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Diverticular diseases

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https://www.readbyqxmd.com/read/29904492/reduced-iodinated-contrast-media-for-abdominal-imaging-by-dual-layer-spectral-detector-computed-tomography-for-patients-with-kidney-disease
#1
Hirokazu Saito, Kana Noda, Koji Ogasawara, Shutaro Atsuji, Hiroko Takaoka, Hiroo Kajihara, Jiro Nasu, Mitsuhiko Kitaoka, Shoji Morishita, Ikuo Matsushita, Kazuhiro Katahira
Contrast-enhanced computed tomography using iodinated contrast media is useful for diagnosis of gastrointestinal diseases. However, contrast-induced nephropathy remains problematic for kidney diseases patients. Although current guidelines recommended the use of a minimal dose of contrast media necessary to obtain adequate images for diagnosis, obtaining adequate images with sufficient contrast enhancement is difficult with conventional computed tomography using reduced contrast media. Dual-layer spectral detector computed tomography enables the simultaneous acquisition of low- and high-energy data and the reconstruction of virtual monochromatic images ranging from 40 to 200 keV, retrospectively...
April 2018: Radiology Case Reports
https://www.readbyqxmd.com/read/29902524/surgical-protocol-and-outcome-for-sigmoidovesical-fistula-secondary-to-diverticular-disease-of-the-left-colon-a-retrospective-cohort-study
#2
Hany M El-Haddad, Mohamed I Kassem, Ahmed A Sabry, Ahmed Abouelfotouh
BACKGROUND: Diverticular disease of sigmoid colon can rarely be complicated by a connective track to urinary bladder. Pneumaturia and fecaluria are the pathognomonic symptoms. Resection surgery is the preferred treatment to overcome the renal sequellae of the disease. The purpose of this study is to propose a guiding classification to help general surgeons during surgical management of diverticular disease complicated by sigmoidovesical fistula (SVF). PATIENTS AND METHODS: The data of 40 cases with colovesical fistula due to diverticular disease of sigmoid colon were retrospectively analyzed...
June 11, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29900748/ileal-tubular-adenoma-as-a-cause-of-lower-gastrointestinal-bleeding-in-infants
#3
Robin Germán Prieto, Manuel Alejandro Mahler, Gustavo Vidales
Lower gastrointestinal bleeding is a common pathology with diverse causes depending on the patients´ age. The most common causes in adults are polyps, neoplasias, diverticular disease and angiodysplasia. In neonates, necrotizing enterocolitis and volvulus, and anal fissures and bowel intussusception in infants. Polyps are reported as a cause of bleeding only in children of preschool age.
June 14, 2018: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/29888630/a-critical-appraisal-of-advances-in-the-diagnosis-of-diverticular-disease
#4
Antonio Tursi
Diverticulosis of the colon is a common condition, and about one fourth of those people develop symptoms, which is called "diverticular disease" (DD). Since there are still some concerns about the diagnosis of diverticular disease, the aim of this review was to analyse current and evolving advances in its diagnosis. Area covered: Analysis of clinical, radiology, laboratory and endoscopic tools to pose a correct diagnosis of DD was performed according to current PubMed literature. Expert commentary: A combination of clinical characteristic of the abdominal pain and fecal calprotectin expression may help to differentiate between Symptomatic Uncomplicated Diverticular Disease (SUDD) and Irritable Bowel Syndrome (IBS)...
June 9, 2018: Expert Review of Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/29885783/acute-lower-gastrointestinal-bleeding-in-sudanese-patients-a-study-on-301-patients-in-a-specialized-centre
#5
Nassir Alhaboob Arabi, Abdulmagid Mohammed Musaad, Fatima Abbas Habiballah Mohammed, Elsaggad Eltayeb Ahmed, Muataz Salah Eldin Abdelaziz
BACKGROUND AND STUDY AIMS: Lower gastrointestinal bleeding originates from a site distal to the ligament of Treitz. It can present as an acute life-threatening or chronicbleeding. It is common among older patients and those with comorbidity. The common causes are diverticular disease, angiodysplasias, neoplasms, colitis, ischaemia and anorectal disorders. The aim of this study is to determine the prevalence and causes of acute lower gastrointestinal bleeding among Sudanese patients. PATIENTS AND METHODS: In a period of 2 years we studied 301 patients with fresh rectal bleeding out of 5625 patients with gastrointestinal bleeding in Ibn Sina Specialized Hospital, Khartoum, Sudan, This is a cross sectional observational hospital based study...
June 6, 2018: Arab Journal of Gastroenterology: the Official Publication of the Pan-Arab Association of Gastroenterology
https://www.readbyqxmd.com/read/29884485/polypoid-angiodysplasia-mimicking-diverticular-disease
#6
Bernardo Cálamo-Guzmán, Luis De Vinatea-Serrano, Alejandro Piscoya
No abstract text is available yet for this article.
June 5, 2018: Gastroenterología y Hepatología
https://www.readbyqxmd.com/read/29881303/inflammation-management-in-acute-diverticulitis-current-perspectives
#7
REVIEW
Marco Ceresoli, Giulia Lo Bianco, Luca Gianotti, Luca Nespoli
The pathogenesis of diverticular disease and acute diverticulitis is still unclear and many different hypotheses have been formulated. Seemingly, there are several related factors such as chronic inflammation, gut microbiome, obesity and the immunogenic properties of fat tissue and diet. Inflammation plays a pivotal role in diverticular disease and acute diverticulitis. The aim of the present review is to investigate the role of inflammation in diverticular disease as well as in mild and complicated acute diverticulitis with a focus on current research and treatment perspectives...
2018: Journal of Inflammation Research
https://www.readbyqxmd.com/read/29878951/appendectomy-and-risk-of-subsequent-diverticular-disease-requiring-hospitalization-a-population-based-case-control-study
#8
Filip Sköldberg, Ola Olén, Anders Ekbom, Peter T Schmidt
BACKGROUND: Appendicitis and acute diverticulitis share clinical features and are both influenced by genetic and environmental factors. Appendectomy has been positively associated with diverticular disease in hospital-based case-control studies. OBJECTIVE: The aim of the present study was to investigate, in a population-based setting, whether appendectomy, with or without appendicitis, is associated with an altered risk of hospitalization with diverticular disease...
July 2018: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/29868154/a-seven-year-retrospective-review-of-colonoscopy-records-from-a-single-centre-in-zambia
#9
Violet Kayamba, Kate Nicholls, Catrin Morgan, Paul Kelly
Introduction: Colorectal disease is common throughout the world, but the spectrum of diagnoses across Africa remains largely unexplored. There is anecdotal evidence of changing colorectal disease but this has not been systematically investigated. The aim of this study was to enhance our insight into the spectrum of colonoscopic diagnoses in Zambia. Methods: We retrieved written colonoscopy reports from January 2008 to December 2015. Collected data were coded by experienced endoscopists and analysed by age, sex, referral source, indication and diagnosis...
March 2018: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/29863123/management-of-complicated-diverticulitis-of-the-colon
#10
REVIEW
Toru Tochigi, Chihiro Kosugi, Kiyohiko Shuto, Mikito Mori, Atsushi Hirano, Keiji Koda
Diverticular disease of the colon occurs quite frequently in developed countries, and its prevalence has recently increased in Japan. The appearance of diverticulosis increases with age, although mostly remaining asymptomatic. Approximately 20% of cases require treatment. As the Western lifestyle and number of elderly people increase, the need for medical treatment also increases. Computed tomography (CT) is the gold standard for diagnosing diverticulitis. Complicated diverticulitis is classified by the size and range of abscess formation and the severity of the peritonitis...
January 2018: Annals of gastroenterological surgery
https://www.readbyqxmd.com/read/29846662/diverticular-perforation-a-fatal-complication-to-forestall-in-cushing-s-syndrome
#11
Zahraa Abdul Sater, Smita Jha, Raven McGlotten, Iris Hartley, Mustapha El Lakis, Katherine Araque Triana, Lynnette K Nieman
Context: Patients taking exogenous glucocorticoids are at risk of gastrointestinal (GI) complications including peptic ulcer disease with perforation, and gastric bleeding. However, little is known about the GI co-morbidity in patients with endogenous hypercortisolemia. Case descriptions: We describe six patients with endogenous Cushing's Syndrome (CS) who developed sudden perforation of colonic diverticula requiring urgent exploratory laparotomy. Most of these patients shared the following features of Cushing's syndrome: significant skin thinning, severe hypercortisolemia (24-hour urine free cortisol ≥10X the upper limit of normal), ectopic secretion of ACTH, and severe hypokalemia...
May 28, 2018: Journal of Clinical Endocrinology and Metabolism
https://www.readbyqxmd.com/read/29846097/pathophysiology-of-diverticular-disease
#12
Kathleen M Schieffer, Bryan P Kline, Gregory S Yochum, Walter A Koltun
Inflammation of diverticula, or outpouchings of the colonic mucosa and submucosa through the muscularis layer, leads to diverticulitis. The development of diverticular disease, encompassing both diverticulosis and diverticulitis, is a result of genetic predisposition, lifestyle, and environmental factors, including the microbiome. Areas covered: Previous reports implicated genetic predisposition, environmental factors, and colonic dysmotility in diverticular disease. Recent studies have associated specific host immune responses and the microbiome as contributors to diverticulitis...
May 30, 2018: Expert Review of Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/29844795/management-of-colonic-diverticular-disease-in-the-third-millennium-highlights-from-a-symposium-held-during-the-united-european-gastroenterology-week-2017
#13
REVIEW
Carmelo Scarpignato, Giovanni Barbara, Angel Lanas, Lisa L Strate
Diverticulosis is a common anatomical condition, which appears to be age-dependent. Individuals who develop chronic gastrointestinal symptoms or complications are referred to as having diverticular disease. Although the diagnosis of this condition can be relatively straightforward, randomized controlled trials are scarce and management often follows tradition rather than principles of evidence-based medicine. This report deals with the topics discussed during a symposium held during the United European Gastroenterology Week (Barcelona, October 2017)...
2018: Therapeutic Advances in Gastroenterology
https://www.readbyqxmd.com/read/29809182/-management-of-jejunal-diverticulitis-experience-in-our-center
#14
Javier Serrano-González, Mariano Artés-Caselles, Laura Román-García de León, Pau Plá-Sánchez, Víctor Sánchez-Turrión
Jejunal diverticular disease is a very uncommon pathology often asymptomatic. Associated complications appear in less than 30% of patients and they can present as diverticulitis, refractary inflammation, obstruction, hemorrhage, perforation or intraabdominal abscess formation. Clinical manifestations are usually unspecific and high suspicion index is required to reach the diagnosis. Treatment of complications includes volume replacement, transfusions, antibiotic therapy, percutaneous drainage or surgical intervention...
2018: Cirugia y Cirujanos
https://www.readbyqxmd.com/read/29807873/new-concepts-on-intestinal-microbiota-and-the-role-of-the-non-absorbable-antibiotics-with-special-reference-to-rifaximin-in-digestive-diseases
#15
REVIEW
Jasmohan S Bajaj, Giovanni Barbara, Herbert L DuPont, F Mearin, Antonio Gasbarrini, Jan Tack
Digestive diseases are a broad range of chronic disorders that substantially and negatively impact the patients' quality of life. Here, we review our current understanding on the pathophysiology of hepatic encephalopathy, irritable bowel syndrome, and diverticular disease, with a special focus on the gut microbiota composition associated with these disorders. Furthermore, we review the current clinical practice for their therapeutic treatments, including probiotics, diet change, non-adsorbable disaccharides, and antibiotics...
April 27, 2018: Digestive and Liver Disease
https://www.readbyqxmd.com/read/29806727/emergency-laparoscopic-colectomy-for-perforated-diverticulitis-video-vignette
#16
Turan Acar, Nihan Acar, Feyyaz Güngör, Osman Nuri Dilek, Mehmet Haciyanli
Laparoscopic surgery for colonic diverticular disease has been commonly considered as a treatment option for elective conditions (1).. Laparoscopic procedures have been selectively used for the complications of colonic diverticular disease. It has also been reported that high morbidity rate related to conventional surgery for perforated diverticulitis can be reduced with laparoscopy (2). This article is protected by copyright. All rights reserved.
May 28, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29792278/a-novel-endoscopic-grading-system-for-prediction-of-disease-related-outcomes-in-patients-with-diverticulosis
#17
Meara Dean, Joseph Valentino, Kaitlin Ritter, James Church
BACKGROUND: We describe a simple endoscopic grading system of diverticular disease for the assessment of disease severity and prediction of outcomes. METHODS: A retrospective analysis of prospectively maintained colonoscopy database was conducted. A single endoscopist prospectively graded disease severity according to the number and size of diverticula, the degree of muscular hypertrophy and rigidity of the sigmoid colon. RESULTS: 762 patients were included in the analysis...
May 12, 2018: American Journal of Surgery
https://www.readbyqxmd.com/read/29749340/an-uncommon-abdominal-fistula-colonic-diverticular-disease-complicated-with-colocutaneous-fistula
#18
LETTER
Cristian Mesina, Theodor Viorel Dumitrescu, Firmilian Calota, Ciobanu Daniela
No abstract text is available yet for this article.
March 2018: Turkish Journal of Gastroenterology: the Official Journal of Turkish Society of Gastroenterology
https://www.readbyqxmd.com/read/29732494/polymyalgia-rheumatica-and-diverticular-disease-just-two-distinct-age-related-disorders-or-more-results-from-a-case-control-study
#19
Rossana Scrivo, Maria Chiara Gerardi, Iolanda Rutigliano, Paola Sessa, Daniele Mipatrini, Gaetana Maria Grazia Stricchiola, Elena Pacella, Alessio Altobelli, Chiara Castellani, Cristiano Alessandri, Fulvia Ceccarelli, Manuela Di Franco, Roberta Priori, Valeria Riccieri, Antonio Sili Scavalli, Francesca Romana Spinelli, Giuseppe La Torre, Fabrizio Conti, Guido Valesini
In a previous report of two married cohabiting couples affected by polymyalgia rheumatica (PMR), we noticed that the wife of one couple and both members of the other couple suffered from symptomatic diverticular disease (DD), whose diagnosis was made before the onset of PMR. We investigated whether DD might be a risk factor for the development of PMR. We conducted a case-control study informed on a database containing the prospectively collected medical records of consecutive PMR patients. Among comorbidities, attention was focused on symptomatic DD, provided that the diagnosis had been made by colonoscopy and/or computed tomography scan...
May 7, 2018: Clinical Rheumatology
https://www.readbyqxmd.com/read/29732139/colovaginal-and-colo-ovarian-fistula-at-a-patient-with-asymptomatic-diverticular-disease
#20
Athanasios Syllaios, Antonios Koutras, Prokopis A Zotos, Sofia Koura, Pavlos Machairoudias, Anastasia Papakonstantinou, Nikolaos Bourganos, Aristotelis Liakos
Colovaginal and colo-ovarian fistulas are rare entities that could be attributed to diverticular disease after an episode of acute diverticulitis. Τhey could initially be manifested with symptoms that lead patients to the gynecologist. Gynecologists should consider them in the differential diagnosis, especially after recurrent episodes of sinusitis. We report the case of a 51-year-old woman with a colovaginal and a colo-ovarian fistula due to subclinical diverticular disease, which should be involved in the differential diagnosis in those complicated fistulas, even if the patient had never before a clinical episode of acute diverticulitis or known diverticular disease, and a successful surgical approach...
April 2018: Journal of Surgical Case Reports
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