9,260 results match your criteria Diverticulitis


Jejunal diverticulitis: Things to know to prevent diagnostic mistake.

Acta Biomed 2021 Apr 30;92(S1):e2021154. Epub 2021 Apr 30.

Emergency Surgery Unit, Parma University Hospital.

We report a peculiar case of jejunal diverticulitis in 54-year-old female. Since hospital admission, a colonic diverticulitis was suspected. CT scan of the abdomen showed multiple fluid collections with free intraperitoneal extraluminal air, suggesting bowel perforation. Read More

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Postpolypectomy coagulation syndrome - an uncommon complication of colonoscopy.

Clin Imaging 2021 Apr 29;79:133-135. Epub 2021 Apr 29.

2160 S 1st Ave, Maywood, IL 60153, Department of Radiology c/o Linda Schomer, United States of America. Electronic address:

Colonoscopy is the most sensitive and specific test for detecting colon cancer and is a common procedure performed in over 19 million people annually in the United States as of 2017. Though the incidence of complications from colonoscopy is low, there are several important complications that may require surgical intervention including bowel perforation, bleeding, splenic injury, and diverticulitis. Post-polypectomy coagulation syndrome (PPCS) is an uncommon complication of colonoscopy however, clinical presentation mimics bowel perforation and the differentiation between the two is vital as the management differs. Read More

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Diverticular disease is associated with an increased incidence rate of depression and anxiety disorders.

Int J Colorectal Dis 2021 May 3. Epub 2021 May 3.

Clinic for Gastroenterology, Hepatology and Infectious Diseases, University Hospital Düsseldorf, Medical Faculty of Heinrich Heine University Düsseldorf, Moorenstraße 5, 40225, Düsseldorf, Germany.

Background: Diverticular disease represents a gastrointestinal disorder of high prevalence in developed countries that often leads to psychological distress. Here, we aimed at evaluating a potential association between diverticular disease and depression or anxiety disorders in outpatients in Germany.

Methods: Using the Disease Analyzer database featuring data of over 8 million patients treated in German general practices, we identified 61. Read More

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Changing Paradigms in the Management of Acute Uncomplicated Diverticulitis.

Scand J Surg 2021 May 3:14574969211011032. Epub 2021 May 3.

Department of Abdominal Surgery, University of Helsinki and HUS Helsinki University Hospital, Helsinki, Finland.

Left-sided colonic diverticulitis is a common condition with significant morbidity and health care costs in Western countries. Acute uncomplicated diverticulitis which is characterized by the absence of organ dysfunction, abscesses, fistula, or perforations accounts for around 80% of the cases. In the last decades, several traditional paradigms in the management of acute uncomplicated diverticulitis have been replaced by evidence-based routines. Read More

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Socioeconomic disparities in ostomy reversal among older adults with diverticulitis are more substantial among non-Hispanic Black patients.

Surgery 2021 Apr 28. Epub 2021 Apr 28.

Division of Intramural Research, National Institute on Minority Health and Health Disparities, National Institutes of Health.

Background: While ostomies for diverticulitis are often intended to be temporary, ostomy reversal rates can be as low as 46%. There are few comprehensive studies evaluating the effects of socioeconomic status as a disparity in ostomy reversal. We hypothesized that among the elderly Medicare population undergoing partial colectomy for diverticulitis, lower socioeconomic status would be associated with reduced reversal rates. Read More

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Elective surgical management of diverticulitis.

Curr Probl Surg 2021 May 6;58(5):100876. Epub 2020 Aug 6.

David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA. Electronic address:

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Gut Microbiota and Acute Diverticulitis: Role of Probiotics in Management of This Delicate Pathophysiological Balance.

J Pers Med 2021 Apr 14;11(4). Epub 2021 Apr 14.

Emergency Medicine, Fondazione Policlinico Universitario A. Gemelli IRCCS, 1-00168 Rome, Italy.

How can the knowledge of probiotics and their mechanisms of action be translated into clinical practice when treating patients with diverticular disease and acute diverticulitis? Changes in microbiota composition have been observed in patients who were developing acute diverticulitis, with a reduction of taxa with anti-inflammatory activity, such as Clostridium cluster IV, Lactobacilli and Bacteroides. Recent observations supported that a dysbiosis characterised by decreased presence of anti-inflammatory bacterial species might be linked to mucosal inflammation, and a vicious cycle results from a mucosal inflammation driving dysbiosis at the same time. An alteration in gut microbiota can lead to an altered activation of nerve fibres, and subsequent neuronal and muscular dysfunction, thus favoring abdominal symptoms' development. Read More

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Role of Dietary Habits in the Prevention of Diverticular Disease Complications: A Systematic Review.

Nutrients 2021 Apr 14;13(4). Epub 2021 Apr 14.

Medical-Surgical Department of Clinical Sciences and Translational Medicine, University Sapienza, 00189 Rome, Italy.

Recent evidence showed that dietary habits play a role as risk factors for the development of diverticular complications. This systematic review aims to assess the effect of dietary habits in the prevention of diverticula complications (i.e. Read More

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Impact of Physical Activity on Disability Risk in Elderly Patients Hospitalized for Mild Acute Diverticulitis and Diverticular Bleeding Undergone Conservative Management.

Medicina (Kaunas) 2021 Apr 8;57(4). Epub 2021 Apr 8.

Department of Public Health, University of Naples "Federico II", Via S. Pansini, 5, 80131 Naples, Italy.

The role of physical activity (PA) in elderly patients admitted to surgical units for mild acute diverticulitis in the development of disability has not been clarified so far. Our aim is to demonstrate the relationship between physical activity and better post-discharge outcomes on disability in elderly population affected by diverticular disease. We retrospectively reviewed data of 56 patients (32 Males-24 females) collected from October 2018 and March 2020 at Cardarelli Hospital in Campobasso. Read More

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Diverticulitis Management, a Snapshot Collaborative Audit Study (DAMASCUS): protocol for an international, multicentre, prospective observational study.

Authors:

Colorectal Dis 2021 Apr 29. Epub 2021 Apr 29.

Aim: Diverticular disease is an increasingly common problem in western society with a variety of treatment options for those presenting with acute diverticulitis, dependent on clinical presentation. Additionally, there is significant international variability in the index management, and few published data on real-world clinical practice. The aim of DAMASCUS is to identify areas of practice variability and their potential association with differences in short- and medium-term clinical outcomes. Read More

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Hospital in the home-based management of acute diverticulitis: a safe and effective alternative to inpatient care.

ANZ J Surg 2021 Apr 27. Epub 2021 Apr 27.

Epworth Healthcare, Melbourne, Victoria, Australia.

Background: The traditional approach to management of acute uncomplicated diverticulitis involves admission to hospital, antibiotic therapy, gut rest and monitoring for the development of complications. Despite evidence to suggest this can safely be performed in an outpatient setting, inpatient care remains standard practice in Australia potentially due to a variety of factors (van Dijk et al. 2018; Cirocchi et al. Read More

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Antibiotics for acute uncomplicated diverticulitis in hospitalized patients.

Medwave 2021 Mar 26;21(2):e8140. Epub 2021 Mar 26.

Departamento de Cirugía, Escuela de Medicina, Universidad Finis Terrae, Santiago, Chile. ORCID: 0000-0002-9947-0728.

Introduction: Acute diverticulitis is one of the complications of diverticular disease. Nowadays, there is a paradigm shift regarding the use of antibiotics to manage acute uncomplicated diverticulitis in hospitalized patients, with controversial information about it.

Methods: A search was done in Epistemonikos, the most comprehensive health-related systematic review database, maintained by screening multiple information sources including MEDLINE/PubMed, EMBASE, Cochrane, among others. Read More

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[Choice of operative procedure in diverticular disease : Taking the latest treatment strategies into consideration].

Chirurg 2021 Apr 26. Epub 2021 Apr 26.

Chirurgische Klinik, Universitätsmedizin Mannheim, Medizinische Fakultät, Universität Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Deutschland.

Background: There are various procedures to be considered in the surgical treatment of complicated diverticulitis, which must be selected depending on the classification of diverticular disease (CDD) type and the condition of the patient.

Objective: Comparison of surgical procedures with respect to aspects such as morbidity, mortality, reconstructive surgery and postoperative quality of life.

Material And Methods: Evaluation, analysis and assessment of the current literature on surgical treatment of diverticular disease. Read More

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Is there need for routine CT colonography after CT-verified uncomplicated diverticulitis of the sigmoid colon?

Eur J Radiol Open 2021 31;8:100341. Epub 2021 Mar 31.

Department of Radiology and Nuclear Medicine, Oslo University Hospital Ullevål, Oslo, Norway.

Background: Following an episode of acute diverticulitis, surgical guidelines commonly advise routine colonic follow-up to rule out underlying malignancy. However, as a CT of the abdomen is frequently performed during clinical work-up, the routine need for colonic follow-up has become debated.

Purpose: To evaluate the need for routine CT colonography after an episode of CT-verified uncomplicated sigmoid diverticulitis to rule out underlying colorectal malignancy. Read More

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Outcomes after non-operative management of perforated diverticular disease: a population-based cohort study.

BJS Open 2021 Mar;5(2)

National Institute for Health Research Nottingham Digestive Diseases Biomedical Research Unit, Nottingham University Hospitals NHS Trust, Nottingham, UK.

Background: The management of perforated diverticular disease has changed in the past 10 years with a move towards less surgical intervention. This population-based cohort study aimed to define the risk of death and readmission following non-operative management of perforated diverticular disease.

Methods: Patients diagnosed with perforated diverticular disease and managed without surgery were identified from the linked Clinical Practice Research Datalink and Hospital Episode Statistics data from 2000 to 2013. Read More

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Perforated jejunal diverticula in a young woman: A case report.

Int J Surg Case Rep 2021 Apr 26;81:105838. Epub 2021 Mar 26.

Department of Surgery, Zaans Medical Center, Zaandam, the Netherlands.

Introduction And Importance: Small bowel diverticulosis is a rare condition. It usually remains asymptomatic and undiscovered, until potentially severe complications such as diverticulitis or even perforation occur. We present an unusual case and discuss the pathophysiology, diagnostics strategies, and possible surgical intervention. Read More

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[Diverticular disease: stage-related diagnostic imaging].

Chirurg 2021 Apr 22. Epub 2021 Apr 22.

Klinik für Radiologie, Städtisches Klinikum St. Georg Leipzig, Delitzscher Str. 141, 04129, Leipzig, Deutschland.

Background: Diverticular disease frequently leads to emergency admissions. Clinical parameters are not sufficiently accurate to determine the extent of acute colonic diverticulitis, thus a quick, reproducible and valid diagnostic imaging procedure is required.

Objective: In the following, the imaging methods commonly used for the diagnostic work-up and staging of diverticulitis are presented and classified in the context of the data situation and clinical reality. Read More

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Diagnostic and prognostic significance of inflammatory parameters in acute diverticulitis: A retrospective cohort study.

Ulus Travma Acil Cerrahi Derg 2021 May;27(3):325-330

Department of General Surgery, KTO Karatay University Faculty of Medicine, Konya-Turkey.

Background: The optimum biochemical or hematological marker to determine diagnosis and severity of acute diverticulitis has not been established. We aimed to compare the utility of hematological parameters in the diagnosis and severity of acute diverticulitis.

Methods: Sixty-nine patients in diverticular disease (acute diverticulitis and diverticulosis subgroups) and 36 patients in control group were included in the study. Read More

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Surgical Diseases are Common and Complicated for Criminal Justice Involved Populations.

J Surg Res 2021 Apr 16;265:27-32. Epub 2021 Apr 16.

The Geisel School of Medicine at Dartmouth, Hanover, New Hampshire; Department of Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire; The Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, New Hampshire.

Background: At any given time, almost 2 million individuals are in prisons or jails in the United States. Incarceration status has been associated with disproportionate rates of cancer and infectious diseases. However, little is known about the burden emergency general surgery (EGS) in criminal justice involved (CJI) populations. Read More

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Colouterine and Jejunouterine Fistula Secondary to Chronic Diverticulitis.

Case Rep Gastrointest Med 2021 1;2021:5543505. Epub 2021 Apr 1.

Department of Surgery, Evaggelismos General Hospital, Athens, Greece.

Fistulae between the colon or the small intestine and the uterus are extremely rare as the uterus is a thick, muscular organ. Here, we present the case of a 74-year-old female presenting to our surgical department because of fecal vaginal discharge for the past few months, which proved to be caused by a combined colouterine and jejunouterine fistula due to chronic diverticulitis. Total abdominal hysterectomy with bilateral oophorectomy with en bloc resection of part of the jejunum and the sigmoid colon and primary anastomoses were performed. Read More

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The prevalence of symptomatic uncomplicated diverticular disease could be lower than expected: a single-center colonoscopy-based cohort study.

Eur J Gastroenterol Hepatol 2021 Apr 16. Epub 2021 Apr 16.

Territorial Gastroenterology Service, ASL BAT, Andria (BT) Department of Medical and Surgical Sciences, Post-graduate School of Digestive Diseases, Catholic University Division of Gastroenterology, 'S. Camillo' Hospital, Rome Digestive Endoscopy Unit, AULSS7 'Pedemontana', Santorso (VI) Division of Surgery, 'P. Colombo' Hospital, ASL RM6, Velletri (Rome) Department of Medicine and Surgery, University of Parma, Parma Division of Internal Medicine and Gastroenterology, 'Cristo Re' Hospital, Rome, Italy.

Aim: The real prevalence of symptomatic uncomplicated diverticular disease (SUDD) is still unknown. The aim of this study was to assess the prevalence of SUDD, post-diverticulitis SUDD (PD-SUDD) and irritable bowel syndrome (IBS)-like symptoms in a real-life population.

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

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Multifocal pyoderma gangrenosum secondary to subclinical diverticulitis: case report and brief literature review.

Dermatol Online J 2021 Mar 15;27(3). Epub 2021 Mar 15.

Department of Dermatology, Hospital Clínico Universitario Lozano Blesa, Zaragoza.

Pyoderma gangrenosum is characteristically associated with inflammatory bowel disease. However, the association between this neutrophilic dermatosis and diverticular disease is scarcely mentioned in the literature. Diverticulitis should be included in the differential diagnosis in patients with pyoderma gangrenosum and gastrointestinal complaints, or even in asymptomatic patients, particularly in the elderly. Read More

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Multiple hepatic and brain abscesses caused by Parvimonas micra: A case report and literature review.

Anaerobe 2021 Apr 20;69:102366. Epub 2021 Apr 20.

Department of System Medicine, University of Rome "Tor Vergata", Rome, Italy; Infectious Diseases Clinic, University Hospital "Tor Vergata", Rome, Italy. Electronic address:

Gram-positive anaerobic cocci (GPAC) are responsible for 30% of anaerobic infections. Parvimonas micra is an emergent pathogen that is part of the oral and gastrointestinal commensal flora, and its role in several infection processes has recently emerged thanks to the improvement of diagnostic techniques. P. Read More

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[Phosphorus binders: trigger for intestinal diverticula formation in an ADPKD patient].

G Ital Nefrol 2021 Apr 14;38(2). Epub 2021 Apr 14.

Azienda Sanitaria Provinciale di Catania, Ospedale Santa Marta e Santa Venera di Acireale, Unità Operativa Complessa di Nefrologia e Dialisi. Acireale (CT), Italia.

Hyperphosphoremia is common in patients with chronic kidney disease and is an important risk factor in this patient population. Phosphate binding drugs are a key therapeutic strategy to reduce phosphoremia levels, although they have significant side effects especially in the gastrointestinal tract, such as gastritis, diarrhoea and constipation. We report the case of a haemodialysis-dependent patient suffering from chronic kidney disease stage V KDIGO secondary to polycystic autosomal dominant disease; treated with phosphate binders, the case was complicated by the appearance of diverticulosis, evolved into acute diverticulitis. Read More

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[Diverticular disease. Clinical appearance, conservative treatment, primary and secondary prophylaxis].

Chirurg 2021 Apr 14. Epub 2021 Apr 14.

Medizinische Fakultät, Universität Köln, Köln, Deutschland.

Diverticula of the colon are very common and usually asymptomatic but 20% of people with diverticulosis develop symptoms and sometimes also complications, such as diverticulitis with abscesses or perforation and bleeding. In the long-term stenoses or a conglomerate can occur. The treatment depends on the type of diverticular disease, on the knowledge of risk indicators and imaging with sonography or computed tomography (CT). Read More

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Appraisal of the current guidelines for the management of diverticular disease using the Appraisal of Guidelines Research and Evaluation II (AGREE II) instrument.

Ann R Coll Surg Engl 2021 Apr 14. Epub 2021 Apr 14.

Cambridge University Hospitals NHS Foundation Trust, UK.

Introduction: Diverticular disease is one of the most frequent reasons for attending emergency departments and surgical causes of hospital admission. In the past decade, many surgical and gastroenterological societies have published guidelines for the management of diverticular disease. The aim of the present study was to appraise the methodological quality of these guidelines using the Appraisal of Guidelines Research and Evaluation II (AGREE II) tool. Read More

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SARS-CoV-2 and Acute Diverticulitis: the Expanding Gastrointestinal Manifestations of COVID-19 Infection.

J Transl Int Med 2021 Mar 31;9(1):59-60. Epub 2021 Mar 31.

Division of Gastroenterology, Department of Medicine, Olive View-UCLA Medical Center, Sylmar, CA, USA.

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Isolated diverticulitis of the terminal ileum: an unusual cause of abdominal pain.

BMJ Case Rep 2021 Apr 13;14(4). Epub 2021 Apr 13.

Radiology, Garcia de Orta Hospital, Almada, Setúbal, Portugal.

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Multidimensional Prognostic Index Predicts Clinical Outcome and Mortality in Hospitalised Older Patients with Diverticular Disease.

Gerontology 2021 Apr 13:1-9. Epub 2021 Apr 13.

Department of Internal Medicine, IRCCS San Matteo Hospital Foundation, University of Pavia, Pavia, Italy.

Introduction: The Multidimensional Prognostic Index (MPI) is a validated tool for assessing mortality risk in hospitalised patients. We aimed to evaluate whether the MPI predicted mortality and the risk of developing diverticular disease (DD) complications in older patients.

Methods: This is a multicentre study conducted in January 2016-March 2018. Read More

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Reply.

Clin Gastroenterol Hepatol 2021 Apr 8. Epub 2021 Apr 8.

Clinical and Translational Epidemiology Unit, Division of Gastroenterology, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts; Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts; Broad Institute of MIT and Harvard, Cambridge, Massachusetts.

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