8,846 results match your criteria Diverticulitis


Surgical management of colovesical fistulas.

Tech Coloproctol 2020 May 27. Epub 2020 May 27.

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

Background: The most common etiology of colovesical fistulas is complicated diverticular disease and the treatment of choice is surgical resection. There are very few reports of the application of minimally invasive approaches for these surgeries. The aim of our study was to evaluate the role of laparoscopy in this challenging surgical setting. Read More

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http://dx.doi.org/10.1007/s10151-020-02247-0DOI Listing

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

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

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

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

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

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

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

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

Gastroenterology, Banner University Medical Center, Phoenix, USA.

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

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

Predictors of hernia after loop ileostomy closure: a single-center retrospective review.

Int J Colorectal Dis 2020 May 25. Epub 2020 May 25.

Spectrum Health General Surgery Residency, 100 Michigan NE, Suite A501, Grand Rapids, MI, 49503, USA.

Purpose: Our aims were to determine the rate of incisional hernia after closure of a loop ileostomy (LI) and to identify any perioperative risk factors that may be associated with hernia development.

Methods: We performed an IRB-approved retrospective review that included consecutive patients who underwent LI closure from January 1, 2012, to December 31, 2014. The primary outcome was identification of hernia on physical exam or by abdominal imaging. Read More

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http://dx.doi.org/10.1007/s00384-020-03637-4DOI Listing

Mega-megacolon: a case report.

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

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

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

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

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

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

Statin use and risk of acute diverticulitis: A population-based case-control study.

Medicine (Baltimore) 2020 May;99(20):e20264

University of Otago, Christchurch, New Zealand.

The goal of the study was to examine the association between statin use and the development of acute diverticulitis requiring hospital admission.Acute diverticulitis is a common and costly gastrointestinal disorder. Although the incidence is increasing its pathophysiology and modifiable risk factors are incompletely understood. Read More

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http://dx.doi.org/10.1097/MD.0000000000020264DOI Listing

Update on the management of uncomplicated acute diverticulitis at our centre. Equally effective, more efficient.

Gastroenterol Hepatol 2020 May 17. Epub 2020 May 17.

Servicio de Cirugía General y Aparato Digestivo, Hospital Universitario Puerta de Hierro Majadahonda, España.

Goals: The current trend in the treatment of non-complicated diverticulitis is the outpatient management with antibiotic or even anti-inflammatory regimens in selected cases. We present a comparison of the results in our hospital with different protocols applied in 2016 and 2017.

Material And Methods: All patients selected for this study were diagnosed with diverticulitis grade Ia of Hinchey's classification according to radiological findings on abdominal CT. Read More

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http://dx.doi.org/10.1016/j.gastrohep.2020.01.006DOI Listing

Robotic Inguinal Hernia Repair.

Authors:
David S Edelman

Surg Technol Int 2020 May;36:99-104

Introduction: Laparoscopic inguinal hernia repair has certain advantages over open repair including less pain and earlier return to normal activity. Robotic surgery adds high definition visualization and articulating instruments. This enhanced dexterity can make laparoscopic hernia repair more refined while obtaining a critical view of the myopectineal orifice that should lead to fewer recurrences and complications. Read More

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

BJS Open 2020 May 20. Epub 2020 May 20.

Centre for Clinical Research Uppsala University, Västerås, Sweden.

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

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

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

Acute diverticulitis: Key features for guiding clinical management.

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

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

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

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

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

Pathol Int 2020 May 14. Epub 2020 May 14.

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

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

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

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

JAMA Surg 2020 May 13. Epub 2020 May 13.

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

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

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

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

Swiss experience of atezolizumab for platinum-pretreated urinary tract carcinoma: the SAUL study in real-world practice.

Swiss Med Wkly 2020 May 4;150:w20223. Epub 2020 May 4.

Universitätsspital Basel, Basel, Switzerland.

Aims Of The Study: Atezolizumab is an approved therapy for urothelial carcinoma based on results from the IMvigor 210 and IMvigor211 phase II and III trials. The global SAUL study evaluated atezolizumab in a broader patient population more representative of real-world populations. Among approximately 1000 patients treated in SAUL, 25 were treated in Swiss oncology centres. Read More

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http://dx.doi.org/10.4414/smw.2020.20223DOI Listing

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

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

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

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

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

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

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

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

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

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Cardiac AA amyloidosis in a patient with obstructive hypertrophic cardiomyopathy.

Cardiovasc Pathol 2020 Mar 7;48:107218. Epub 2020 Mar 7.

Hypertrophic Cardiomyopathy Program, Leon H. Charney Division of Cardiology, New York University School of Medicine, New York, NY.

Cardiac amyloid A (AA) amyloidosis is rare. We present the case of a 72-year-old woman with obstructive hypertrophic cardiomyopathy (HCM) and biopsy-proven renal AA amyloidosis whose dyspnea and exercise intolerance had worsened over the previous year. Her AA amyloidosis was suspected to be secondary to chronic diverticulitis for which she had undergone hemicolectomy and sigmoidectomy 3 years prior. Read More

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http://dx.doi.org/10.1016/j.carpath.2020.107218DOI Listing

Hot Pockets: The Adverse Admixture of Obesity and Diverticulitis.

Dig Dis Sci 2020 May 7. Epub 2020 May 7.

Division of Gastroenterology, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.

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http://dx.doi.org/10.1007/s10620-020-06307-1DOI Listing

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

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

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

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

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

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

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

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

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

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

Correction: In the Clinic: Acute Colonic Diverticulitis.

Authors:

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

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

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

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

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

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

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

Utility of point-of-care ultrasound in patients with suspected diverticulitis in the emergency department.

J Clin Ultrasound 2020 May 1. Epub 2020 May 1.

Department of Emergency Medicine, George Washington University School of Medicine, Washington, District of Columbia, USA.

In emergency department (ED) cases with clinically suspected diverticulitis, diagnostic imaging is often needed for diagnostic confirmation, to exclude complications, and to direct patient management. Patients typically undergo a CT scan in the ED; however, in a subset of cases with suspected diverticulitis, point-of-care ultrasound (POCUS) may provide sufficient data to confirm the diagnosis and ascertain a safe plan for outpatient management.We review the main sonographic features of diverticulitis and discuss the diagnostic accuracy and potential benefits of a POCUS First model. Read More

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http://dx.doi.org/10.1002/jcu.22857DOI Listing

Point-of-care ultrasound for the acute abdomen in the primary health care.

Turk J Emerg Med 2020 Jan-Mar;20(1):1-11. Epub 2020 Jan 28.

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

Point-of-care ultrasound (POCUS) is a focused examination, which is performed and interpreted at the bedside by the treating physician answering a specific clinical question. It is currently utilized as an essential adjunct to physical examination in many medical specialties. Recent advances in technology have made POCUS machines portable, affordable, and could be used with minimal training even by nonradiologists. Read More

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http://dx.doi.org/10.4103/2452-2473.276384DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189821PMC
January 2020

[Diagnosis and surgical treatment of symptomic stomach diverticulum].

Khirurgiia (Mosk) 2020 (4):70-73

Sklifosovsky Research Institute of Emergency Care of the Moscow Healthcare Department, Moscow, Russia.

Gastric diverticulum is a rather rare disease. This lesion is diagnosed in about 0.01% of cases during contrast-enhanced X-ray examination and in 0. Read More

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http://dx.doi.org/10.17116/hirurgia202004170DOI Listing

82 year old male with Right Lower Quadrant Pain.

Ann Emerg Med 2020 05;75(5):576-586

Department of Radiology, Lincoln Medical and Mental Health Center, Bronx, NY.

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http://dx.doi.org/10.1016/j.annemergmed.2019.11.006DOI Listing

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

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

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

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

Systematic review of failure of nonoperative management in complicated sigmoid diverticulitis with abscess.

Langenbecks Arch Surg 2020 Apr 23. Epub 2020 Apr 23.

Section of Colorectal Surgery, Department of Surgery, New York Medical College, Westchester Medical Center, Taylor Pavilion, Suite D-361, 100 Woods Road, Valhalla, NY, 10595, USA.

Purpose: The aim of this systematic review was to determine the rates of failure following nonoperative management for acute sigmoid diverticulitis complicated by abscess.

Methods: Pubmed and Medline were systematically searched by two independent researchers. Studies reporting outcomes of nonoperative management of diverticulitis with abscess revealed on CT scan were included. Read More

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http://dx.doi.org/10.1007/s00423-020-01872-5DOI Listing

Chronological Changes in Appendiceal Pathology Among Patients Who Underwent Appendectomy for Suspected Acute Appendicitis.

World J Surg 2020 Apr 22. Epub 2020 Apr 22.

Department of Cytology and Molecular Pathology, Japanese Red Cross Nagoya First Hospital, 3-35 Michishita-cho, Nakamura-ku, Nagoya, 453-8511, Japan.

Background: Given recent advances in imaging and the development of diagnostic parameters, the rate of unnecessary appendectomy (i.e., negative appendectomy) has been decreasing. Read More

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http://dx.doi.org/10.1007/s00268-020-05509-yDOI Listing

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

AJR Am J Roentgenol 2020 Apr 22:1-10. Epub 2020 Apr 22.

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

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

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

Meckel Diverticulum Presenting as Abdominal Pain and Subsequent Bowel Perforation.

J Emerg Med 2020 Apr 18. Epub 2020 Apr 18.

Department of Pediatrics, University of California, San Francisco, San Francisco, California; Department of Emergency Medicine, University of California, San Francisco, San Francisco, California.

Background: Abdominal pain is a common presenting symptom with a broad array of potential etiologies. Meckel diverticulum (MD), the most common congenital gastrointestinal malformation, classically presents with painless gastrointestinal bleeding. However, it can also lead to diverticulitis, intussusception, or obstruction, manifesting as abdominal pain. Read More

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http://dx.doi.org/10.1016/j.jemermed.2020.03.019DOI Listing

Combined therapy: rifaximin-α and arabinogalactan with lactoferrin combination effectively prevents recurrences of symptomatic uncomplicated diverticular disease.

Pol Przegl Chir 2020 Apr;92(2):22-28

Klinika Chirurgii Kolorektalnej, Ogólnej i Onkologicznej, Centrum Medyczne Kształcenia Podyplomowego w Warszawie.

Introduction: Background: Diverticulosis is the most common finding in the GI tract. Nearly half of the people with diverticula experience symptomatic uncomplicated diverticular disease (SUDD).

Aims: The primary endpoints of our study were to assess the effectiveness of combined therapy with rifaximin-α and arabinogalactan-lactoferrin in symptom reduction and normalization of bowel movements. Read More

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http://dx.doi.org/10.5604/01.3001.0014.0946DOI Listing

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

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

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

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

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

Outcomes after Nonoperative Diverticulitis Management: Longitudinal Risk For Survivors.

J Trauma Acute Care Surg 2020 Apr 14. Epub 2020 Apr 14.

Department of Surgery, Keck School of Medicine of USC, Los Angeles, California.

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http://dx.doi.org/10.1097/TA.0000000000002732DOI Listing
April 2020
1.970 Impact Factor

In response to: Identification of diverticulitis patients at high risk for recurrence and poor outcomes.

J Trauma Acute Care Surg 2020 Apr 14. Epub 2020 Apr 14.

Division of Trauma and Acute Care Surgery, Department of Surgery, Kendall Regional Medical Center, Miami, FL, USA.

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http://dx.doi.org/10.1097/TA.0000000000002731DOI Listing

Risk of colorectal cancer following CT-verified acute diverticulitis: a nationwide population-based cohort study.

Colorectal Dis 2020 Apr 16. Epub 2020 Apr 16.

Department of Digestive Surgery, Akershus University Hospital, Lørenskog, Norway.

Aim: Routine colonoscopy to exclude colorectal cancer (CRC) after CT-verified acute diverticulitis is controversial. This study aimed to compare the incidence of CRC in patients with acute diverticulitis with that in the general population.

Method: Patients with an emergency admission for diverticular disease to any Norwegian hospital between 1 January 2008 and 31 December 2010 were included through identification in the Norwegian Patient Registry using International Classification of Diseases (ICD-10) codes K57. Read More

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http://dx.doi.org/10.1111/codi.15073DOI Listing

Sigmoid Perforation Secondary to Accidental Ingestion of a Chicken Bone.

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

Department of Surgery, Connolly Hospital Blanchardstown, Dublin 15.

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

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January 2020

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

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

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

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

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

[Non-surgical management of small bowel diverticulitis with localized perforation:a case report].

Nihon Shokakibyo Gakkai Zasshi 2020 ;117(4):327-333

Department of Gastroenterology, Yokohama City University Graduate School of Medicine.

A 40-year-old man presented to the emergency department with periumbilical pain and fever. A computed tomographic scan confirmed multiple jejunal diverticulum with localized extraluminal air and panniculitis around it, and jejunal diverticulitis with localized perforation was suspected. His symptoms were mild, and extraluminal air was localized;therefore, he was advised bowel rest and administered only antibiotics. Read More

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http://dx.doi.org/10.11405/nisshoshi.117.327DOI Listing
January 2020

Endoscopic stricturotomy in the treatment of anastomotic strictures in inflammatory bowel disease (IBD) and non-IBD patients.

Gastroenterol Rep (Oxf) 2020 Apr 21;8(2):143-150. Epub 2019 Oct 21.

Center for Inflammatory Bowel Disease, Digestive Disease and Surgery Institute, The Cleveland Clinic Foundation, Cleveland, OH, USA.

Backgrounds: Endoscopic stricturotomy (ESt) has been shown to be effective in treating inflammatory bowel disease (IBD)-associated anastomotic strictures. However, the outcome of ESt in benign, non-IBD conditions has not been described. The aim of this study was to evaluate the outcome of ESt in the management of IBD and non-IBD-associated strictures. Read More

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http://dx.doi.org/10.1093/gastro/goz051DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7136702PMC

Management of acute perforated diverticulitis with generalized peritonitis: is this the end of the Hartmann's era?

Authors:
G A Binda

Tech Coloproctol 2020 Jun 10;24(6):509-511. Epub 2020 Apr 10.

BioMedical Institute, Genoa, Italy.

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http://dx.doi.org/10.1007/s10151-020-02201-0DOI Listing

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

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

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

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

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

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

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

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

Department of Colorectal Surgery, Singapore General Hospital.

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

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

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

Role of HLA-B27 in the comorbidities observed in Axial Spondyloarthritis: Data from COMOSPA.

Joint Bone Spine 2020 Apr 3. Epub 2020 Apr 3.

Rheumatology Department. Hospital Universitari Parc Taulí I3PT, UAB, Parc Taulí 1, 08202 Sabadell, Spain. Electronic address:

Objective: To analyze the potential association between the presence of HLA-B27 and the different comorbidities observed in Axial Spondyloarthritis patients.

Methods: A comparative cross-sectional study including Axial Spondyloarthritis patients from COMOSPA registry. COMOSPA is a worldwide registry that includes a wide set of anthropometric and clinical variables from 3984 patients with Spondyloarthritis. Read More

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http://dx.doi.org/10.1016/j.jbspin.2020.03.012DOI Listing

Antibiotics Do Not Reduce Length of Hospital Stay for Uncomplicated Diverticulitis in a Pragmatic Double-Blind Randomized Trial.

Clin Gastroenterol Hepatol 2020 Mar 30. Epub 2020 Mar 30.

Department of Surgery, University of Auckland, Auckland, New Zealand; Colorectal Unit, Department of Surgery, Auckland District Health Board, Auckland, New Zealand. Electronic address:

Background & Aims: Antibiotic treatment is the standard care for patients with uncomplicated acute diverticulitis. However, this practice is based on low-level evidence and has been challenged by findings from 2 randomized trials, which did not include a placebo group. We investigated the non-inferiority of placebo vs antibiotic treatment for the management of uncomplicated acute diverticulitis. Read More

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http://dx.doi.org/10.1016/j.cgh.2020.03.049DOI Listing

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

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

Sheba Medical Center, Ramat Gan, , Israel.

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

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

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

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

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

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

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

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

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

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

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

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

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

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