8,340 results match your criteria Diverticulitis


Complete Genome Sequence of -Positive sp. MRY16-398 Isolate From the Ascites of a Diverticulitis Patient.

Front Microbiol 2018 22;9:2853. Epub 2018 Nov 22.

Pathogen Genomics Center, National Institute of Infectious Diseases, Tokyo, Japan.

A novel species of carbapenemase-producing Enterobacteriaceae (CPE) was isolated from a patient diagnosed with sigmoid colon diverticulitis. At first, laboratory testing suggested it was or sp.; however, a complete genome sequence of the isolate, MRY16-398, revealed that it could be novel species, most similar to [] , of which taxonomic nomenclature is still under discussion. Read More

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November 2018

A propensity score matched comparison of intracorporeal and extracorporeal techniques for robotic-assisted sigmoidectomy in an enhanced recovery pathway.

J Robot Surg 2018 Dec 10. Epub 2018 Dec 10.

Division of Colon and Rectal Surgery, St. Joseph Mercy Hospital, Ann Arbor, 5325 Elliott Dr., Suite #104, Ann Arbor, MI, 48106, USA.

Intracorporeal options for sigmoid resection have been recently developed but not extensively evaluated. This study was designed to assess outcomes comparing intracorporeal and extracorporeal techniques for robotic-assisted sigmoid resection in an established enhanced recovery pathway. This is a retrospective comparison of intracorporeal and extracorporeal techniques for robotic-assisted sigmoid resection for benign and malignant disease. Read More

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December 2018
1 Read

Surgery After an Initial Episode of Uncomplicated Diverticulitis: Does Time to Resection Matter?

J Surg Res 2019 Feb 11;234:224-230. Epub 2018 Oct 11.

Department of Surgery, Johns Hopkins, Baltimore, Maryland. Electronic address:

Background: The aim of this study was to determine whether time to surgery after an initial episode of uncomplicated diverticulitis is associated with undergoing an emergent versus an elective resection.

Methods: In this retrospective, administrative claims database study, we identified patients at least 18 y old in the 2005-2011 California State Inpatient Database who had an initial episode of uncomplicated diverticulitis and then underwent a bowel resection within 2 y. After characterizing the distribution in time to surgery among all patients, we used a multivariable logistic regression to determine whether time to surgery was associated with undergoing an emergent resection. Read More

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February 2019

Covered perforation of Meckel's diverticulum ulcer to transverse colon: highlighting the urgent intervention and the avoidance of a dramatic evolution (case report and literature review).

Folia Med Cracov 2018 ;58(3):83-87

Department of Internal Medicine, General Hospital of Veria, Veria, Greece.

Meckel's diverticulum represents a remnant of the proximal end of the omphalomesenteric duct, which constitutes a connection between the middle intestine and the vitelline vesicle. It is the most common congenital anomaly of the gastrointestinal tract and is found in approximately 0.3-2% of the general population. Read More

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January 2018
3 Reads

Characteristics and Timing of Interhospital Transfers of Emergency General Surgery Patients.

J Surg Res 2019 Jan 26;233:8-19. Epub 2018 Jul 26.

Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.

Background: Transferred emergency general surgery (EGS) patients have increased morbidity, mortality, and costs, yet little is known about the characteristics of such transfers. Increasing specialization and a decreasing general surgery workforce have led to concerns about access to care, which may lead to increased transfers. We sought to evaluate the reasons for and timing of transfers for EGS diagnoses. Read More

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January 2019
1 Read

Multifocal Versus Conventional Unifocal Diverticulitis: A Comparison of Clinical and Transcriptomic Characteristics.

Dig Dis Sci 2018 Dec 3. Epub 2018 Dec 3.

Division of Colon and Rectal Surgery, Department of Surgery, The Pennsylvania State University, College of Medicine, 500 University Drive, Hershey, PA, 17033-0850, USA.

Background: The management of diverticulitis is compromised by difficulty in identifying patients who require surgery for recurrent or persistent disease. Here, we introduce the concept of multifocal diverticulitis (MFD), characterized by multiple episodes of diverticulitis occurring at different locations within the colon.

Aims: To compare clinical characteristics, success of surgical management, and colonic transcriptomes of MFD patients to patients with conventional unifocal diverticulitis (UFD). Read More

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December 2018
1 Read

Pericolic or paracolic? The right word in the right place for acute diverticulitis.

Eur Radiol 2018 Dec 3. Epub 2018 Dec 3.

Department of Radiology, Konstantopouleion Hospital, Agias Olgas 3, Nea Ionia, 142 33, Athens, Greece.

Key Point: • The term "pericolic" is wrongly used to describe an abscess adjacent to the colon in patients with acute diverticulitis. We explain why the proper term is the word "paracolic." Read More

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December 2018
4 Reads

Outcomes of emergency abdominal surgery in octogenarians: A single-center analysis.

Am J Surg 2018 Nov 27. Epub 2018 Nov 27.

Department of Visceral Surgery and Medicine, Inselspital, Bern University Hospital, University of Bern, Switzerland. Electronic address:

Background: The aim of this study was to assess outcomes of octogenarians undergoing emergency abdominal surgery (EAS).

Methods: Octogenarians undergoing EAS 12/2011-12/2016 were retrospectively analysed. The outcomes were assessed by univariable and multivariable regression analysis. Read More

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November 2018
1 Read

Rare presentation of a Bochdalek hernia in adulthood with incarcerated splenic flexure of the colon mimicking diverticulitis: a report and review.

ANZ J Surg 2018 Nov 29. Epub 2018 Nov 29.

Department of Surgery, St George Hospital, Sydney, New South Wales, Australia.

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November 2018
1 Read

Laparoscopic colorectal resection for a giant colonic diverticulum - video vignette.

Colorectal Dis 2018 Nov 29. Epub 2018 Nov 29.

Surgery department of Hospital da Luz Arrábida, Vila Nova de Gaia.

A giant colonic diverticulum (GCD) is a rare disease with less than 200 cases reported in the literature. By definition, a GCD is larger than 4cm in diameter with close sigmoid colon relationship in more than 90% of the cases. En bloc resection of the diverticulum with anterior sigmoid-rectal segment with primary anastomosis is the best treatment approach. Read More

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November 2018
1 Read

Nonsurgical, Minimally Invasive, and Surgical Methods in Management of Acute Diverticulitis.

JAMA Surg 2018 Nov 21. Epub 2018 Nov 21.

Department of Surgery, Baylor University Medical Center, Dallas, Texas.

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November 2018
1 Read

Association of Timing of Colostomy Reversal With Outcomes Following Hartmann Procedure for Diverticulitis.

JAMA Surg 2018 Nov 21. Epub 2018 Nov 21.

Section of Emergency General Surgery, Department of Surgery, Yale School of Medicine, New Haven, Connecticut.

Importance: The Hartmann procedure (end colostomy) remains a common operation for diverticulitis requiring surgery. However, the timing of subsequent colostomy reversal remains widely varied, and the optimal timing remains unknown.

Objective: To investigate the association of the timing of colostomy reversal with operative outcomes. Read More

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November 2018
2 Reads

Sigmoido-Cecal Fistula: A Rare Case of Complicated Recurrent Diverticulitis and a Review of the Literature.

Am J Case Rep 2018 Nov 22;19:1386-1392. Epub 2018 Nov 22.

Third Department of Surgery, AHEPA University Hospital, Aristotle University of Thessaloniki, School of Health Sciences, Faculty of Medicine, Thessaloniki, Greece.

BACKGROUND Although diverticular disease is well described and treated in daily clinical practice, there are cases that attract great interest because of their complexity and difficulty in management. Herein, we describe a rare case of colo-colonic fistula-complicated diverticulitis that necessitated urgent surgical intervention. CASE REPORT A 76-year-old female patient with a known history of diverticular disease of the sigmoid colon presented in the Emergency Department for evaluation of left lower quadrant abdominal pain. Read More

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November 2018
4 Reads

Perforated sigmoid diverticulitis: Hartmann's procedure or resection with primary anastomosis.

Authors:
W A Bemelman

Tech Coloproctol 2018 Oct 20;22(10):739-740. Epub 2018 Nov 20.

Amsterdam University Medical Centers, Amsterdam, The Netherlands.

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October 2018
3 Reads

Perforated Sigmoid Diverticulitis Resulting in Subcutaneous Abscess.

Am Surg 2018 Aug;84(8):e275-e276

Department of Surgery, University of Mississippi Medical Center, Jackson, Mississippi, USA.

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August 2018
1 Read

Portomesenteric Venous Gas Secondary to Acute Diverticulitis Colovenous Fistula.

Am Surg 2018 Apr;84(4):e123-e124

Department of Surgery, Meharry Medical College, Nashville, Tennessee, USA.

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April 2018
5 Reads

The Effect of Surgical Training and Operative Approach on Outcomes in Acute Diverticulitis: Should Guidelines Be Revised?

Dis Colon Rectum 2019 Jan;62(1):71-78

Colorectal Surgery Center, Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts.

Background: Current guidelines accept partial colectomy and primary anastomosis with proximal diversion for select patients with perforated diverticulitis based on low-quality evidence.

Objective: This study aimed to compare the effect of operative approach and surgeon training on outcomes following urgent/emergent colectomy for diverticulitis.

Design: This is a statewide retrospective cohort study. Read More

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January 2019
1 Read

Self-expanding metal stent restenosis in obstructive colon diverticulitis mimicking colon cancer: A case report.

Int J Surg Case Rep 2018 Nov 1;53:259-261. Epub 2018 Nov 1.

Department of Surgery, Institute of Gastroenterology, Kawasaki Saiwai Hospital, Kawasaki, Japan.

Introduction: The self-expanding metal stent (SEMS) has been used in malignant colorectal obstruction as a bridge to surgery or for palliative treatment. We report a case of obstructive descending colon diverticulitis in-stent restenosis, which is difficult to distinguish from colon cancer.

Presentation Of Case: A 48-year-old man presented with abdominal pain. Read More

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November 2018
6 Reads

Acute diverticulitis in patients under 50 years of age.

G Chir 2018 Sep-Oct;34(5):319-322

Acute diverticulitis typically occurs in patients over 80 years old. The last five years we observed an increased incidence of acute diverticulitis in patients under 50 years. The aim of this study is to evaluate the increased rate of patients under 50 years that are hospitalized due to acute diverticulitis. Read More

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November 2018

Risk of colorectal cancer in patients with diverticular disease.

World J Clin Oncol 2018 Oct;9(6):119-122

Division of Digestive Surgery, University Hospitals of Geneva, Genève 1211, Switzerland.

Colorectal cancer constitutes an important burden on the healthcare system. Screening at-risk populations to reduce colorectal cancer-related morbidity and mortality has become part of good clinical practice. However, recommendations regarding subgroups of patients with diverticular disease are subject to controversy. Read More

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October 2018
10 Reads

Laparoscopic aortobifemoral bypass in a United States academic center.

J Cardiovasc Surg (Torino) 2018 Nov 7. Epub 2018 Nov 7.

Division of Vascular Surgery, University of Cincinnati Medical Center, Cincinnati, OH, USA -

Background: Although aortoiliac occlusive disease (AIOD) is preferentially treated endovascularly, some patients are still better served with an aortobifemoral bypass (ABF). For those patients, surgical treatment options include both standard open operations as well as laparoscopic ABF (LapABF). Several European centers perform LapABF with favorable results instead of open surgery, but this has not been widely embraced in the United States. Read More

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November 2018
3 Reads

Mesenteric vascular and nerve sparing surgery in laparoscopic segmental intestinal resection for deep infiltrating endometriosis.

Eur J Obstet Gynecol Reprod Biol 2018 Dec 1;231:214-219. Epub 2018 Nov 1.

Department of Obstetrics and Gynecology, AOUI Verona, University of Verona, Verona, Italy.

Objective(s): To investigate Mesenteric vascular and nerve Sparing Surgery (MSS) as surgical laparoscopic technique to perform segmental intestinal resection for deep infiltrating endometriosis (DIE).

Study Design: Prospective cohort study between January 2013 and December 2016. Consecutive patients with suspected intestinal DIE underwent clinical and imaging evaluation to confirm intestinal involvement. Read More

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December 2018
4 Reads
1.630 Impact Factor

Perioperative Management of Patients with Colovesical Fistula.

J Gastrointest Surg 2018 Nov 8. Epub 2018 Nov 8.

Department of Surgery, Indiana University School of Medicine, Indianapolis, USA.

Background: Colovesical fistula (CVF) is an uncommon complication of diverticulitis. Substantial heterogeneity exists in the perioperative management of this condition. We seek to evaluate the role of bladder leak testing, closed suction drainage, prolonged bladder catheter usage, and routine postoperative cystogram in the management of CVF. Read More

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November 2018
5 Reads

Risk Factors for Recurrence of Right Colonic Diverticulitis.

Dig Surg 2018 Nov 8:1-5. Epub 2018 Nov 8.

Department of Surgery, Gil Medical Center, Gachon University College of Medicine, Incheon, Republic of Korea.

Background: Right colonic diverticulitis (RCD) is more common in Asian countries than in Western countries, and the risk factors for recurrence of RCD are not fully understood. The objective of this study was to assess the risk factors for recurrence of RCD.

Methods: We analyzed 296 patients admitted for treatment of RCD in the Gachon University Gil Medical Center from December 2001 to October 2014. Read More

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November 2018
6 Reads

Clinical signs of retroperitoneal abscess from colonic perforation: Two case reports and literature review.

Medicine (Baltimore) 2018 Nov;97(45):e13176

Department and Clinic of Gastrointestinal and General Surgery, Medical University, Wroclaw. Poland.

Rationale: Retroperitoneal colonic perforation is a rare cause of retroperitoneal abscess. It presents, more frequently in frail elderly patients, with heterogeneous signs and symptoms which hamper the clinical diagnosis. Subcutaneous emphysema with pneumomediastinum and iliopsoas muscle abscess are unusual signs. Read More

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November 2018
5 Reads

Irritable bowel syndrome and colonic diverticular disease: overlapping symptoms and overlapping therapeutic approaches.

Curr Opin Gastroenterol 2019 Jan;35(1):27-33

Division of Gastroenterology and Hepatology, Lynda K and David M Underwood Center for Digestive Disorders, Houston Methodist Hospital and Weill Cornell Medical College, Houston, Texas, USA.

Purpose Of Review: Irritable bowel syndrome (IBS) is a common symptomatic disorder in the Western world and colonic diverticula are also prevalent; however, relationships between IBS-type symptoms and diverticula have been a source of much debate. Our goal was to reassess these relationships in the light of new data.

Recent Findings: On removing from consideration clinical scenarios which are directly related to diverticula (i. Read More

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January 2019
3 Reads

Robotic pelvic dissection as surgical treatment of complicated diverticulitis in elective settings: a comparative study with fully laparoscopic procedure.

Surg Endosc 2018 Nov 7. Epub 2018 Nov 7.

Department of General e Surgery, Ospedale Citta Sesto San Giovanni, ASST Milano Nord, Sesto San Giovanni, Italy.

Background: Recently, minimally invasive treatment of complicated sigmoid diverticulitis is becoming a valid alternative to standard procedures. Robotic approach may be useful to allow more precise dissection in arduous pelvic dissection as in complicated diverticulitis. The aim of this study is to investigate effectiveness, potential benefits and short-term outcomes of robotic-assisted laparoscopic surgical resection, compared with fully laparoscopic resection in complicated diverticulitis. Read More

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November 2018
5 Reads

Early and late complications of bariatric operation.

Trauma Surg Acute Care Open 2018 9;3(1):e000219. Epub 2018 Oct 9.

Department of Surgery, Yale School of Medicine, New Haven, Connecticut, USA.

Weight loss surgery is one of the fastest growing segments of the surgical discipline. As with all medical procedures, postoperative complications will occur. Acute care surgeons need to be familiar with the common problems and their management. Read More

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October 2018
4 Reads

Perforated Sigmoid Diverticulitis Resulting in Subcutaneous Abscess.

Am Surg 2018 Aug;84(8):e275-e276

Department of Surgery, University of Mississippi Medical Center, Jackson, Mississippi, USA.

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Development and validation of a diagnostic prediction model distinguishing complicated from uncomplicated diverticulitis.

Scand J Gastroenterol 2018 Nov 5:1-7. Epub 2018 Nov 5.

b Department of Surgery , Diakonessenhuis , Utrecht , The Netherlands.

Objectives: Most diverticulitis patients (80%) who are referred to secondary care have uncomplicated diverticulitis (UD) which is a self-limiting disease and can be treated at home. The aim of this study is to develop a diagnostic model that can safely rule out complicated diverticulitis (CD) based on clinical and laboratory parameters to reduce unnecessary referrals.

Methods: A retrospective cross-sectional study was performed including all patients who presented at the emergency department with CT-proven diverticulitis. Read More

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November 2018
7 Reads

A randomised placebo-controlled double-blind multicentre trial comparing antibiotic therapy with placebo in the treatment of uncomplicated acute appendicitis: APPAC III trial study protocol.

BMJ Open 2018 Nov 3;8(11):e023623. Epub 2018 Nov 3.

Division of Digestive Surgery and Urology, Turku University Hospital, Turku, Finland.

Introduction: Recent studies show that antibiotic therapy is safe and feasible for CT-confirmed uncomplicated acute appendicitis. Spontaneous resolution of acute appendicitis has already been observed over a hundred years ago. In CT-confirmed uncomplicated acute diverticulitis (left-sided appendicitis), studies have shown no benefit from antibiotics compared with symptomatic treatment, but this shift from antibiotics to symptomatic treatment has not yet been widely implemented in clinical practice. Read More

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November 2018
1 Read

Impact of the extraction-site location on wound infections after laparoscopic colorectal resection.

Am J Surg 2018 Oct 29. Epub 2018 Oct 29.

Department of Colorectal Surgery, Digestive Disease Institute, Cleveland Clinic, Cleveland, OH, USA.

Background: The purpose of this study was to determine the impact of the incision used for specimen extraction on wound infection during laparoscopic colorectal surgery.

Methods: All patients undergoing elective laparoscopic colorectal resection in a single specialized department from 2000 to 2011 were identified from a prospectively maintained institutional database. Specific extraction-sites and other relevant factors associated with wound infection rates were evaluated with univariate and multivariate analyses. Read More

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October 2018
3 Reads

Damage control surgery for perforated diverticulitis: a two center experience with two different abdominal negative pressure therapy devices.

Acta Chir Belg 2018 Nov 2:1-6. Epub 2018 Nov 2.

a Department of Visceral , Transplant and Thoracic Surgery, Medical University of Innsbruck , Innsbruck , Austria.

Purpose: The adoption of abdominal negative pressure therapy (NPT) during urgent laparotomy has shown to be helpful to control abdominal sepsis, improve morbidity and increase anastomosis rate. The aim of this study was to compare feasibility and outcome of two different abdominal negative pressure devices.

Methods: The retrospective two-center study includes 78 consecutive patients with perforated sigmoid diverticulitis, who underwent urgent laparotomy using the ABThera™ (KCI, Wien, Austria) abdominal NPT device (Group A, n = 51) or the Suprasorb® CNP (Lohmann & Rauscher, Wien, Austria) abdominal NPT device (Group B, n = 27). Read More

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November 2018
3 Reads

Medical hypothesis: speculating on the pathogenesis of acute diverticulitis.

Authors:
Angelo Zullo

Ann Gastroenterol 2018 Nov-Dec;31(6):747-749. Epub 2018 Sep 26.

Gastroenterology and Digestive Endoscopy, Nuovo Regina Margherita Hospital, Rome, Italy.

The pathogenetic process of acute diverticulitis remains speculative. According to the most widely accepted theory, the mechanism involved is "traumatic" damage to the mucosa due to fecolith impaction, as occurs in large diverticula. However, not uncommonly, diverticulitis develops in young patients with only few and small diverticula, where fecolith trapping is very unlikely. Read More

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September 2018
2 Reads

Reply to the Letter to the Editor: Comment to Jejunal Diverticulitis Mimicking Small Bowel Perforation: Case Report and Review of the Literature.

Chirurgia (Bucur) 2018 Sept-Oct;113(5):720-721

Dear Editor, We thank the authors of this letter to the editor for the valuable information that they provided. We are familiar to the fact that conservative management is gaining ground against surgical treatment and this fact is mentioned in our article. This fact is better highlighted through the references that the authors of the letter to the editor provided and their comments. Read More

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October 2018
2 Reads

Comment to Jejunal Diverticulitis Mimicking Small Bowel Perforation: Case Report and Review of the Literature.

Chirurgia (Bucur) 2018 Sept-Oct;113(5):719

Dear Editor, I would like to congratulate the authors of this well written article and to thank them for the contribution to the literature. There is, however, one point that needs to be addressed, and that is the outcomes of surgical versus conservative treatment. Areview article1 has published data on 266 patients (106 patients derived from published case reports containing individual patient data, 113 patients derived from the Norwegian patient registry and data on 47 patients as historical controls from a previous publication and used as historical controls(Chendrasekhar et al2). Read More

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October 2018
2 Reads

[Colonoscopy following acute diverticulitis mandatory].

Ugeskr Laeger 2018 Oct;180(43)

According to international guidelines, patients presenting with acute diverticulitis are offered lower endoscopy to rule out colorectal cancer. This practice is based on weak evidence. Recent studies have established that the incidence of colorectal cancer after acute diverticulitis is low. Read More

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October 2018
2 Reads

Solitary cecal diverticulitis, a rare cause of right lower quadrant pain: Four cases.

North Clin Istanb 2018 15;5(2):148-152. Epub 2018 Mar 15.

Department of Pathology, Kocaeli Derince Training and Research Hospital, Kocaeli, Turkey.

Solitary cecal diverticulitis is a rare clinical condition. Like diverticulitis in other segments of the colon, it requires immediate surgical intervention if it is causing complications. Solitary cecal diverticulitis may be misdiagnosed as acute appendicitis, since it causes right lower quadrant pain, or as a cecal tumor or inflammatory bowel disease, due to an intraoperative appearance resembling an inflammatory mass. Read More

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March 2018
6 Reads

Operative Strategies for Perforated Diverticulitis: A Systematic Review and Meta-analysis.

Dis Colon Rectum 2018 Dec;61(12):1442-1453

Division of General Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada.

Background: The traditional approach for perforated diverticulitis, the Hartmann procedure, has considerable morbidity and the challenge of stoma reversal. Alternative procedures, including primary resection and anastomosis and laparoscopic lavage, have been proposed but remain controversial.

Objective: The purpose of this study was to compare operative strategies for perforated diverticulitis. Read More

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December 2018
7 Reads

Acute diverticulitis in patients under 50 years of age.

G Chir 2018 Sep-Oct;39(5):319-322

Acute diverticulitis typically occurs in patients over 80 years old. The last five years we observed an increased incidence of acute diverticulitis in patients under 50 years. The aim of this study is to evaluate the increased rate of patients under 50 years that are hospitalized due to acute diverticulitis. Read More

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October 2018
4 Reads

An outcome analysis of laparoscopic management of diverticulitis.

Indian J Gastroenterol 2018 Sep 26;37(5):430-438. Epub 2018 Oct 26.

Department of Gastrointestinal Surgery, Lilavati Hospital and Research Center, A-791, Bandra Reclamation Road, General Arunkumar Vaidya Nagar, Bandra West, Mumbai, 400 050, India.

Background: All operative procedures for simple or complicated diverticulitis, including primary resection and anastomosis (PRA) with or without a diverting stoma, Hartmann procedure (HP), or stoma reversal, whether done in an elective setting or as an emergency, can be performed laparoscopically. However, owing to low incidence of the disease and complexity of the procedure, there are very few studies on outcomes of laparoscopic surgery for sigmoid diverticulitis from India.

Aim: The present study was undertaken to evaluate outcomes of laparoscopically treated patients of sigmoid diverticulitis. Read More

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September 2018
5 Reads

Phase 3 Study of Recombinant von Willebrand Factor in Patients With Severe von Willebrand Disease Who Are Undergoing Elective Surgery.

J Thromb Haemost 2018 Oct 25. Epub 2018 Oct 25.

Shire US Inc, Cambridge, Massachusetts, USA.

Background: Recombinant von Willebrand factor (rVWF) has demonstrated efficacy for on-demand treatment of bleeding in severe von Willebrand disease (VWD), warranting evaluation in the surgical setting.

Objectives: This study (NCT02283268) evaluated the hemostatic efficacy/safety profile of rVWF, with/without recombinant factor VIII (rFVIII), in patients with severe VWD undergoing surgery.

Patients/methods: Patients received rVWF 40-60 IU/kg, VWF ristocetin cofactor activity was measured 12-24 hours before surgery. Read More

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October 2018
2 Reads

[Infección necrotizante de la pared abdominal: ¿qué hacer?]

Cir Cir 2018 ;86(6):570-574

Servicio de Anestesiología y Reanimación. Hospital Universitario de Cabueñes, Gijón, España.

El éxito en el tratamiento de las infecciones necrotizantes de los tejidos blandos (INTB) depende de la precocidad diagnóstica y de la agresividad terapéutica, basada en el desbridamiento quirúrgico, la antibioticoterapia de amplio espectro y el soporte intensivo. Se presenta un caso de INTB secundaria a diverticulitis aguda perforada (Hinchey 4) con el fin de ilustrar las consideraciones particulares en el manejo de la INTB de localización en la pared abdominal, apoyadas en la evidencia disponible en la literatura científica. Se identifican como puntos clave la precocidad y la agresividad del desbridamiento quirúrgico, la antibioticoterapia dirigida por el cultivo y su suspensión guiada por la negativización microbiológica; y el empleo de técnicas combinadas de autoplastia y prótesis apoyadas en la terapia de presión negativa en la restauración de la pared abdominal, con lo que se ha obtenido un buen resultado. Read More

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January 2018
1 Read

Diagnostic point-of-care ultrasound (POCUS) for gastrointestinal pathology: state of the art from basics to advanced.

World J Emerg Surg 2018 15;13:47. Epub 2018 Oct 15.

2Department of Internal Medicine, College of Medicine and Health Sciences, UAE University, Al-Ain, 17666 United Arab Emirates.

The use of point-of-care ultrasound (POCUS) by non-radiologists has dramatically increased. POCUS is completely different from the routine radiological studies. POCUS is a Physiological, On spot, extension of the Clinical examination, that is Unique, and Safe. Read More

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October 2018
8 Reads

Diverticulitis.

N Engl J Med 2018 Oct;379(17):1635-1642

From the Division of Colon and Rectal Surgery, Mayo Clinic, Phoenix, AZ.

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October 2018
1 Read

Terminal ileal diverticulitis in disguise.

ANZ J Surg 2018 Oct 24. Epub 2018 Oct 24.

Department of General Surgery, Sale Hospital, Central Gippsland Health, Sale, Victoria, Australia.

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October 2018
1 Read

Non-operative management of perforated diverticulitis with extraluminal or free air - a retrospective single center cohort study.

Scand J Gastroenterol 2018 Oct 24:1-6. Epub 2018 Oct 24.

b Colorectal Unit, Department of Surgery , Västmanlands Hospital Västerås , Sweden.

Objectives: The aim of this study was to describe patient characteristics and results of non-operative management for patients presenting with computed tomography (CT) verified perforated diverticulitis with extraluminal or free air.

Methods: All patients treated for diverticulitis (ICD-10: K-57) during 2010-2014 were identified and medical records were reviewed. Re-evaluations of CT examinations for all patients with complicated disease according to medical records were performed. Read More

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October 2018
8 Reads

Antibiotics Versus No Antibiotics in Acute Diverticulitis; Does the Empirical Antimicrobial Regimen Matter?

Am J Gastroenterol 2018 Oct 22. Epub 2018 Oct 22.

General Medicine, University Hospital of Heraklion, Heraklion, Greece.

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October 2018

Laparoscopic-thoracoscopic esophageal resection in the treatment of giant epiphrenic esophageal diverticulum (Ivor Lewis operation): Case report.

Int J Surg Case Rep 2018 8;52:89-94. Epub 2018 Oct 8.

NGHCI Railway Clinical Hospital at the "Rostov-Glavnyy" Station, OAO Russian Railways, Varfolomeeva Street 92, Rostov-on-Don, Russian Federation(1); FSBEI HE Rostov State Medical University of the Ministry of Health of the Russian Federation, Nakhichevansky Lane 19, Rostov-on-Don, Russian Federation(2).

Introduction: Complicated esophageal diverticulum is an extremely rare disease. The most widespread surgical tactic in such cases is drainage of the mediastinum and the position of a feeding gastrostomy or enterostomy. Our objective was to demonstrate the possibility of performing a one-step operation in case of giant esophageal diverticulum with necrotic diverticulitis and sepsis on the background of dilatation of the esophagus. Read More

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October 2018
1 Read