8,432 results match your criteria Diverticulitis


Disparities in elective surgery for diverticulitis: Identifying the gap in care.

Am J Surg 2019 Mar 5. Epub 2019 Mar 5.

Division of Colon and Rectal Surgery, Mayo Clinic, Jacksonville, FL, USA. Electronic address:

Background: Minimally invasive surgery (MIS) in patients with diverticulitis is advantageous relative to open surgery. We aimed to determine disparities associated with MIS access for diverticulitis and post-operative complications.

Methods: The Florida Inpatient Discharge Dataset was retrospectively queried for patients with diverticulitis undergoing elective surgery between 2013 and 2015. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2019.03.001DOI Listing

Malakoplakia of the colon following renal transplantation in a 73 year old woman: report of a case presenting as intestinal perforation.

Diagn Pathol 2019 Mar 13;14(1):22. Epub 2019 Mar 13.

Department of Radiology, Maisonneuve-Rosemont Hospital, 5415 Boulevard de L'Assomption, Montreal, QC, Canada.

Background: Malakoplakia is a chronic inflammatory disease characterized by tissue infiltrates of large granular macrophages containing distinctive intracytoplasmic inclusions termed Michaelis-Gutmann (MG) bodies. The genitourinary system is the most commonly involved site, followed by the gastrointestinal tract. Malakoplakia may occur as a complication of primary or secondary immunosuppression and, therefore, renal transplant recipients are at risk. Read More

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http://dx.doi.org/10.1186/s13000-019-0799-zDOI Listing

Management of acute diverticulitis.

Authors:
Alex J Sagar

Br J Hosp Med (Lond) 2019 Mar;80(3):146-150

Core Surgical Trainee 2, Surgical Emergency Unit, Oxford University Hospitals NHS Foundation Trust, Oxford OX3 0LQ.

Acute diverticulitis is a major health-care concern. The optimal management of this common condition has been critically examined in recent years leading to a number of paradigm changes. In many areas, the debate continues. Read More

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http://dx.doi.org/10.12968/hmed.2019.80.3.146DOI Listing
March 2019
1 Read

Impact of Radiology Report Wording on Care of Patients With Acute Epiploic Appendagitis.

AJR Am J Roentgenol 2019 Mar 12:1-6. Epub 2019 Mar 12.

1 Department of Emergency Radiology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit St, Boston, MA 02114.

Objective: The purpose of this study was to evaluate the association between the diagnostic certainty expressed by the wording of CT report impressions and subsequent use of standard treatment with analgesics versus nonstandard antibiotic administration in patients with acute epiploic appendagitis (EA).

Materials And Methods: Demographic, clinical, and radiologic data from a 10-year cohort of patients with acute EA were retrospectively analyzed and correlated with standard treatment with analgesics versus nonstandard treatment with antibiotics. A level of certainty was assigned to the CT report language based on the wording of the impression statements by two radiologists; their interreader agreement was assessed with kappa statistics. Read More

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http://dx.doi.org/10.2214/AJR.18.20747DOI Listing

Conservative Treatment in Diverticulitis Patients with Pericolic Extraluminal Air and the Role of Antibiotic Treatment.

J Gastrointest Surg 2019 Mar 11. Epub 2019 Mar 11.

Department of Surgery, Jeroen Bosch Hospital, 's-Hertogenbosch, The Netherlands.

Background: Recently published studies advocate a conservative approach with observation and antibiotic treatment in diverticulitis patients with pericolic air on computed tomography (CT). The primary aim of this study was to assess the clinical course of initially conservatively treated diverticulitis patients with isolated pericolic air and to identify risk factors for conservative treatment failure. The secondary aim was to assess the outcome of non-antibiotic treatment. Read More

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http://dx.doi.org/10.1007/s11605-019-04153-9DOI Listing

Enhanced recovery after surgery in emergency colorectal surgery: Review of literature and current practices.

World J Gastrointest Surg 2019 Feb;11(2):41-52

Division of Colon and Rectal Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand.

Enhanced recovery after surgery (ERAS), a multidisciplinary program designed to minimize stress response to surgery and promote the recovery of organ function, has become a standard of perioperative care for elective colorectal surgery. In an elective setting, ERAS program has consistently been shown to decrease postoperative complication, reduce length of hospital stay, shorten convalescence, and lower healthcare cost. Recently, there is emerging evidence that ERAS program can be safely and effectively applied to patients with emergency colorectal conditions such as acute colonic obstruction and intraabdominal infection. Read More

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http://dx.doi.org/10.4240/wjgs.v11.i2.41DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6397799PMC
February 2019

Authors' Reply: Perforated Diverticulitis with Generalized Peritonitis: Low Stoma Rate Using a "Damage Control Strategy".

World J Surg 2019 Feb 28. Epub 2019 Feb 28.

Klinik für Allgemein, Viszeral-, Endokrine- und Minimalinvasive Chirurgie, Klinikum Bogenhausen, München Klinik Bogenhausen, Englschalkinger Strasse 77, 81925, Munich, Germany.

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http://dx.doi.org/10.1007/s00268-019-04974-4DOI Listing
February 2019

Perforated Giant Meckel's Diverticulum Mimicking Colonic Ischemia.

Cureus 2018 Dec 19;10(12):e3753. Epub 2018 Dec 19.

Surgery, The Queen Elizabeth Hospital, Adelaide, AUS.

Meckel's Diverticulum is one of the most common congenital anomalies of the gastrointestinal tract. However, its presentation as a complicated Giant Meckel's Diverticulum in an adult is rare. We present a case of a perforated Giant Meckel's mimicking ischemia of the right colon. Read More

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http://dx.doi.org/10.7759/cureus.3753DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6388873PMC
December 2018

Association of Diverticulitis with Prolonged Spondyloarthritis: An Analysis of the ASAS-COMOSPA International Cohort.

J Clin Med 2019 Feb 26;8(3). Epub 2019 Feb 26.

Institute of Infection, Immunity and Inflammation, University of Glasgow, Glasgow G61 1QH, UK.

This study examined the relationship between spondyloarthritis (SpA) duration and gastrointestinal comorbidities other than inflammatory bowel disease (IBD). We evaluated the association between SpA duration and upper gastrointestinal ulcers, hepatitis B (HBV), hepatitis C (HCV) and diverticulitis using data from a large international cross-sectional study. Binary regression models were created, adjusted for age, sex, body mass index (BMI), smoking, alcohol, non-steroidal anti-inflammatory drugs (NSAIDs), disease-modifying anti-rheumatic drugs (DMARDs), biologics, steroids, IBD history and country. Read More

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http://dx.doi.org/10.3390/jcm8030281DOI Listing
February 2019
1 Read

Multicentre study of non-surgical management of diverticulitis with abscess formation.

Br J Surg 2019 Mar;106(4):458-466

Department of Surgery, Erasmus Medical Centre, Rotterdam, the Netherlands.

This multicentre retrospective cohort study included 447 patients with Hinchey Ib and II diverticular abscesses, who were treated with antibiotics, with or without percutaneous drainage. Abscesses of 3 and 5 cm in size were at higher risk of short-term treatment failure and emergency surgery respectively. Initial non-surgical treatment of Hinchey Ib and II diverticular abscesses was comparable between patients treated with antibiotics only and those who underwent percutaneous drainage in combination with antibiotics, with regard to short- and long-term outcomes. Read More

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http://dx.doi.org/10.1002/bjs.11129DOI Listing
March 2019
1 Read

The diminishing role of surgery for acute diverticulitis.

Authors:
S Biondo

Br J Surg 2019 Mar;106(4):308-309

Department of General and Digestive Surgery, Bellvitge University Hospital and Bellvitge Biomedical Investigation Institute (IDIBELL), University of Barcelona, Barcelona, 08907, Spain.

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http://dx.doi.org/10.1002/bjs.11133DOI Listing

Quality of Life and Persistent Symptoms After Uncomplicated Acute Diverticulitis.

Dis Colon Rectum 2019 Feb 19. Epub 2019 Feb 19.

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
February 2019
1 Read

Pylephlebitis: A Case of Inferior Mesenteric Vein Thrombophlebitis in a Patient with Acute Sigmoid Diverticulitis-A Case Report and Clinical Management Review.

Case Rep Infect Dis 2019 21;2019:5341281. Epub 2019 Jan 21.

Department of Infectious Diseases, Presence Saint Francis Hospital, 355 Ridge Avenue, Evanston, IL 60202, USA.

Pylephlebitis is a rare complication of intra-abdominal infections and describes thrombosis and infection as two different pathophysiological phenomena in the cause of this disease. The nonspecific presentation of disease makes its diagnosis difficult and thus leads to high mortality. The treatment comprises antibiotics and also includes controversial use of anticoagulation in these patients. Read More

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http://dx.doi.org/10.1155/2019/5341281DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360536PMC
January 2019
1 Read

Catheter related recurrent blood stream infection caused by linezolid-resistant, methicillin resistant Staphylococcus haemolyticus; an emerging super bug.

J Pak Med Assoc 2019 Feb;69(2):261-263

Armed Force Institute of Pathology Pakistan.

A 61 year male, admitted in Combined Military Hospital Rawlpindi on 12th March 2017, operated for diverticulitis became colonized with Staphylococcus haemolyticus. Patient suffered repeated septic episodes caused by the same organism during his stay in hospital. The strain was identified as methicillin resistant Staphylococcus haemolyticus (MRSH) also resistant to Linezolid by analytical profile index for Staphylococcus (API Staph) and VITEK 2 Gram positive cocci panel. Read More

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February 2019

CT imaging findings of epiploic appendagitis: an unusual cause of abdominal pain.

Insights Imaging 2019 Feb 22;10(1):26. Epub 2019 Feb 22.

Section of Radiological Sciences, University of Palermo, Via del Vespro 127, 90127, Palermo, Italy.

Epiploic appendagitis is a rare cause of acute abdominal pain, determined by a benign self-limiting inflammation of the epiploic appendages. It may manifest with heterogeneous clinical presentations, mimicking other more severe entities responsible of acute abdominal pain, such as acute diverticulitis or appendicitis. Given its importance as clinical mimicker, imaging plays a crucial role to avoid inaccurate diagnosis that may lead to unnecessary hospitalization, antibiotic therapy, and surgery. Read More

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http://dx.doi.org/10.1186/s13244-019-0715-9DOI Listing
February 2019
1 Read

Transverse colon perforation secondary to fish bone ingestion.

J Surg Case Rep 2019 Feb 8;2019(2):rjy368. Epub 2019 Feb 8.

Department of General Surgery, Rockhampton Hospital, Central Queensland Health, Canning Street Rockhampton, Queensland 4700, Australia.

Accidental ingestion of foreign bodies can be a common occurrence in clinical practice and subsequent perforation is quite rare. The rate of fish bone ingestion is predicted to be higher in some cultures given culinary differences. We report a case of 62-year-old gentleman in rural Australia who had severe left sided abdominal pain and fevers, with a presumptive diagnosis of diverticulitis. Read More

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http://dx.doi.org/10.1093/jscr/rjy368DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6368133PMC
February 2019
1 Read

Impact of patient information leaflets on doctor-patient communication in the context of acute conditions: a prospective, controlled, before-after study in two French emergency departments.

BMJ Open 2019 Feb 20;9(2):e024184. Epub 2019 Feb 20.

Research Department, Grenoble Alpes University Hospital, Grenoble, France.

Objective: In the context of acute conditions seen in an emergency department, where communication may be difficult, patient information leaflets (PILs) could improve doctor-patient communication (DPC) and may have an impact on other outcomes of the consultation. Our objective was to assess the impact of PILs on DPC, patient satisfaction and adherence, and on patient and doctor behaviours.

Design: Prospective, controlled, before-after trial between November 2013 and June 2015. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-024184DOI Listing
February 2019
3 Reads

Fusobacterium Septicemia with Liver and Lung Abscesses Due to Diverticulitis.

ACG Case Rep J 2018 19;5:e99. Epub 2018 Dec 19.

Department of Internal Medicine, Division of Gastroenterology, Detroit Medical Center/Wayne State University, Detroit, MI.

The species is known for its association with septic thrombophlebitis of the internal jugular vein (Lemierre's syndrome). Lemierre's syndrome is associated with septic emboli to the liver and lungs, often causing multiple abscesses. We present a unique case of septicemia in which the bacteria invaded the portal vein through the gastrointestinal mucosa due to diverticulitis and spread hematogenously to the liver and lungs, causing abscesses. Read More

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http://dx.doi.org/10.14309/crj.2018.99DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6358581PMC
December 2018
2 Reads

Mediastinal, retroperitoneal, and subcutaneous emphysema due to sigmoid colon penetration: A case report and literature review.

Int J Surg Case Rep 2019 10;55:213-217. Epub 2019 Feb 10.

Department of Acute Care Surgery, Shimane University, Faculty of Medicine, Shimane, Japan.

Introduction: Mediastinal and subcutaneous emphysema usually result from spontaneous rupture of the alveolar wall. We present an extremely rare case of massive mediastinal, retroperitoneal, and subcutaneous emphysema due to the penetration of the colon into the mesentery.

Presentation Of Case: A 57-year-old man presented to our institution with a history of chest pain. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.02.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6376157PMC
February 2019
2 Reads

Long-term follow-up of a multicentre cohort study on laparoscopic peritoneal lavage for perforated diverticulitis.

Colorectal Dis 2019 Feb 16. Epub 2019 Feb 16.

Department of Surgery, Amsterdam Universitair Medisch Centrum (AMC), Amsterdam, The Netherlands.

Aim: Laparoscopic peritoneal lavage has increasingly been investigated as a promising alternative to sigmoidectomy for perforated diverticulitis with purulent peritonitis. Most studies only reported outcomes up to 12 months. Therefore, the objective of this study was to evaluate long-term outcomes of patients treated with laparoscopic lavage. Read More

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http://dx.doi.org/10.1111/codi.14586DOI Listing
February 2019
1 Read

Three-stage laparoscopic surgery in a morbidly obese patient with Hinchey III diverticulitis: a case report.

Surg Case Rep 2019 Feb 15;5(1):24. Epub 2019 Feb 15.

Department of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Sakuragaoka 8-35-1, Kagoshima, 890-8520, Japan.

Background: Perforated diverticulitis with purulent peritonitis (Hinchey III diverticulitis) has traditionally been treated with a Hartmann's procedure in order to avoid the considerable postoperative morbidity and mortality associated with one-stage resection and primary anastomosis. Although there have been reports regarding laparoscopic lavage as the initial treatment of perforated Hinchey III diverticulitis, a formal treatment strategy has not been established yet. We performed a three-stage surgery, including laparoscopic lavage and drainage with diverting ileostomy (first stage), laparoscopic sigmoidectomy (second stage), and ileostomy closure (third stage) in a morbidly obese patient with Hinchey III diverticulitis. Read More

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http://dx.doi.org/10.1186/s40792-019-0588-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6377691PMC
February 2019
1 Read

Prevalence of alpha-1-antitrypsin deficiency carriers in a population with and without colonic diverticula. A multicentre prospective case-control study: the ALADDIN study.

Int J Colorectal Dis 2019 Feb 15. Epub 2019 Feb 15.

Department of Surgery, Northwest Clinics, Wilhelminalaan 12, 1815 JD, Alkmaar/Den Helder, Netherlands.

Purpose: The underling pathophysiological mechanisms that cause the formation of colonic diverticula (diverticulosis) remain unclear. Connective tissue changes due to ageing that cause changes in collagen structure of the colonic wall is one theory. Alpha-1-antitrypsin (A1AT) is a protease inhibitor known to protect connective tissue in other organs. Read More

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http://dx.doi.org/10.1007/s00384-019-03248-8DOI Listing
February 2019
1 Read

[Laparoscopic lavage for perforated diverticulitis-two-year results of the DILALA Study].

Chirurg 2019 Mar;90(Suppl 2):35

Klinik für Allgemein‑, Viszeral‑, Gefäß- und Kinderchirurgie, Universitätsklinik Würzburg, 97080, Würzburg, Deutschland.

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http://dx.doi.org/10.1007/s00104-019-0906-4DOI Listing

[Are antibiotics neccessary in a first episode of uncomplicated diverticulitis?]

Chirurg 2019 Mar;90(Suppl 2):53

Klinik für Allgemein-, Viszeral-, Transplantationschirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.

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http://dx.doi.org/10.1007/s00104-019-0833-4DOI Listing

[High risk of recurrence after conservative management of complicated diverticulitis].

Chirurg 2019 Mar;90(Suppl 2):54

Klinik für Allgemein-, Viszeral-, Gefäß- und Kinderchirurgie, Universitätsklinik Würzburg, 97080, Würzburg, Deutschland.

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http://dx.doi.org/10.1007/s00104-019-0830-7DOI Listing

[Sigmoid resection versus observation after initial conservative treatment of a complicated sigmoid diverticulitis].

Chirurg 2019 Mar;90(Suppl 2):36

Klinik für Allgemein‑, Viszeral‑, Gefäß- und Kinderchirurgie, Universitätsklinik Würzburg, 97080, Würzburg, Deutschland.

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http://dx.doi.org/10.1007/s00104-019-0902-8DOI Listing

[Surgery versus conservative treatment for persisting abdominal pain after diverticulitis].

Chirurg 2019 Mar;90(Suppl 2):52

Klinik für Allgemein-, Viszeral-, Gefäß- und Kinderchirurgie, Universitätsklinik Würzburg, 97080, Würzburg, Deutschland.

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http://dx.doi.org/10.1007/s00104-019-0834-3DOI Listing

[Laparoscopic lavage in perforated diverticulitis].

Chirurg 2019 Mar;90(Suppl 2):49

Klinik für Allgemein‑, Viszeral‑, Gefäß- und Kinderchirurgie, Universitätsklinik Würzburg, 97080, Würzburg, Deutschland.

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http://dx.doi.org/10.1007/s00104-019-0843-2DOI Listing
March 2019
1 Read

[Laparoscopic lavage for perforated sigmoid diverticulitis : One-year results of the SCANDIV trial].

Chirurg 2019 Mar;90(Suppl 2):45

Klinik für Allgemein‑, Viszeral‑, Gefäß- und, Kinderchirurgie, Universitätsklinik Würzburg, 97080, Würzburg, Deutschland.

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http://dx.doi.org/10.1007/s00104-019-0856-xDOI Listing

[Laparoscopic lavage for perforated diverticulitis].

Chirurg 2019 Mar;90(Suppl 2):41

Klinik für Allgemein‑, Viszeral‑, Gefäß- und Kinderchirurgie, Universitätsklinik Würzburg, 97080, Würzburg, Deutschland.

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http://dx.doi.org/10.1007/s00104-019-0883-7DOI Listing
March 2019
1 Read

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

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
1 Read

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
4 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
Publisher Site
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
1 Read

The Natural History of Colonic Diverticulosis: Much Ado about Nothing?

Inflamm Intest Dis 2018 Dec 12;3(2):69-74. Epub 2018 Jul 12.

Division of Gastroenterology, Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon.

Background: Colonic diverticulosis is the most common incidental lesion found on routine colonoscopy. However, its true natural history is unclear. The aim of this review is to examine the epidemiology of colonic diverticulosis and the incidence of complications, namely acute diverticulitis and diverticular hemorrhage. Read More

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http://dx.doi.org/10.1159/000490054DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6361501PMC
December 2018
1 Read

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

The Pathophysiology of Colonic Diverticulosis: Inflammation versus Constipation?

Inflamm Intest Dis 2018 Dec 28;3(2):55-60. Epub 2018 Jun 28.

Gastroenterology Service, ASL BAT, Andria, Italy.

Background: Diverticulosis of the colon is the most common anatomic alteration of the human colon, but the pathophysiologic mechanisms of its occurrence are not completely understood.

Summary: Constipation has been considered the key factor for diverticulosis occurrence. However, several fine papers questioned this pathogenetic hypothesis, showing on the contrary an inverse relationship between low number of bowel movements and diverticulosis occurrence. Read More

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http://dx.doi.org/10.1159/000489173DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6361499PMC
December 2018
1 Read

Menopausal Hormone Therapy and Risk of Diverticulitis.

Am J Gastroenterol 2019 Feb;114(2):315-321

Division of Gastroenterology, University of Washington School of Medicine, Seattle, Washington, USA.

Introduction: Diverticulitis is a significant cause of morbidity among older women, and little attention has been paid to understanding its etiology. We have shown that menopausal hormone therapy (MHT) is associated with the risk of inflammatory bowel disease. In this study, we prospectively examined the association between MHT and the risk of incident diverticulitis. Read More

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http://dx.doi.org/10.14309/ajg.0000000000000054DOI Listing
February 2019
1 Read

Diverticulosis and nine connective tissue disorders: epidemiological support for an association.

Connect Tissue Res 2019 Feb 5:1-10. Epub 2019 Feb 5.

f Waitemata District Health Board , University of Auckland, and Geriatrician , Auckland , New Zealand.

Purpose: An underlying connective tissue disorder (CTD) may predispose to formation of intestinal diverticula. We assess the association of diverticulosis with nine selected CTDs, to inform the pathophysiology of diverticula.

Methods: A population-based period-prevalence study. Read More

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http://dx.doi.org/10.1080/03008207.2019.1570169DOI Listing
February 2019
1 Read
1.607 Impact Factor

Near-Infrared Indocyanine Green-Enhanced Fluorescence and Evaluation of the Bowel Microperfusion During Robotic Colorectal Surgery: a Retrospective Original Paper.

Surg Technol Int 2019 Feb 1;34. Epub 2019 Feb 1.

Division of Minimally Invasive, General & Robotic Surgery; Department of Surgery University of Illinois at Chicago, Chicago, IL.

Background: Leakage of the anastomosis after colorectal surgery is a severe complication, and one of the most important causes is poor vascular supply. However, a microvascular deficit is often not detectable during surgery under white light. Near-infrared indocyanine green (ICG)-enhanced fluorescence may be useful for assessing microvascular deficits and conceivably preventing anastomotic leakage. Read More

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February 2019
2 Reads

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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Perforation of Cecal Diverticulum after Appendectomy.

Authors:
Kesici Ugur

J Coll Physicians Surg Pak 2019 Feb;29(2):175-177

Department of General Surgery, Faculty of Medicine, University of Beykent, Istanbul, Turkey.

Solitary cecal diverticulum was first described by Potier in 1912. Although it is a rare condition, however, there is an increased prevalence in Asian populations. The cecal diverticula are usually asymptomatic, however, 10-20% of the cases become symptomatic due to complications. Read More

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http://dx.doi.org/10.29271/jcpsp.2019.02.175DOI Listing
February 2019
1 Read

Diverticulitis.

N Engl J Med 2019 01;380(5):500-501

Mayo Clinic, Phoenix, AZ

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

Diverticulitis.

Authors:

N Engl J Med 2019 01;380(5):502

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http://dx.doi.org/10.1056/NEJMx180047DOI Listing
January 2019
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Emergency Surgery in Acute Diverticulitis: A Systematic Review.

Dis Colon Rectum 2019 Jan 25. Epub 2019 Jan 25.

Background: Acute diverticulitis is a common disease with public health significance. Many studies with a high level of evidence have been published recently on the surgical management of acute diverticulitis.

Objective: The aim of this systematic review was to define the accurate surgical management of acute diverticulitis. Read More

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http://dx.doi.org/10.1097/DCR.0000000000001327DOI Listing
January 2019
2 Reads