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Diverticulitis

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https://www.readbyqxmd.com/read/29451517/-burden-of-diverticular-disease-an-observational-analysis-based-on-italian-real-world-data
#1
Francesco Saverio Mennini, Paolo Sciattella, Andrea Marcellusi, Bernardo Toraldo, Maurizio Koch
INTRODUCTION: Diverticular disease (DD) represent a wide variety of conditions associated with the presence of diverticula in the colon. The most serious form is an acute episode of diverticulitis which can lead to hospitalization and surgery with various types of consequences. The main aim of this study was to evaluate, from both cross-sectional and longitudinal perspective, the economic burden of diverticulitis in the real practice. METHOD: A deterministic linkage was performed at individual user level between the different administrative sources of the Marche Region through anonymised ID number for a period of analysis between 1 January 2008 and 31 December 2014...
January 2018: Recenti Progressi in Medicina
https://www.readbyqxmd.com/read/29428950/severity-of-diverticulitis-does-not-influence-abdominal-complaints-during-long-term-follow-up
#2
Max Ditzel, Sandra Vennix, Anand G Menon, Paul C M Verbeek, Willem A Bemelman, Johan F Lange
BACKGROUND: Diverticulitis can lead to localized or generalized peritonitis and consequently induce abdominal adhesion formation. If adhesions would lead to abdominal complaints, it might be expected that these would be more prominent after operation for perforated diverticulitis with peritonitis than after elective sigmoid resection. AIMS: The primary outcome of the study was the incidence of abdominal complaints in the long-term after acute and elective surgery for diverticulitis...
February 9, 2018: Digestive Surgery
https://www.readbyqxmd.com/read/29420430/risk-of-recurrent-disease-and-surgery-following-an-admission-for-acute-diverticulitis
#3
Charlotte El-Sayed, Simon Radley, Jemma Mytton, Felicity Evison, Stephen T Ward
BACKGROUND: Diverticular disease accounts for significant morbidity and mortality and may take the form of recurrent episodes of acute diverticulitis. The role of elective surgery is not clearly defined. OBJECTIVE: This study aimed to define the rate of hospital admission for recurrent acute diverticulitis and risk factors associated with recurrence and surgery. DESIGN: This is a retrospective population-based cohort study. SETTINGS: National Health Service hospital admissions for acute diverticulitis in England between April 2006 and March 2011 were reviewed...
March 2018: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/29420429/elevated-venous-thromboembolism-risk-following-colectomy-for-ibd-is-equal-to-those-for-colorectal-cancer-for-ninety-days-after-surgery
#4
Fadwa Ali, Sadeer G Al-Kindi, Jacqueline J Blank, Carrie Y Peterson, Kirk A Ludwig, Timothy J Ridolfi
BACKGROUND: The risk of postoperative venous thromboembolism is high in patients with colon cancer and IBD. Although The American Society of Colon and Rectal Surgeons suggests posthospital prophylaxis after surgery in patients with colon cancer, there are no such recommendations for patients with IBD. OBJECTIVE: This study aims to analyze the incidence and risk factors for postoperative venous thromboembolism. DESIGN: This was a retrospective review using the Explorys platform...
March 2018: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/29413216/acute-diverticulitis-management
#5
REVIEW
Deborah L Ellison
Diverticular disease accounts for approximately 300,000 hospitalizations per year in the United States, resulting in 1.5 million days of inpatient care. Diverticulitis is defined as an inflammation of the diverticulum, which can be asymptomatic or symptomatic. This disease is the third most common gastrointestinal illness that requires hospitalization and the leading indication for elective colon resection. Abdominal pain is the most common complaint in patients with acute diverticulitis. The pain can be described as cramping, constant, and persistent for several days...
March 2018: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/29413211/gastrointestinal-traumatic-injuries-gastrointestinal-perforation
#6
REVIEW
Maria A Revell, Marcia A Pugh, Melanie McGhee
The abdomen is a big place even in a small person. Gastrointestinal trauma can result in injury to the stomach, small bowel, colon, or rectum. Traumatic causes include blunt or penetrating trauma, such as gunshot wounds, stabbings, motor vehicle collisions, and crush injuries. Nontraumatic causes include appendicitis, Crohn disease, cancer, diverticulitis, ulcerative colitis, blockage of the bowel, and chemotherapy. The mechanism of injury will affect both the nature and severity of any resulting injuries. Treatment must address the critical and emergent nature of these injuries as well as issues that affect all trauma situations, which include management of hemodynamic instability...
March 2018: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/29411119/selective-association-of-nonaspirin-nsaids-with-risk-of-diverticulitis
#7
Matthias C Reichert, Marcin Krawczyk, Beate Appenrodt, Markus Casper, Bettina Friesenhahn-Ochs, Frank Grünhage, Christoph Jüngst, Vincent Zimmer, Frank Lammert, Marc Dauer
PURPOSE: The purpose of this study is to investigate the association of intake of nonsteroidal anti-inflammatory drugs (NSAIDs) and in particular nonaspirin NSAIDs and compare it with other risk factors for the progression of diverticulosis to diverticulitis in patients who underwent colonoscopy. METHODS: A total of 194 patients who underwent complete colonoscopy in our center between 2012 and 2016 were recruited: 144 with diverticulosis without prior diverticulitis (median age 71 years, 59...
February 6, 2018: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/29403216/enterobius-vermicularis-infestation-leading-to-meckel-s-diverticulitis-in-an-adolescent-boy-an-extremely-rare-presentation
#8
Manupriya Sharma, Rashmi Kaul, Bal Chander
Enterobius vermicularis is an intestinal nematode commonly affecting children worldwide. Its transmission is by feco-oral route. Meckel's diverticulitis due to E. vermicularis infestation is an extremely rare presentation. An 11-year-old boy presented with acute abdomen. During surgery inflamed Meckel's diverticulum (M.D) was seen. Histopathology examination of specimen revealed E. vermicularis. Till date, only one case of E. vermicularis infestation of M.D is reported around five decades ago. This histopathological confirmation is extremely important as the required treatment (Mebendazole) of the infected case along with household contacts can prevent the spread of infection and may avoid surgery in known contacts...
January 2018: Journal of Laboratory Physicians
https://www.readbyqxmd.com/read/29397430/long-term-quality-of-life-after-conservative-treatment-versus-surgery-for-different-stages-of-acute-sigmoid-diverticulitis
#9
Martina Brandlhuber, Christian Genzinger, Bernhard Brandlhuber, Wieland H Sommer, Mario H Müller, Martin E Kreis
PURPOSE: It is controversial whether patients fare better with conservative or surgical treatment in certain stages of acute diverticulitis (AD), in particular when phlegmonous inflammation or covered micro- or macro-perforation are present. The aim of this study was to determine long-term quality of life (QoL) for AD patients who received either surgery or conservative treatment in different stages. METHODS: We included patients treated for AD at the University Hospital Grosshadern, Munich, Germany, between January 1, 2000, and December 31, 2010...
February 3, 2018: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/29397242/a-rare-case-of-acute-right-sided-colonic-diverticulitis-presenting-as-pancreatitis
#10
Maria de Lourdes Ladino Sturchler, Evan A Rusoja, Arun Nagdev, Barry C Simon
BACKGROUND: This case report highlights the clinical presentation, radiologic findings, and medical management of a case of right colonic diverticulitis (RCD) with concomitant pancreatitis, a rare and easily missed entity in the emergency department (ED) of Western hemisphere countries. In our report, we present and discuss a case of RCD that led to pancreatitis in a female Asian patient. We review the epidemiology, diagnosis, and management of this disorder, and also discuss some complications associated with RCD...
January 31, 2018: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29382460/management-of-iatrogenic-urorectal-fistulae-in-men-with-pelvic-cancer
#11
Francisco E Martins, Natália M Martins, Luís Campos Pinheiro, Luís Ferraz, Luís Xambre, Tomé M Lopes
INTRODUCTION: Urorectal fistula (URF) is a devastating complication of pelvic cancer treatments and a surgical challenge for the reconstructive surgeon. We report a series of male patients with URF resulting from pelvic cancer treatments, specifically prostate (PCa), bladder (BCa), and rectal cancer (RCa), and explore the differences and impact on outcomes between purely surgical and non-surgical treatment modalities. METHODS: Between October 2008 and June 2015, 15 male patients, aged 59-78 years (mean 67), with URF induced by pelvic cancer treatments were identified in our institutions...
September 2017: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
https://www.readbyqxmd.com/read/29382074/evidence-for-dietary-fibre-modification-in-the-recovery-and-prevention-of-reoccurrence-of-acute-uncomplicated-diverticulitis-a-systematic-literature-review
#12
REVIEW
Camilla Dahl, Megan Crichton, Julie Jenkins, Romina Nucera, Sophie Mahoney, Wolfgang Marx, Skye Marshall
In practice, nutrition recommendations vary widely for inpatient and discharge management of acute, uncomplicated diverticulitis. This systematic review aims to review the evidence and develop recommendations for dietary fibre modifications, either alone or alongside probiotics or antibiotics, versus any comparator in adults in any setting with or recently recovered from acute, uncomplicated diverticulitis. Intervention and observational studies in any language were located using four databases until March 2017...
January 27, 2018: Nutrients
https://www.readbyqxmd.com/read/29372651/gamma-glutamyltransferase-possible-novel-biomarker-in-colon-diverticulosis-a-case-control-study
#13
Constantin Bălăeţ, Bogdan Ioan Coculescu, Gheorghe Manole, Maria Bălăeţ, Gabi Valeriu Dincă
The gamma-glutamyltransferase (GGT) is recognized in medical practice as a useful indicator for the detection of liver lesions, especially those induced by the excessive consumption of alcoholic or cholesterol-associated drinks. The present study, although it includes a very small number of cases diagnosed with colon diverticulosis-diverticulitis associated with polyposis at the same intestinal level, identifies the presence of increased circulating concentrations of this enzyme in the serum. Its serum levels are tracked "dynamically" throughout a year after the diagnosis and start of the therapy...
December 2018: Journal of Enzyme Inhibition and Medicinal Chemistry
https://www.readbyqxmd.com/read/29366311/acute-diverticulitis-and-surgical-treatment
#14
José V Roig, Luis Sánchez-Guillén, Juan J GARCíA-Armengol
Diverticulitis is a common condition in industrialized countries and an important cause of hospital admissions. Its growing trend is a challenge for the surgeons who perform emergency surgery, because approximately 15-25 percent of the patients will require surgery, being the surgical management of complicated acute diverticulitis controversial. The past decade has seen a paradigm shift in the treatment of sigmoid diverticulitis based on new epidemiological studies and refinement of surgical techniques that has produced a reassessment of our guidelines...
January 23, 2018: Minerva Chirurgica
https://www.readbyqxmd.com/read/29365029/association-of-the-affordable-care-act-medicaid-expansion-with-access-to-and-quality-of-care-for-surgical-conditions
#15
Andrew P Loehrer, David C Chang, John W Scott, Matthew M Hutter, Virendra I Patel, Jeffrey E Lee, Benjamin D Sommers
Importance: Lack of insurance coverage has been associated with delays in seeking care, more complicated diseases at the time of diagnosis, and decreased likelihood of receiving optimal surgical care. The Patient Protection and Affordable Care Act's (ACA) Medicaid expansion has increased coverage among millions of low-income Americans, but its effect on care for common surgical conditions remains unknown. Objective: To evaluate the association of the ACA's Medicaid expansion with access to timely and recommended care for common and serious surgical conditions...
January 24, 2018: JAMA Surgery
https://www.readbyqxmd.com/read/29362329/-a-case-of-sigmoid-colon-cancer-it-was-found-from-penetration-of-sigmoid-diverticulum
#16
Shigeaki Kurihara, Naoki Aomatsu, Yasutake Uchima, Chihoko Nobori, Yoshihito Yamakoshi, En Wang, Daisuke Nagashima, Toshiki Hirakawa, Takehiko Iwauchi, Junya Morimoto, Seika Tei, Kazunori Nakazawa, Kazuhiro Takeuchi
A 52-year-old woman presented with sudden left lower abdominal pain, fever, and vomiting. As the symptom got improved immediately she went home then. She consulted our hospital with chief complaint of the left lower abdominal mass. Abdominal computed tomography revealed sigmoid colon cancer with abscess. She was diagnosed with sigmoid colon cancer via colonoscopy. Sigmoidectomy including partial resection of the abdominal wall was performed(D3 lymphadenectomy). Surgical specimen showed penetration of diverticulum on mucous membrane of the lesion which had been thought of a abdominal wall permeation and a tumor of I sp type at anal side...
January 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29361078/outcome-of-autosomal-dominant-polycystic-kidney-disease-patients-on-peritoneal-dialysis-a-national-retrospective-study-based-on-two-french-registries-the-french-language-peritoneal-dialysis-registry-and-the-french-renal-epidemiology-and-information-network
#17
Mickael Sigogne, Lukshe Kanagaratnam, Vincent Dupont, Cécile Couchoud, Christian Verger, Hervé Maheut, Marc Hazzan, Jean Michel Halimi, Coralie Barbe, Eric Canivet, Andréea Petrache, Moustapha Dramé, Philippe Rieu, Fatouma Touré
Background: Pathological features of autosomal dominant polycystic kidney disease (ADPKD) include enlarged kidney volume, higher frequency of digestive diverticulitis and abdominal wall hernias. Therefore, many nephrologists have concerns about the use of peritoneal dialysis (PD) in ADPKD patients. We aimed to analyse survival and technique failure in ADPKD patients treated with PD. Methods: We conducted two retrospective studies on patients starting dialysis between 2000 and 2010...
January 17, 2018: Nephrology, Dialysis, Transplantation
https://www.readbyqxmd.com/read/29358872/psychiatric-morbidity-after-surgery-for-inflammatory-bowel-disease-a-systematic-review
#18
Marie Strøm Zangenberg, Alaa El-Hussuna
AIM: To examine the evidence about psychiatric morbidity after inflammatory bowel disease (IBD)-related surgery. METHODS: PRISMA guidelines were followed and a protocol was published at PROSPERO (CRD42016037600). Inclusion criteria were studies describing patients with inflammatory bowel disease undergoing surgery and their risk of developing psychiatric disorder. RESULTS: Twelve studies (including 4340 patients) were eligible. All studies were non-randomized and most had high risk of bias...
December 28, 2017: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/29356787/prolonged-recurrent-abdominal-pain-is-associated-with-ongoing-underlying-mucosal-inflammation-in-patients-who-had-an-episode-of-acute-complicated-diverticulitis
#19
Adi Lahat, Daniela Necula, Miri Yavzori, Orit Picard, Sharon Halperin, Rami Eliakim, Shomron Ben-Horin
BACKGROUND: Recent data suggest continuous chronic inflammation in patients after an acute diverticulitis (AD) episode. GOALS: The aim of this article was to compare clinical parameters, inflammatory cytokine expression, and immune-cell infiltrates between patients after severe versus nonsevere AD, as defined by radiology examination during the acute episode. STUDY: Sixteen patients, after suffering an episode of AD, were included, and, of them, 8 had severe disease...
January 19, 2018: Journal of Clinical Gastroenterology
https://www.readbyqxmd.com/read/29354607/surgical-outcomes-and-risk-factors-in-patients-who-underwent-emergency-colorectal-surgery
#20
Dai Sik Jeong, Young Hun Kim, Kyung Jong Kim
Purpose: Emergency colorectal surgery has high rates of complications and mortality because of incomplete bowel preparation and bacterial contamination. The authors aimed to evaluate the surgical outcomes and the risk factors for the mortality and the complication rates of patients who underwent emergency surgery to treat colorectal diseases. Methods: This is a prospective study from January 2014 to April 2016, and the results are based on a retrospective analysis of the clinical results for patients who underwent emergency colorectal surgery at Chosun University Hospital...
December 2017: Annals of Coloproctology
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