University Health System-Medical Center, Moreno Valley, CA; Department of Surgery, Loma Linda University, Loma Linda, CA. Electronic address:

Background: The impact of cirrhosis on outcomes of acute colonic diverticulitis (ACD) has been studied infrequently. We investigated the effect of cirrhosis on outcomes of surgical patients with ACD treated by either an open or laparoscopic approach.

Methods: A cross-sectional study was performed using the Nationwide Inpatient Sample 2012 to 2014. Read More

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http://dx.doi.org/10.1016/j.jamcollsurg.2020.03.016DOI Listing

Colonic diverticular disease.

Nat Rev Dis Primers 2020 03 26;6(1):20. Epub 2020 Mar 26.

IBD Center, Department of Gastroenterology, Humanitas Clinical and Research Center - IRCCS -, Rozzano, Italy.

Diverticula are outpouchings of the intestinal wall and are common anatomical alterations detected in the human colon. Colonic diverticulosis (the presence of diverticula in the colon; referred to as diverticulosis) remains asymptomatic in most individuals but ~25% of individuals will develop symptomatic diverticulosis, termed colonic diverticular disease (also known as diverticular disease). Diverticular disease can range in severity from symptomatic uncomplicated diverticular disease (SUDD) to symptomatic disease with complications such as acute diverticulitis or diverticular haemorrhage. Read More

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http://dx.doi.org/10.1038/s41572-020-0153-5DOI Listing

Family History Is Associated With Recurrent Diverticulitis After an Episode of Diverticulitis Managed Nonoperatively.

Dis Colon Rectum 2020 Jul;63(7):944-954

Division of Colon and Rectal Surgery, Jewish General Hospital, Montreal, Quebec, Canada.

Background: To date, the impact of family history on diverticulitis outcomes has been poorly described.

Objective: This study aims to evaluate the association between family history and diverticulitis recurrence after an episode of diverticulitis managed nonoperatively.

Design: This is a retrospective cohort study with prospective telephone follow-up. Read More

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http://dx.doi.org/10.1097/DCR.0000000000001656DOI Listing

PREDICtors for health-related quality of life after elective sigmoidectomy for DIVerticular disease: the PREDIC-DIV study protocol of a prospective multicentric transnational observational study.

BMJ Open 2020 Mar 24;10(3):e034385. Epub 2020 Mar 24.

Salzburger Universitätsklinikum, Salzburg, Austria.

Introduction: Diverticulitis is among the most common abdominal disorders. The best treatment strategy for this complicated disease as well as for recurrent stages is still under debate. Moreover, little knowledge exists regarding the effect of different therapeutic strategies on the health-related quality of life (HrQoL). Read More

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http://dx.doi.org/10.1136/bmjopen-2019-034385DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7202696PMC

Elective surgery should be considered after successful conservative treatment of recurrent diverticular abscesses.

Scand J Gastroenterol 2020 Apr 23;55(4):454-459. Epub 2020 Mar 23.

Surgical Department, Center for Clinical Research, Uppsala University, Västmanland Hospital, Vasteras, Sweden.

The purpose of this study was to evaluate the disease pattern and treatment of diverticular abscesses. Patients treated for diverticulitis (K57) in Västmanland, Sweden were identified for this retrospective population-based study between January 2010 and December 2014. Patients with diverticular abscesses were included. Read More

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http://dx.doi.org/10.1080/00365521.2020.1740940DOI Listing

Acute uncomplicated diverticulitis: key points for early management. A single-centre retrospective study.

Eur Rev Med Pharmacol Sci 2020 Mar;24(5):2710-2718

Digestive Disease Center, Fondazione Policlinico Universitario "A. Gemelli" - IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy.

Objective: Acute uncomplicated diverticulitis is an important clinical condition usually managed in clinical practice with antibiotic therapies and hospitalization in ward. In this setting, recent papers and guidelines suggest to limit the use of antibiotics in selected cases and encourage an early discharge in low-risk patients. The purpose of this retrospective study is to identify serological inflammatory markers and CT findings of acute uncomplicated diverticulitis (AUD) at the onset of the disease and the correlation with the need for in-patient or out-patient management. Read More

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http://dx.doi.org/10.26355/eurrev_202003_20543DOI Listing

Diagnosis of appendiceal diverticulitis by multidetector computed tomography.

Jpn J Radiol 2020 Jun 14;38(6):572-578. Epub 2020 Mar 14.

Department of Pathology, Japanese Red Cross Nagoya First Hospital, Nagoya, Aichi, Japan.

Purpose: Because appendiceal diverticulitis (AD) has a high risk of perforation, precise diagnosis is important for patients with suspected acute appendicitis (AA). In this study, we aimed to reveal the characteristics of computed tomography (CT) images of AD.

Methods: CT images were comparatively analyzed in patients who underwent appendectomy and had histopathologically proved AD (n = 23) or AA (n = 365) to reveal specific findings of CT image for AD and determine sensitivity and specificity of CT for AD. Read More

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http://dx.doi.org/10.1007/s11604-020-00950-4DOI Listing

Comparison of American Association for the Surgery of Trauma grading scale with modified Hinchey classification in acute colonic diverticulitis: A pilot study.

J Trauma Acute Care Surg 2020 Jun;88(6):770-775

From the Brigham and Women's/Massachusetts General Hospital Harvard Affiliated Emergency Medicine Residency (J.E.), Boston, Massachusetts; Department of General Surgery (A.J.M.), Department of Radiology (C.C.), Vanderbilt University Medical Center; Vanderbilt University School of Medicine (K.S., L.M.); Department of Radiology (C.C., G.W.), Division of Trauma and Surgical Critical Care (S.G., O.Gunter, O. Guillamondegui, B.D.), Vanderbilt University Medical Center, Nashville, Tennessee.

Background: The American Association for the Surgery of Trauma (AAST) developed a severity scale for surgical conditions, including diverticulitis. The Hinchey classification requires operative intervention yet remains the established scoring system for acute diverticulitis. This is a pilot study to compare the AAST grading scale for acute colonic diverticulitis with the traditional Hinchey classification. Read More

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http://dx.doi.org/10.1097/TA.0000000000002650DOI Listing

Difference in Clinical Features between Right- and Left-Sided Acute Colonic Diverticulitis.

Sci Rep 2020 Feb 28;10(1):3754. Epub 2020 Feb 28.

Division of Coloproctology, Department of Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu-si, South Korea.

Right colonic diverticulitis (RCD) and left colonic diverticulitis (LCD) may have different clinical features due to the different embryologic origins and anatomical locations of each colon. Therefore, we aimed to compare RCD and LCD in terms of the associated clinical features. We retrospectively collected clinical data from patients who were diagnosed with acute colonic diverticulitis based on computed tomography findings between 2011 and 2017. Read More

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http://dx.doi.org/10.1038/s41598-020-60397-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7048749PMC
February 2020

[Intestinal stomata].

Chirurg 2020 Mar;91(3):269-280

Klinik und Poliklinik für Allgemein‑, Viszeral‑, Thorax- und Gefäßchirurgie, Universitätsklinikum Bonn, Venusberg-Campus 1, 53127, Bonn, Deutschland.

An intestinal stoma (greek στὁμα, stoma: mouth, opening) is a surgically created opening of a gut section through the abdominal wall, which serves as an artificial intestinal exit for excretion of feces (synonym preternatural anus). A stoma of the gastrointestinal (GI) tract is often surgically created at the distal small intestine (ileostomy) and the colon (colostomy). Temporary or permanent deviation of fecal excretion may be required to treat various pathological conditions (e. Read More

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http://dx.doi.org/10.1007/s00104-020-01144-4DOI Listing

Short- and Long-Term Outcomes of Right-Sided Diverticulitis: Over 15 Years of North American Experience.

World J Surg 2020 Jun;44(6):1994-2001

Division of Colon and Rectal Surgery, Jewish General Hospital, 3755 Cote Ste Catherine Rd, Montreal, QC, 304H3T 1E2, Canada.

Background: Right-sided colonic diverticulitis represents less than 5% of diverticulitis cases in North America. The purpose of this study was to describe the management and outcomes for patients with a first episode of right-sided diverticulitis in a North American center.

Methods: This was a retrospective cohort study, including all patients managed for right-sided diverticulitis at a single tertiary-care institution from 2000 to 2017. Read More

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http://dx.doi.org/10.1007/s00268-020-05431-3DOI Listing