23,465 results match your criteria Diverticular Disease


Incidence and lifetime risk of hospitalization and surgery for diverticular disease.

Br J Surg 2019 Apr 23. Epub 2019 Apr 23.

Department of Medicine, Solna, Karolinska Institutet, Stockholm, Sweden.

Background: Studies on incidence rates of first-time colonic diverticular disease are few, and population-based estimates of lifetime risk are lacking. In this observational study, the incidence, admission rates and lifetime risks of hospitalization and surgery for diverticular disease were investigated.

Methods: Considering the entire Swedish population as an open cohort, incidence and admission rates, and lifetime risk estimates (considering death as a competing risk) of hospitalization and surgery for diverticular disease were calculated using data from cross-linked national registers and population statistics from 1987 to 2010. Read More

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http://dx.doi.org/10.1002/bjs.11143DOI Listing

Intestinal Perforation in ACTH-Dependent Cushing's Syndrome.

Biomed Res Int 2019 13;2019:9721781. Epub 2019 Mar 13.

Division of Endocrinology and Metabolism, Department of Medicine, University of Alberta, Edmonton, Alberta, Canada T6G 2S2.

Previous studies have linked systemic glucocorticoid use with intestinal perforation. However, the association between intestinal perforation and endogenous hypercortisolism has not been well described, with only 14 previously published case reports. In this study, we investigated if intestinal perforation occurred more frequently in patients with ectopic ACTH syndrome and in those with a greater than 10-fold elevation of 24-hour urinary free cortisol level. Read More

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http://dx.doi.org/10.1155/2019/9721781DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6436364PMC

Role of Inflammation in the Pathogenesis of Diverticular Disease.

Mediators Inflamm 2019 14;2019:8328490. Epub 2019 Mar 14.

Gastroenterology Unit, ASL Roma 6, Albano Laziale, Roma, Italy.

Diverticulosis of the colon is the most common condition in Western societies and it is the most common anatomic alteration of the human colon. Recurrent abdominal pain is experienced by about 20% of patients with diverticulosis, but the pathophysiologic mechanisms of its occurrence are not completely understood. In the last years, several fine papers have showed clearly the role of low-grade inflammation both in the occurrence of symptoms in people having diverticulosis, both in symptom persistence following acute diverticulitis, even if the evidence available is not so strong. Read More

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http://dx.doi.org/10.1155/2019/8328490DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6437747PMC
March 2019
2 Reads

Selective use of cystogram following segmental bowel resection in patients with enterovesical fistula.

Colorectal Dis 2019 Apr 16. Epub 2019 Apr 16.

Department of Surgery, Amsterdam University Medical Centers, University of Amsterdam, The Netherlands.

Introduction: Patients undergoing resectional surgery for enterovesical fistulas generally have an in-dwelling urinary catheter postoperatively to prevent a recurrent fistula. The aim of this study was to assess the place of a postoperative cystogram after such surgery, when it should be performed and for how long the bladder should be drained after surgery.

Methods: A retrospective single centre study of all patients undergoing ileocaecal or sigmoid resection for surgery for enterovesical fistula with the primary endpoint of recurrent urinary fistula. Read More

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http://dx.doi.org/10.1111/codi.14652DOI Listing

Single-Center Experience with Magnetic Retraction in Colorectal Surgery.

J Laparoendosc Adv Surg Tech A 2019 Apr 16. Epub 2019 Apr 16.

1 Duke Surgery, Division of Metabolic and Weight Loss Surgery, Durham, North Carolina.

Background: Appropriate tissue retraction is essential in laparoscopic surgery, and colorectal operations often require an additional incision and trocar that can disturb visualization and maneuverability. Each incision carries an increased risk for complications as well as increased pain and cosmetic issues. Magnetic devices have been developed for a less invasive retraction. Read More

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https://www.liebertpub.com/doi/10.1089/lap.2018.0744
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http://dx.doi.org/10.1089/lap.2018.0744DOI Listing
April 2019
2 Reads

[Endoscopy, angiography, surgery: diagnostic and therapeutic algorithms for diverticular bleeding].

Authors:
W Schwenk

Chirurg 2019 Apr 11. Epub 2019 Apr 11.

Klinik für Allgemein‑, Viszeral- und Gefäßchirurgie, Städtisches Klinikum Solingen gGmbH, Gotenstraße 1, 42653, Solingen, Deutschland.

Diverticular bleeding is a complication of diverticular disease but in contrast to diverticulitis, publications concerning diverticular bleeding are less common. Diverticular bleeding is the cause of approximately 20-50% of cases of lower gastrointestinal bleeding and in rare cases can be life-threatening. The main symptom of diverticular hemorrhage is painless hematochezia and the German guidelines recommend that further diagnostics of suspected diverticular bleeding should be performed in hospital. Read More

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http://link.springer.com/10.1007/s00104-019-0950-0
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http://dx.doi.org/10.1007/s00104-019-0950-0DOI Listing
April 2019
5 Reads

Low Incidence of Pelvic Sepsis after Hartmann's Procedure: Radiation Therapy May Be a Risk Factor.

Gastrointest Tumors 2019 Feb 5;5(3-4):77-81. Epub 2018 Nov 5.

Colorectal Unit, Department of Surgery, SUS Malmö, Malmö, Sweden.

Purpose: Hartmann's procedure is a well-established alternative in colorectal surgery when a primary anastomosis is contraindicated. However, the rectal remnant may cause complications. This study was designed to investigate the occurrence of pelvic sepsis after Hartmann's procedure and identify possible risk factors. Read More

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http://dx.doi.org/10.1159/000493526DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6422152PMC
February 2019
1 Read

Early colonoscopy in patients with acute diverticular bleeding is associated with improvement in healthcare-resource utilization.

Gastroenterol Rep (Oxf) 2019 Apr 16;7(2):115-120. Epub 2018 Aug 16.

Division of Gastroenterology & Hepatology, Department of Internal Medicine, University of Texas Medical Branch, Galveston, TX, USA.

Background: Diverticular bleeding (DB) is the most common cause of severe acute lower gastrointestinal bleeding (GIB) in developed countries. The role of early colonoscopy (<24 hours) continues to remain controversial and data on early colonoscopy in acute DB are scant. We aimed to evaluate the effect of timing of colonoscopy on outcomes in patients with acute DB using a nationwide inpatient sample. Read More

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http://dx.doi.org/10.1093/gastro/goy031DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6454850PMC
April 2019
2 Reads

Computed tomography of complicated Meckel's diverticulum in adults.

Radiologia 2019 Apr 8. Epub 2019 Apr 8.

Departamento de Radiología, Hospital Universitari Vall d'Hebron, Barcelona, España.

Objective: To review the embryology, the clinical findings and the appearance in multidetector computed tomography (MDCT) of complicated Meckel's diverticulum (DM) in adults.

Conclusion: The presence of an MD in a MDCT should be suspected when a blind tubular structure connected to the terminal ileum by a neck of variable size is observed. Multiplanar 2D reconstructions images and CT enterography can help in the diagnosis. Read More

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http://dx.doi.org/10.1016/j.rx.2018.10.010DOI Listing
April 2019
2 Reads

Simultaneous gastric and colonic erosions from gastric band and its tubing in the setting of recurrent intra-abdominal infection.

J Surg Case Rep 2019 Apr 6;2019(4):rjz102. Epub 2019 Apr 6.

Department of General Surgery, Joondalup Health Campus, Joondalup, Western Australia, Australia.

Chronic abdominal pain is often a diagnostic dilemma. We present a 59-year-old female with chronic generalized colicky abdominal and altered bowel habits. She was investigated with colonoscopy and CT abdomen. Read More

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http://dx.doi.org/10.1093/jscr/rjz102DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6451185PMC
April 2019
1 Read

Open Diverticulectomy and Cricopharyngotomy for Symptomatic Zenker's Diverticulum after Endoscopic Diverticuloesophagostomy.

Am Surg 2019 Mar;85(3):284-287

Two of the accepted treatments for symptomatic Zenker's diverticula are open resection of the diverticulum with cricopharyngotomy and transoral, endoscopic diverticuloesophagostomy with cricopharyngotomy. We report our experience with open surgical resection of the diverticulum with repeat cricopharyngotomy in patients with persistent symptoms after endoscopic diverticuloesophagostomy. This is a retrospective review of patients who underwent open surgical resection of the diverticulum, with repeat cricopharyngotomy in patients with persistent symptoms after endoscopic diverticuloesophagostomy. Read More

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March 2019
1 Read

Cyclic rifaximin therapy effectively prevents the recurrence of symptoms after exacerbation of symptomatic uncomplicated diverticular disease: a retrospective study.

Prz Gastroenterol 2019 12;14(1):69-78. Epub 2019 Mar 12.

Department of Oncological Gastroenterology, Maria Sklodowska-Curie Memorial Cancer Centre, Institute of Oncology, Warsaw, Poland.

Introduction: Symptomatic uncomplicated diverticular disease (SUDD) is the most common manifestation of diverticulosis. Data concerning the optimal treatment after SUDD exacerbation are inconsistent.

Aim: To assess the effectiveness and necessity of cyclic rifaximin treatment for recurrent SUDD symptoms and for preventing exacerbations in patients who responded to the initial treatment. Read More

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http://dx.doi.org/10.5114/pg.2019.83428DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444108PMC
March 2019
2 Reads
0.375 Impact Factor

Complicated Disease Course in Initially Computed Tomography-Proven Uncomplicated Acute Diverticulitis.

Surg Infect (Larchmt) 2019 Mar 30. Epub 2019 Mar 30.

3 Department of Surgery, Amsterdam UMC, Amsterdam, The Netherlands.

Background: Although uncomplicated acute diverticulitis has a benign disease course, some patients are at increased risk for complications. Identification of these patients may aid the selection of treatment strategies such as outpatient treatment. This study aimed to assess the rate and timing of a complicated disease course in initially computed tomography (CT)-proven uncomplicated diverticulitis, and to identify risk factors for the development of these diverticular complications. Read More

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http://dx.doi.org/10.1089/sur.2018.289DOI Listing
March 2019
1 Read

Single-Incision Laparoscopic versus Open Sigmoidectomy for Diverticular Disease: A Disease-Stratified Matched-Pair Analysis.

Dig Surg 2019 Mar 28:1-9. Epub 2019 Mar 28.

Department of Thoracic Surgery, University Witten/Herdecke, City Hospital Cologne, Cologne, Germany,

Background: Single-incision laparoscopic surgery (SILS) is a variant of laparoscopic surgery, especially for diverticular disease (DD), but there are very little data comparing SILS to standard surgical procedures for DD, and most studies on DD surgery do not declare the disease stage. We compared SILS to open sigmoidectomy for DD in a stage-stratified matched-pair analysis to validate the significance of SILS.

Methods: All patients with SILS or conventional sigmoidectomy for diverticulitis of a single visceral surgery department were subject to a matched-pair analysis stratified by age, sex, body mass index, previous abdominal surgery, and the stage of DD. Read More

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http://dx.doi.org/10.1159/000497449DOI Listing
March 2019
1 Read

Evolving flexible endoscopic treatment of Zenker's diverticulum.

Authors:
Paulo Sakai

Gastrointest Endosc 2019 04;89(4):887-888

Gastroenterology Department, São Paulo University Medical School, São Paulo, Brazil.

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http://dx.doi.org/10.1016/j.gie.2018.11.008DOI Listing
April 2019
2 Reads

Single-incision laparoscopic reversal of Hartmann's operation through the stoma site: comparative outcomes with conventional laparoscopic and open surgery.

Colorectal Dis 2019 Mar 21. Epub 2019 Mar 21.

Department of Surgery, North Tees and Hartlepool NHS Foundation Trust, University Hospital of North Tees, Stockton-on-Tees, UK.

Aim: Restoration of bowel continuity after Hartmann's procedure (RoH) can be challenging and associated with considerable morbidity. A technique using single-incision laparoscopic surgery through the stoma site (SIL RoH) has been shown to be feasible and safe. In this study, we compared clinical outcomes of SIL RoH with conventional laparoscopic surgery (CL) and open surgery (OS). Read More

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http://dx.doi.org/10.1111/codi.14617DOI Listing

Ingested partial denture mimicking perforated diverticular disease.

J Surg Case Rep 2019 Mar 14;2019(3):rjz071. Epub 2019 Mar 14.

Department of Surgery, Regional Hospital Mullingar, Longford Road, Robinstown (Levinge), Mullingar, County Westmeath, Republic of Ireland.

Denture ingestion is a rare clinical entity among foreign body ingestions. The caveat is that there is often no recollection of the event and that dentures are radiolucent and as such hard to identify on conventional imaging. To date not all dentures contain radiopaque marker. Read More

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http://dx.doi.org/10.1093/jscr/rjz071DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6416821PMC

Small bowel diverticulum complicated by enterocutaneous fistula and abdominal wall abscess - Case report.

Int J Surg Case Rep 2019 Mar 5;57:39-41. Epub 2019 Mar 5.

Department of General Surgery, Alnoor Specialized Hospital, Makkah, Saudi Arabia.

Introduction: Small bowel diverticular disease is uncommon, representing 1-2% of general population. The ileum diverticulum is very rare, especially if it is complicated by enterocutaneous fistula with abdominal wall abscess.

Presentation Of The Case: Here, we report a case of small bowel diverticulum, ileum diverticulum with enterocutaneous fistula in a 65-year man presented with lower abdominal pain and an irreducible swelling for 5 days. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.02.037DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424059PMC
March 2019
1 Read

Feasibility and safety of robotic resection of complicated diverticular disease.

Surg Endosc 2019 Mar 13. Epub 2019 Mar 13.

Division of Colon and Rectal Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.

This study aimed to assess intra- and postoperative outcomes of robotic resection of left-sided complicated diverticular disease. Retrospective analysis of a prospectively maintained institutional database on consecutive patients undergoing elective robotic resection for diverticular disease (2014-2018). All procedures were performed within an enhanced recovery pathway (ERP). Read More

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http://dx.doi.org/10.1007/s00464-019-06727-9DOI Listing

Predicting the need for transfer and interventional angiography for patients with acute colonic haemorrhage in a regional setting.

ANZ J Surg 2019 Apr 11;89(4):E109-E112. Epub 2019 Mar 11.

Department of General Surgery, Central Coast Local Health District, Gosford, New South Wales, Australia.

Background: Radiological angioembolization is an important strategy in management of acute colonic bleeding. Due to requirement for specialized interventional radiology, many hospitals rely on transfer for this service. This study aimed to identify patient and clinical factors associated with positive (blush) computed tomography mesenteric angiogram (CTMA) or need for invasive angiography. Read More

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http://dx.doi.org/10.1111/ans.15064DOI Listing

The "DICA" endoscopic classification for diverticular disease of the colon shows a significant interobserver agreement among community endoscopists.

J Gastrointestin Liver Dis 2019 Mar;28(1):23-27

Division of Gastroenterology, ASL Roma 6, Albano Laziale, Rome,Italy.

Background And Aim: An endoscopic classification of Diverticular Disease (DD), called DICA (Diverticular Inflammation and Complication Assessment) is currently available. It scores severity of the disease as DICA 1, DICA 2 and DICA 3. Our aim was to assess the agreement levels for this classification among an endoscopist community setting. Read More

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http://www.jgld.ro/wp/archive/y2019/n1/a6
Publisher Site
http://dx.doi.org/10.15403/jgld.2014.1121.281.dicDOI Listing
March 2019
6 Reads

Diverticulosis, Symptoms and Colonic Inflammation: A Population-Based Colonoscopy Study.

Am J Gastroenterol 2019 Mar;114(3):500-510

Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden.

Introduction: Low-grade chronic inflammation has been suggested to play a role in uncomplicated asymptomatic and symptomatic diverticular disease. However, population-based studies are lacking. We investigated whether community participants with diverticulosis, with or without symptoms, would have colonic inflammation on histology and serology. Read More

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http://dx.doi.org/10.14309/ajg.0000000000000113DOI Listing
March 2019
5 Reads

Nerve fiber overgrowth in patients with symptomatic diverticular disease.

Neurogastroenterol Motil 2019 Mar 5:e13575. Epub 2019 Mar 5.

Department of Medical and Surgical Sciences and Center for Applied Biomedical Research (CRBA), Alma Mater Studiorum - University of Bologna and S. Orsola-Malpighi Hospital, Bologna, Italy.

Background: Colonic diverticulosis is a common condition in industrialized countries. Up to 25% of patients with diverticula develop symptoms, a condition termed symptomatic uncomplicated diverticular disease (SUDD). The aim of the present study was to characterize neuroimmune interactions and nerve fiber plasticity in the colonic mucosa of patients with diverticula. Read More

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http://doi.wiley.com/10.1111/nmo.13575
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http://dx.doi.org/10.1111/nmo.13575DOI Listing
March 2019
4 Reads
3.587 Impact Factor

Diverticular disease: picking pockets and population biobanks.

Gut 2019 05 2;68(5):769-770. Epub 2019 Mar 2.

Gastroenterology Unit, Addenbrookes Hospital, Cambridge, UK.

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http://dx.doi.org/10.1136/gutjnl-2019-318231DOI Listing
May 2019
2 Reads

The Water-Holding Procedure for Ensuring Postoperative Continence Prior Restoring Intestinal Continuity.

J Gastrointest Surg 2019 Mar 1. Epub 2019 Mar 1.

Department of General, Visceral and Transplant Surgery, Ludwig-Maximilians-University Munich, Marchioninistrasse 15, 81377, Munich, Germany.

Background: A defunctioning stoma can become necessary in a relevant number of patients undergoing gastrointestinal surgery. As a matter of course, patients seek an early closure of the stoma. However, preoperative management of these patients varies and the prediction of continence after stoma removal can become challenging. Read More

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http://dx.doi.org/10.1007/s11605-019-04171-7DOI Listing
March 2019
2 Reads

Role of in the intestinal inflammatory response.

World J Gastrointest Pathophysiol 2018 Nov;9(4):73-78

Department of Gastroenterology, Acibadem City Clinic Oncology Center, Sofia 1784, Bulgaria.

Gastrointestinal diseases, specifically Crohn's disease, ulcerative colitis, diverticular disease, and primary biliary cirrhosis are all characterized by complicated inflammation of the digestive tract. Their pathology is multifactorial, and risk factors encompass both genetic and environmental factors. Recent advances in the genetic component of inflammatory bowel diseases (IBDs) have revealed that the tumor necrosis factor superfamily member 15 () contains a number of risk alleles associated not only with IBD but also with other diseases such as diverticular disease and primary biliary cirrhosis. Read More

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http://dx.doi.org/10.4291/wjgp.v9.i4.73DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6384511PMC
November 2018
10 Reads

Quality of Life and Persistent Symptoms After Uncomplicated Acute Diverticulitis.

Dis Colon Rectum 2019 May;62(5):608-614

Department of Surgery, Academic Medical Center, Amsterdam, the Netherlands.

Background: Although acute diverticulitis and its recurrence are well studied, little is known about the period after these attacks have passed. Many patients appear to be affected by persistent symptoms that impair quality of life. The few published studies on this topic are mostly limited by the lack of CT confirmation of the acute diverticulitis diagnosis, low numbers of patients, or cross-sectional design. Read More

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http://dx.doi.org/10.1097/DCR.0000000000001361DOI Listing
May 2019
1 Read

Association between diverticular disease requiring surgical intervention and mortality in the postlung transplant population - a retrospective cohort study.

Transpl Int 2019 Feb 21. Epub 2019 Feb 21.

Department of Internal Medicine, Division of Pulmonary and Critical Care, Loyola University Chicago Health Science Division, Maywood, IL, USA.

Lung Transplant recipients are at increased risk of complicated diverticular disease. We aim to assess the rate of diverticular surgery in a postlung transplantation population and identify risk factors for surgery. We performed a retrospective cohort study of lung transplant recipients from 2007 to 2011. Read More

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http://dx.doi.org/10.1111/tri.13417DOI Listing
February 2019
2 Reads

Prucalopride for the treatment of constipation: a view from 2015 and beyond.

Expert Rev Gastroenterol Hepatol 2019 Mar 23;13(3):257-262. Epub 2019 Jan 23.

c Gastrointestinal Unit, Department of Translational Research and New Technologies in Medicine and Surgery , University of Pisa , Pisa , Italy.

Introduction: Prucalopride is a prokinetic drug, that has been commercially available in recent years for the treatment of chronically constipated patients. In this update of a previous 2016 article, we reviewed the more recent data supporting its role in the treatment of constipation and constipation-associated conditions. Areas covered: We carried out an extensive literature review on the effects of prucalopride for the years 2012-2018 by means of scientific databases and manual research. Read More

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http://dx.doi.org/10.1080/17474124.2019.1568238DOI Listing
March 2019
2 Reads

Ischio-anal abscess as a first presentation of complicated diverticular disease.

ANZ J Surg 2019 Feb 21. Epub 2019 Feb 21.

Department of Colorectal Surgery, Liverpool Hospital, Sydney, New South Wales, Australia.

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http://dx.doi.org/10.1111/ans.15042DOI Listing
February 2019
2 Reads

Kommerell Diverticulum: Right Aortic Arch with Anomalous Origin of Left Subclavian Artery and Duplicity of Right Vertebral Artery in a 16-Year-Old Girl.

Am J Case Rep 2019 Feb 21;20:228-232. Epub 2019 Feb 21.

Departmet of Catdiology, Universidade Nove de Julho, São Paulo, SP, Brazil.

BACKGROUND Kommerell diverticulum with a right-sided aortic arch is a rare congenital anatomical condition most often observed in adults. A possible etiology of the subclavian artery's anomalous origin would be an abnormality in regression of the fourth primitive aortic arch during embryonic development. CASE REPORT We report on the case of a 16-year-old female patient presenting with complaints of occasional tachycardia and mild non-specific dyspnea after anxiety crises. Read More

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http://dx.doi.org/10.12659/AJCR.912053DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6394145PMC
February 2019
1 Read

Mesenteric diverticuli as a reason of acute abdomen.

Rozhl Chir Winter 2019;98(1):27-30

Introduction: Diverticula of the small bowel are quite rare findings, frequently confirme only by necropsy. The authors describe the signs and symptoms resulting from complications of small bowel diverticula as well as the diagnostic options and treatment modalities. The paper also presents the results of treatment in the Department of Surgery at University Hospital in Pilsen. Read More

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The laparoscopic approach for epiphrenic diverticula with achalasia.

Ann R Coll Surg Engl 2019 Apr 18;101(4):256-260. Epub 2019 Feb 18.

Zen Hospital , Mumbai , India.

Introduction: Epiphrenic diverticulum (ED) is an uncommon disease that is invariably associated with an underlying oesophageal motility disorder such as achalasia. Management of ED should always be accompanied by treatment of the underlying motility disorder to prevent recurrence of symptoms. Traditionally, ED were approached via a left thoracotomy but as laparoscopy offers better access to the distal oesophagus, its use is becoming more widespread. Read More

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http://dx.doi.org/10.1308/rcsann.2019.0007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6432961PMC
April 2019
4 Reads

Knowledge gaps in the appendix: a multi-institutional study from seven academic centers.

Mod Pathol 2019 Feb 14. Epub 2019 Feb 14.

Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.

Appendix pathology represents uncommonly encountered specimens with unique diagnostic challenges. To delineate common knowledge gaps, extramural consults submitted to seven institutions between 2016-2017 were reviewed. All appendix consults were resections (100%, n = 43), and the majority were directed for consultation by the originating pathologist (95%, n = 41) with no additional studies performed by the consultant (65%, n = 28). Read More

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http://dx.doi.org/10.1038/s41379-019-0216-xDOI Listing
February 2019
5 Reads

Acquired diverticular disease of the jejunum and ileum: imaging features and pitfalls.

Abdom Radiol (NY) 2019 Feb 13. Epub 2019 Feb 13.

Department of Radiology, Fondation Hôpital Saint-Joseph, 185 rue Raymond Losserand, 75674, Paris, France.

Purpose: To present radiological aspects of jejunoileal diverticulosis and its complications.

Results: Jejunoileal diverticulosis is a relatively rare and underestimated condition, which mostly affects the elderly. It is frequently asymptomatic but it can lead to significant complications requiring surgical treatment. Read More

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http://dx.doi.org/10.1007/s00261-019-01928-1DOI Listing
February 2019
1 Read

Surgical Intervention for Right-Side Diverticulitis: A Case-Matched Comparison with Left-Side Diverticulitis.

Am Surg 2018 Oct;84(10):1608-1612

Department of General Surgery, Arrowhead Regional Medical Center, Colton, California, USA.

Right-side diverticulitis (RSD) is an uncommon disease in Western countries. We conducted a case-matched comparison of surgically managed right-side and left-side diverticulitis (LSD) from the Southern California Kaiser Permanente database (2007-2014). Of 995 patients undergoing emergent surgery for diverticulitis, 33 RSD (3. Read More

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October 2018
2 Reads

Specific Factors Predict the Risk for Urgent and Emergent Colectomy in Patients Undergoing Surgery for Diverticulitis.

Am Surg 2018 Nov;84(11):1781-1786

The aim of this study was to identify preoperative characteristics that may determine the need for emergency surgery for diverticulitis and assess postoperative outcomes for these patients when compared with elective surgery. All patients included in the ACS-NSQIP-targeted colectomy database from 2012 to 2013 who underwent colectomy with an underlying diagnosis of diverticulitis were included. Preoperative characteristics and 30-day postoperative outcomes were evaluated for patients who underwent elective emergent/urgent surgery using univariable and multivariable analyses. Read More

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November 2018
1 Read

Coarctation of the aorta and left ventricular diverticulum in Kabuki syndrome.

Pediatr Int 2019 Feb 11;61(2):200-201. Epub 2019 Feb 11.

Department of Thoracic and Cardiovascular Surgery, Pusan National University Yangsan Hospital, Yangsan, Gyeongsangnam, Korea.

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http://dx.doi.org/10.1111/ped.13740DOI Listing
February 2019
8 Reads

Jejunal diverticulitis.

J Surg Case Rep 2019 Jan 31;2019(1):rjz005. Epub 2019 Jan 31.

Saint Vincent Hospital, Erie, PA, USA.

Cases of small bowel diverticulitis, excluding Meckel's diverticulitis, are rare. Small bowel diverticular disease has been reported in approximately 0.3-1. Read More

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http://dx.doi.org/10.1093/jscr/rjz005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6354680PMC
January 2019
2 Reads

Over 1-Year Followup of Laparoscopic Treatment of Enterovesical Fistula.

JSLS 2019 Jan-Mar;23(1)

Department of General Surgery and Oncological Surgery-Surgery C, Sheba Medical Center, Tel Hashomer, Israel.

Background And Objective: Entero vesical fistulas (EVFs) are an uncommon complication mainly of diverticular disease (70%) and less commonly of Crohn's disease (10%). Only about 10% are caused by malignancies. At this time, it is unclear whether the laparoscopic approach can be routinely proposed as a safe procedure for patients with EVF. Read More

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http://dx.doi.org/10.4293/JSLS.2018.00095DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6364704PMC
March 2019
8 Reads

Opportunities for reducing emergency diagnoses of colon cancer in women and men: A data-linkage study on pre-diagnostic symptomatic presentations and benign diagnoses.

Eur J Cancer Care (Engl) 2019 Mar 8;28(2):e13000. Epub 2019 Feb 8.

Cancer Survival Group, Department of Non-communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK.

Objectives: To identify opportunities for reducing emergency colon cancer diagnoses, we evaluated symptoms and benign diagnoses recorded before emergency presentations (EP).

Methods: Cohort of 5,745 colon cancers diagnosed in England 2005-2010, with individually linked cancer registry and primary care data for the 5-year pre-diagnostic period.

Results: Colon cancer was diagnosed following EP in 34% of women and 30% of men. Read More

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http://dx.doi.org/10.1111/ecc.13000DOI Listing
March 2019
8 Reads

Recurrent Acute Diverticulitis: When to Operate?

Inflamm Intest Dis 2018 Dec 20;3(2):91-99. Epub 2018 Nov 20.

Norfolk and Norwich University Hospital, Norwich, United Kingdom.

Objective: Recurrent acute diverticulitis carries a major burden to any form of health care. Patients present repeatedly to medical centers with a multitude of symptoms and may require different modalities of treatment with significant morbidities and impact on quality of life.

Methods: We therefore wanted to identify factors that would imply the need and time of surgery versus conservative management. Read More

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http://dx.doi.org/10.1159/000494973DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6361502PMC
December 2018
9 Reads

The Multidisciplinary Management of Acute Complicated Diverticulitis.

Inflamm Intest Dis 2018 Dec 16;3(2):80-90. Epub 2018 Feb 16.

Emergency and Trauma Surgery Unit, Maggiore Hospital, AUSL Bologna, Bologna, Italy.

Background: Acute complicated diverticulitis (ACD) is an important and increasing issue in Western countries that leads to a significant impact and burden for patients, but also for the society due to its effects on hospital costs. In recent years, essential progression has been made regarding the research and implementation of novel or improved treatment strategies for the various disease entities of ACD. Much debated topics in the multidisciplinary approach of patients with ACD, such as the choice for nonoperative treatment options, the role of percutaneous drainage for diverticular abscesses, the role of laparoscopic lavage for perforated diverticulitis with purulent peritonitis, and the role of sigmoidectomy with primary anastomosis for patients with perforated diverticulitis, require clinicians to attentively follow and participate in these discussions. Read More

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https://www.karger.com/Article/FullText/486677
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http://dx.doi.org/10.1159/000486677DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6361503PMC
December 2018
2 Reads

Antibiotics in Uncomplicated Acute Diverticulitis: To Give or Not to Give?

Inflamm Intest Dis 2018 Dec 20;3(2):75-79. Epub 2018 Jul 20.

Alta Bates Summit Medical Center, East Bay Center for Digestive Health, Oakland, California, USA.

Acute uncomplicated diverticulitis (AUD) is generally felt to be caused by obstruction and inflammation of a colonic diverticulum and occurs in about 4-5% of patients with diverticulosis. The cornerstone of AUD treatment has conventionally been antibiotic therapy, but with a paradigm shift in the underlying pathogenesis of the disease from bacterial infection to more of an inflammatory process, as well as concerns about antibiotic overuse, this dogma has recently been questioned. We will review emerging data that supports more selective antibiotic use in this population, as well as newer guidelines that advocate this position as well. Read More

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http://dx.doi.org/10.1159/000489631DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6361500PMC
December 2018
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The Burden of Diverticular Disease and Its Complications: West versus East.

Inflamm Intest Dis 2018 Dec 7;3(2):61-68. Epub 2018 Aug 7.

Center for Advanced IBD Research and Treatment, Kitasato University Kitasato Institute Hospital, Tokyo, Japan.

Background: Colonic diverticulosis is prevalent and increasing not only in Western but also in Asian countries. Diverticulosis can be complicated by diverticulitis and diverticular bleeding. Diverticular disease is a burdensome digestive disease, because it is a major cause of hospital admissions and is associated with significant health-care costs. Read More

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http://dx.doi.org/10.1159/000492178DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6361582PMC
December 2018

Diverticular Disease of the Colon.

Authors:
Ala I Sharara

Inflamm Intest Dis 2018 Dec 13;3(2):53-54. Epub 2018 Nov 13.

Ala I. Sharara, Beirut.

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http://dx.doi.org/10.1159/000495019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6361497PMC
December 2018

Diverticulitis.

N Engl J Med 2019 01;380(5):500

Beth Israel Deaconess Medical Center, Boston, MA

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http://dx.doi.org/10.1056/NEJMc1815667DOI Listing
January 2019
1 Read

Diverticulitis.

N Engl J Med 2019 01;380(5):500

University Hospital 12 de Octubre, Madrid, Spain

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http://dx.doi.org/10.1056/NEJMc1815667DOI Listing
January 2019
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