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https://www.readbyqxmd.com/read/29770846/peripheral-vs-pedicle-division-in-laparoscopic-resection-of-sigmoid-diverticulitis-a-10-year-experience
#1
Alberto Posabella, Niccolò Rotigliano, Athanasios Tampakis, Markus von Flüe, Ida Füglistaler
PURPOSE: Laparoscopic rectosigmoid resection is the standard surgical treatment for recurrent sigmoid diverticulitis. However, speaking of mesenterium division, no unique standard procedure is actually provided. Surgeons can perform it at the level of either the sigmoid vessels or the inferior mesenteric vessels. The objective of this study was to compare intra- and postoperative complications of both techniques. METHODS: From a prospective collected database of patients that underwent elective laparoscopic sigmoid resection between January 2004 and December 2014, a retrospective analysis according to the selected operative technique was performed...
May 17, 2018: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/29755780/appendiceal-diverticulosis-a-harbinger-of-underlying-primary-appendiceal-adenocarcinoma
#2
Jia Lin Ng, Shing Lih Wong, Ronnie Mathew
Diagnosis of primary appendiceal adenocarcinoma (PAA) is hindered by its rarity and largely asymptomatic nature. Appendiceal diverticulosis (AD) is equally rare. We report an unusual case of PAA presenting with perforated appendiceal diverticulitis, and discuss a review of the literature about its association, and its surgical and pathological implications. A middle-aged man was admitted with right iliac fossa (RIF) pain and a corresponding tender abdominal mass for 5 days. Computerised tomography (CT) scan demonstrated a thickened appendix with 3 cm abscess at its base...
April 2018: Journal of Gastrointestinal Oncology
https://www.readbyqxmd.com/read/29737309/laparoscopic-colon-resection-in-patients-with-situs-inversus-totalis-is-it-the-same-operation-as-in-patients-without-situs-inversus-totalis
#3
Onder Karabay, Bulent Gurbuz, Serkan Zenger, Emre Balik, Dursun Bugra
Situs inversus totalis (SIT) is a rare condition. In this case, a patient who underwent laparoscopic anterior resection for repeated sigmoid colon diverticulitis with SIT was presented. Laparoscopy surgery in patients with this condition has some important technical differences than standard laparoscopic procedures. Therefore, it may be more appropriate to request surgical experience to perform safe laparoscopic surgery in patients with SIT.
May 4, 2018: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/29733010/nonelective-left-sided-colon-cancer-resections-are-associated-with-worse-postoperative-and-oncological-outcomes-a-propensity-matched-study
#4
Mircea Beuran, Ionut Negoi, Mihaela Vartic, Alexandru Runcanu, Cezar Ciubotaru, Adelina Cruceru, Alina Prodan
Background: Emergency general surgery patients are at significant risk of postoperative complications and mortality compared with their elective counterparts. Although challenged by some studies, increasing evidence shows that emergency colectomy for cancer is associated with worse early postoperative and long-term outcomes. Methods: We have included all patients with colon cancer admitted to the Emergency Hospital of Bucharest between January 2011 and January 2016. SELECTION CRITERIA: (1) colon tumor; (2) left-sided localization of the tumor; (3) pathology exam revealing adenocarcinoma...
March 2018: Chirurgia
https://www.readbyqxmd.com/read/29732139/colovaginal-and-colo-ovarian-fistula-at-a-patient-with-asymptomatic-diverticular-disease
#5
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
https://www.readbyqxmd.com/read/29730945/-diverticulosis-and-diverticulitis-of-the-vermiform-appendix-report-of-a-case-and-review-of-the-literature
#6
Tamás Vass, Attila Zaránd, Dániel Horányi, László Harsányi
Diverticulitis of the vermiform appendix is a rare disease with clinical features often similar to conventional acute appendicitis. The importance of appendiceal diverticulosis is the fact that it can lead to an early and a higher incidence of perforation and therefore a higher mortality rate, in contrast to acute appendicitis alone. In this study we present the clinicopathology, diagnosis and therapy of the disease with a review of the literature. A 65-year-old woman presented to the emergency department with a 48-hour history of intermittent pain in the right iliac fossa...
May 2018: Orvosi Hetilap
https://www.readbyqxmd.com/read/29730726/three-new-species-of-clinostomum-leidy-1856-trematoda-from-middle-american-fish-eating-birds
#7
Ana L Sereno-Uribe, Martín García-Varela, Carlos D Pinacho-Pinacho, Gerardo Pérez-Ponce de León
We recently engaged in a two-part study of Clinostomum Leidy, 1856 across a geographic range comprising central Mexico southwards to Costa Rica, in Central America. In the first study, we investigated the species boundaries by using DNA sequences of mitochondrial and nuclear molecular markers, implementing several analytical tools and species delimitation methods. The result of that approach revealed five highly divergent genetic lineages that were interpreted as independent evolutionary units, or species. Here, we present the second part of the study, where we describe three of the five species for which we have sexually mature adult specimens obtained from the mouth cavity of fish-eating birds...
May 5, 2018: Parasitology Research
https://www.readbyqxmd.com/read/29712578/portomesenteric-venous-gas-secondary-to-acute-diverticulitis-colovenous-fistula
#8
Tari-Ann Erica Yates, Alphonse Pasipanodya, Sandeep Anantha Sathyanarayana
No abstract text is available yet for this article.
April 1, 2018: American Surgeon
https://www.readbyqxmd.com/read/29710265/acute-colonic-diverticulitis
#9
Sophia M Swanson, Lisa L Strate
Acute colonic diverticulitis is a gastrointestinal condition frequently encountered by primary care practitioners, hospitalists, surgeons, and gastroenterologists. Clinical presentation ranges from mild abdominal pain to peritonitis with sepsis. It can often be diagnosed on the basis of clinical features alone, but imaging is necessary in more severe presentations to rule out such complications as abscess and perforation. Treatment depends on the severity of the presentation, presence of complications, and underlying comorbid conditions...
May 1, 2018: Annals of Internal Medicine
https://www.readbyqxmd.com/read/29700480/long-term-effects-of-omitting-antibiotics-in-uncomplicated-acute-diverticulitis
#10
S T van Dijk, L Daniels, Ç Ünlü, N de Korte, S van Dieren, H B Stockmann, B C Vrouenraets, E C Consten, J A van der Hoeven, Q A Eijsbouts, I F Faneyte, W A Bemelman, M G Dijkgraaf, M A Boermeester
BACKGROUND: Traditionally uncomplicated acute diverticulitis was routinely treated with antibiotics, although evidence for this strategy was lacking. Recently, two randomized clinical trials (AVOD trial and DIABOLO trial) published short-term results of omitting antibiotics compared to routine antibiotic treatment. Both showed no significant differences regarding recovery from the initial episode, as well as rates of complicated or recurrent diverticulitis and sigmoid resection. However, both studies showed a trend of higher rates of sigmoid resection in the observational groups...
April 27, 2018: American Journal of Gastroenterology
https://www.readbyqxmd.com/read/29695030/gangrenous-giant-meckel-s-diverticulitis-masquerading-acute-appendicitis-a-surgical-conundrum
#11
Wei Woon Teng, Boon Tat Yeap, Nornazirah Azizan, Firdaus Hayati, Jitt Aun Chuah
No abstract text is available yet for this article.
April 25, 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29694694/resection-with-primary-anastomosis-vs-nonrestorative-resection-for-perforated-diverticulitis-with-peritonitis-a-systematic-review-and-meta-analysis
#12
REVIEW
M Gachabayov, C E Oberkofler, J J Tuech, D Hahnloser, R Bergamaschi
INTRODUCTION: It is still controversial whether the optimal operation for perforated diverticulitis with peritonitis is primary anastomosis (PRA) or nonrestorative resection (NRR). The aim of this systematic review and meta-analysis was to evaluate mortality and morbidity rates following emergency resection for perforated diverticulitis with peritonitis and ostomy reversal, as well as ostomy non-reversal rates. METHODS: The Pubmed, EMBASE, Cochrane Library, MEDLINE via Ovid, CINAHL, and Web of Science databases were systematically searched...
April 25, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29692524/different-etiologies-of-an-unusual-disease-colouterine-fistula-report-of-two-cases
#13
Rohit Aggarwal, Venkatraman Indiran, Prabakaran Maduraimuthu
Colouterine fistula is an extremely rare condition, as the uterus is a thick, muscular organ. Here, we present two different etiologies for this rare condition-diverticulitis and malignancy. A 77-year-old female with colouterine fistula due to diverticulitis presented with complaints of lower abdominal pain localized particularly in the left iliac fossa and fever. Another case was of 73-year-old female with colouterine fistula due to malignancy who presented with abdominal pain, blood in stools, and whitish discharge from vagina...
January 2018: Indian Journal of Radiology & Imaging
https://www.readbyqxmd.com/read/29683483/randomized-clinical-trial-of-elective-resection-versus-observation-in-diverticulitis-with-extraluminal-air-or-abscess-initially-managed-conservatively
#14
K You, R Bendl, C Taut, R Sullivan, M Gachabayov, R Bergamaschi
BACKGROUND: The aim of this RCT was to determine whether elective resection following successful non-operative management of a first episode of acute sigmoid diverticulitis complicated by extraluminal air with or without abscess is superior to observation in terms of recurrence rates. METHODS: This was a single-centre, sequential design RCT. Patients were randomized to elective surgery or observation following non-operative management and colonoscopy. Non-operative management included nil by mouth, intravenous fluids, intravenous antibiotics, CT with intravenous contrast on arrival at hospital, and repeat CT with intravenous and rectal contrast on day 3 in hospital...
April 23, 2018: British Journal of Surgery
https://www.readbyqxmd.com/read/29679691/newly-developed-endoscopic-detachable-snare-ligation-therapy-for-colonic-diverticular-hemorrhage-a-multicenter-phase-ii-trial-with-videos
#15
Daisuke Akutsu, Toshiaki Narasaka, Katsumasa Kobayashi, Kenji Matsuda, Mariko Wakayama, Yoshinori Hiroshima, Shinji Endo, Takashi Mamiya, Takahisa Watahiki, Kazuto Ikezawa, Hiroyasu Ishida, Mitsuaki Hirose, Yuji Mizokami, Ichinosuke Hyodo
BACKGROUND AND AIMS: We previously reported preliminary safety results for a new method, endoscopic detachable snare ligation (EDSL), for diverticular hemorrhage. This method does not need endoscope removal to attach a ligation device after detection of the bleeding site. The aim of the present study was to evaluate the efficacy and safety of EDSL in a larger patient population. METHODS: This prospective study was conducted in 12 institutions. Patients suspected of having diverticular hemorrhage without serious systemic disease were enrolled...
April 18, 2018: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29679152/treatment-of-acute-uncomplicated-diverticulitis-without-antibiotics-risk-factors-for-treatment-failure
#16
H E Bolkenstein, W A Draaisma, Bjm van de Wall, Ecj Consten, Iamj Broeders
PURPOSE: Conservative treatment strategy without antibiotics in patients with uncomplicated diverticulitis (UD) has proven to be safe. The aim of the current study is to assess the clinical course of UD patients who were initially treated without antibiotics and to identify risk factors for treatment failure. METHODS: A retrospective cohort study was performed including all patients with a CT-proven episode of UD (defined as modified Hinchey 1A). Only non-immunocompromised patients who presented without signs of sepsis were included...
April 21, 2018: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/29672283/current-controversies-in-the-management-of-diverticulitis-a-review
#17
Deirdre M Nally, Dara O Kavanagh
BACKGROUND: Symptomatic diverticular disease is challenging for patients, clinicians and health services. The prevalence increases with age and BMI and as such, the burden of this disease is set to increase with higher rates of acute presentations already documented. The natural history of recurrent episodes, complications and symptom progression is not fully understood. Furthermore, medical and surgical management strategies are under constant appraisal, debate and evolution. METHODS: A review of the contemporary literature was performed to examine the emerging trend towards conservative treatment...
April 19, 2018: Digestive Surgery
https://www.readbyqxmd.com/read/29671066/hartmann-s-reversal-after-colonic-perforation-or-anastomosis-leakage-is-it-the-same-procedure-a-retrospective-study-of-150-patients
#18
Nathalie Chereau, Jeremie H Lefevre, Najim Chafai, Thevy Hor, Clotilde Debove, Emmanuel Tiret, Yann Parc
PURPOSE: The high morbidity rates reported might influence surgeons' decisions of whether to perform Hartmann's reversal (HR). Our aim was to report the results of HR after "primary" Hartmann's procedure (HP) or in redo surgery for failed anastomosis. METHODS: All patients operated between 2007 and 2015 were included. Data and postoperative course were obtained from a review of medical records and databases. RESULTS: One hundred fifty patients (age 60, range (20-91) years, 62% male) were included...
April 18, 2018: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/29671060/the-role-of-body-composition-in-diverticular-disease
#19
Julia Freckelton, Darcy Holt, Adina Borsaru, StellaMay Gwini, Daniel Croagh, Gregory Moore
BACKGROUND: Diverticular disease is a common, chronic inflammatory disease of the bowel. This study investigates the differences in body composition between patients with diverticular disease and those without. METHODS: Appropriate patients were identified using a search of the radiology database. Demographic and disease information was gathered using scanned medical records. Body composition analysis was performed at level L3 using single-slice computed tomography techniques...
April 18, 2018: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/29663316/two-year-results-of-the-randomized-clinical-trial-dilala-comparing-laparoscopic-lavage-with-resection-as-treatment-for-perforated-diverticulitis
#20
A Kohl, J Rosenberg, D Bock, T Bisgaard, S Skullman, A Thornell, J Gehrman, E Angenete, E Haglind
BACKGROUND: Traditionally, perforated diverticulitis with purulent peritonitis was treated with resection and colostomy (Hartmann's procedure), with inherent complications and risk of a permanent stoma. The DILALA (DIverticulitis - LAparoscopic LAvage versus resection (Hartmann's procedure) for acute diverticulitis with peritonitis) and other randomized trials found laparoscopic lavage to be a feasible and safe alternative. The medium-term follow-up results of DILALA are reported here...
April 16, 2018: British Journal of Surgery
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