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Diverticulitis or diverticular

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https://www.readbyqxmd.com/read/28318437/case-240-meckel-diverticulitis
#1
R Ashley Milam, Ricardo B Fonseca
History A previously healthy 28-year-old man developed right lower quadrant pain while traveling. The pain progressed over the course of 2-3 days, and his family took him to a local emergency department. He was found to have an elevated white blood cell count of 12.2 × 10(9)/L (reference range, [3.9-10.3] × 10(9)/L), with a predominance of neutrophils. Contrast material-enhanced computed tomography (CT) of the abdomen and pelvis was performed, and findings were abnormal. The patient elected to leave the emergency department without undergoing treatment, and he returned home via airplane...
April 2017: Radiology
https://www.readbyqxmd.com/read/28316316/colonic-diverticulosis-and-diverticulitis-in-renal-transplant-recipients-management-and-long-term-outcomes
#2
Ahmet Rencuzogullari, Gokhan Ozuner, Sinan Binboga, Erman Aytac, Venkatesh Krishnamurthi, Emre Gorgun
Data regarding management of colonic diverticulitis in renal transplant recipients (RTRs) are limited. This study aims to identify prevalence, risk factors, and outcomes in RTRs with colonic diverticulosis and diverticulitis. Between January 2004 and December 2013, all patients who underwent kidney transplantation were analyzed. Among all RTSs, patients who had a pretransplant colonoscopic diagnosis of diverticulosis and patients with a proven attack of diverticulitis were included in our analysis. There were 1578 RTRs with a mean age of 50 ± 14 years at the time of transplantation...
March 1, 2017: American Surgeon
https://www.readbyqxmd.com/read/28303335/treatment-selection-for-urolithiasis-percutaneous-nephrolithomy-ureteroscopy-shock-wave-lithotripsy-and-active-monitoring
#3
Mahesh Desai, Yinghao Sun, Noor Buchholz, Andrew Fuller, Tadashi Matsuda, Brian Matlaga, Nicole Miller, Damien Bolton, Mohammad Alomar, Arvind Ganpule
Urolithiasis is a significant worldwide source of morbidity, constituting a common urological disease that affects between 10 and 15% of the world population. Recent technological and surgical advances have replaced the need for open surgery with less invasive procedures. The factors which determine the indications for percutaneous nephrolithotomy include stone factors (stone size, stone composition, and stone location), patient factors (habitus and renal anomalies), and failure of other treatment modalities (ESWL and flexible ureteroscopy)...
March 16, 2017: World Journal of Urology
https://www.readbyqxmd.com/read/28299869/helicobacter-pylori-infection-is-associated-with-reduced-prevalence-of-colonic-diverticular-disease
#4
Lars Erik Bartels, Peter Jepsen, Anders Tøttrup, Hendrik Vilstrup, Jens Frederik Dahlerup
BACKGROUND: Colonic diverticular disease is a common disorder with increasing incidence in Western societies. The intestinal microbiome may be among etiological factors. Helicobacter pylori may protect against some intestinal diseases, and incidence of H. pylori is decreasing in Western societies. Thus, we aimed to determine whether H. pylori is associated to decreased prevalence of registered colonic diverticular disease. MATERIALS AND METHODS: In a historical cohort study, patients were enrolled from primary health care centers after urea breath test for H...
March 16, 2017: Helicobacter
https://www.readbyqxmd.com/read/28293278/a-historical-review-of-surgery-for-peritonitis-secondary-to-acute-colonic-diverticulitis-from-lockhart-mummery-to-evidence-based-medicine
#5
REVIEW
Roberto Cirocchi, Sorena Afshar, Salomone Di Saverio, Georgi Popivanov, Angelo De Sol, Francesca Gubbiotti, Gregorio Tugnoli, Massimo Sartelli, Fausto Catena, David Cavaliere, Renata Taboła, Abe Fingerhut, Gian Andrea Binda
The management of patients with colonic diverticular perforation is still evolving. Initial lavage with or without simple suture and drainage was suggested in the late 19th century, replaced progressively by the three-stage Mayo Clinic or the two-stage Mickulicz procedures. Fears of inadequate source control prompted the implementation of the resection of the affected segment of colon with formation of a colostomy (Hartman procedure) in the 1970's. Ensuing development of the treatment strategies was driven by the recognition of the high morbidity and mortality and low reversal rates associated with the Hartman procedure...
2017: World Journal of Emergency Surgery: WJES
https://www.readbyqxmd.com/read/28288068/emergency-surgery-for-medicare-beneficiaries-admitted-to-critical-access-hospitals
#6
Andrew M Ibrahim, Scott E Regenbogen, Jyothi R Thumma, Justin B Dimick
OBJECTIVE: The aim of this study was to compare the surgical outcomes of emergency operations performed at critical access and non-critical access hospitals. BACKGROUND: Critical access hospitals are often the only source of surgical care for rural populations. Previous studies have demonstrated that patients undergoing common, elective operations at these rural hospitals have similar outcomes to their urban counterparts. Little is known, however, about the quality of care these hospitals provide for emergency operations for which they are most essential...
March 10, 2017: Annals of Surgery
https://www.readbyqxmd.com/read/28283269/meckel-s-diverticulitis-in-adults-study-of-15-patients
#7
Ismael Mora-Guzmán, José Luis Muñoz de Nova, Elena Martín-Pérez
No abstract text is available yet for this article.
March 7, 2017: Medicina Clínica
https://www.readbyqxmd.com/read/28276818/diverticular-disease-is-associated-with-benign-intra-abdominal-cystic-disease
#8
Paula F Wrafter, Tara M Connelly, Jody S A Khan, Brian C Lucey, Arthur Berg, Walter Koltun, William P Joyce
BACKGROUND: Diverticular disease (DD) and hepatic and renal cysts have been linked with defects in collagen and dysfunctional matrix metalloproteinases. METHODS: Consecutive abdominal computed tomography scans between January-July 2015 were prospectively studied to determine a correlation between visceral cysts and DD. Patients with a sigmoid colectomy for pathology other than DD and scans in which DD and/or solid organs were not fully visualized were excluded. A subgroup analysis was performed on youthful DD patients (<55 years of age, n = 32) vs...
February 20, 2017: Expert Review of Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/28273609/a-rare-case-of-a-strangulated-littre-s-hernia-with-meckel-s-diverticulum-duplication-case-report-and-literature-review
#9
C R López-Lizárraga, M P Sánchez-Muñoz, G E Juárez-López, L Pelayo-Orozco, L F De la Cerda-Trujillo, C F Ploneda-Valencia
INTRODUCTION: The Meckel's diverticulum (MD) is the most common congenital anomaly of the gastrointestinal tract present in approximately 1-4% of the population; the MD duplication is exceedingly rare with only a few reports of it. Here we present the firs case of a strangulated Littre's hernia with MD duplication. PRESENTATION OF CASE: A 30-year-old male presented to the emergency room with clinical signs of small bowel obstruction, at physical examination, a right incarcerated inguinal hernia with erythema was found...
February 21, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28270872/symptomatic-diverticular-disease-in-patients-with-severely-reduced-kidney-function-higher-rates-of-complications-and-transfusion-requirement
#10
Ahmed Dirweesh, Afolarin Amodu, Muhammad Khan, Ritika Zijoo, Bushra Ambreen, Mohammad Ibrahim, Muhammad Ijaz, Abdelhameed Nawwar, Kareem Genena, Muhammad Tahir, Naresh Kumar, Vincent A Debari, Sara Wallach
BACKGROUND: The prevalence of diverticulosis is increasing with 5-10% of patients developing diverticulitis and 5-15% developing symptomatic bleeding. Diverticulitis can result in abscess, perforation, fistula, or obstruction. Bleeding has combined morbidity and mortality rates of 10-20%. The purpose of this study was to compare diverticulitis-related complications and transfusion requirements for diverticular bleeding in patients with normal to moderately reduced kidney function (glomerular filtration rate (GFR) ≥ 30 mL/min/1...
February 2017: Gastroenterology Research
https://www.readbyqxmd.com/read/28267692/diabetes-increases-morbidities-of-colonic-diverticular-disease-and-colonic-diverticular-hemorrhage-a-systematic-review-and-meta-analysis
#11
REVIEW
Xiaoti Lin, Jingjing Li, Mingang Ying, Fengqin Wei, Xiaoming Xie
Colonic diverticular disease (CDD) and colonic diverticular hemorrhage (CDH) are the most common disorders in hospital admissions and outpatient health clinic visits. However, risk factors of CDD and CDH are complicated and need to be discussed. Diabetes mellitus (DM) has been related with CDD and CDH, but the associations remain ambiguous. Therefore, we performed a literature search for studies involving the associations among DM, morbidity of CDD, and incidence of CDH. Relative risks or odds ratios with their corresponding 95% confidence intervals (CIs) were combined and weighted to produce summary effect size...
March 2017: American Journal of Therapeutics
https://www.readbyqxmd.com/read/28267663/appendiceal-diverticulitis-a-rare-relevant-pathology-presentation-of-a-case-report-and-review-of-the-literature
#12
Maria Leonarda Altieri, Guglielmo Niccolò Piozzi, Pierluigi Salvatori, Maurizio Mirra, Gaetano Piccolo, Natale Olivari
INTRODUCTION: Appendiceal diverticulitis is a rare pathology that mimics acute appendicitis. Appendiceal diverticula are classified into congenital and acquired with difference in incidence and pathogenesis. Appendiceal diverticulitis is often overlooked because of mildness of symptomatology with increasing risk of complications, such as perforation. Appendiceal diverticula are often associated to higher risk of neoplasm especially carcinoid tumors and mucinous adenomas. PRESENTATION OF CASE: A 40-year-old caucasic male presented into Emergency Room with right lower quadrant pain associated with vomit, abdominal tenderness, fever and moderate leukocytosis (11...
February 20, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28266975/tnfsf15-polymorphism-and-diverticulitis-of-the-colon-another-step-toward-a-more-tailored-approach-in-a-complex-disease
#13
Antonio Tursi
No abstract text is available yet for this article.
April 2017: Annals of Surgery
https://www.readbyqxmd.com/read/28266866/safety-of-daiobotampito-in-the-treatment-of-acute-diverticulitis-of-the-colon-a-single-center-open-label-prospective-trial
#14
Hiroshi Koike, Atsushi Nakazawa, Yuko Horiba, Nobuhiro Tsukada, Kenji Watanabe
PURPOSE: The purpose of this study was to investigate the safety of daiobotampito in the treatment of acute diverticulitis of the colon. METHODS: We conducted a single-center, open-label, prospective study. Ten patients who suffered from diverticulitis of the colon were recruited. The patients were treated with fasting, antibacterial agents, and daiobotampito extract for 10 days in or out of hospital. The patients individually recorded their body temperature, grade of abdominal pain, number of times that analgesics were used, and number of stools daily...
March 7, 2017: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
https://www.readbyqxmd.com/read/28266299/appendiceal-diverticulitis-a-case-report
#15
Vlad Denis Constantin, Alexandru Carâp, Anca Nica, Alexandru Smaranda, Bogdan Socea
Appendiceal diverticulitis is a very rare cause for pain in the right iliac fossa. Whether it is simptomatic or discovered randomly during an appendectomy or barium enema, understanding its clinical evolution is important for having a good management. In this report we present the case of a 50 year old female who underwent an open appendectomy during which we discovered appendiceal diverticulitis.
January 2017: Chirurgia
https://www.readbyqxmd.com/read/28265735/international-variation-in-emergency-operation-rates-for-acute-diverticulitis-insights-into-healthcare-value
#16
Michael K Y Hong, Anita R Skandarajah, Rose D Higgins, Omar D Faiz, Ian P Hayes
BACKGROUND: International comparison of outcomes of surgical diseases has become a global focus because of widespread concern over surgical quality, rising costs and the value of healthcare. Acute diverticulitis is a common disease potentially amenable to optimization of strategies for operative intervention. The aim was to compare the emergency operative intervention rates for acute diverticulitis in USA, England and Australia. METHODS: Unplanned admissions for acute diverticulitis were found from an international administrative dataset between 2008 and 2014 for hospitals in USA, England and Australia...
March 6, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/28261773/is-surgery-necessary-to-confirm-diagnosis-of-right-sided-diverticulitis-in-spite-of-relevant-clinical-and-radiological-findings
#17
Erkan Yardımcı, Mustafa Hasbahçeci, Ufuk Oğuz İdiz, Musa Atay, Hüseyin Akbulut
BACKGROUND: Diverticulosis of the right colon is an uncommon entity. Aim of the present study was to report outcome in patients with right-sided diverticulitis diagnosed using computed tomography (CT) and treated conservatively. METHODS: Twelve patients with clinical and radiological diagnosis of cecal or right-sided diverticulitis who were treated conservatively between February 2013 and December 2014 were included. Demographic and clinical data were retrospectively analyzed...
January 2017: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/28259692/location-is-everything-the-role-of-splenic-flexure-mobilization-during-colon-resection-for-diverticulitis
#18
Andrew T Schlussel, Jason T Wiseman, John F Kelly, Jennifer S Davids, Justin A Maykel, Paul R Sturrock, William B Sweeney, Karim Alavi
INTRODUCTION: Routine splenic flexure mobilization (SFM) has been previously recommended to ensure an adequate length for a tension free anastomosis during resection for diverticulitis. We sought to evaluate the role of selective SFM for diverticulitis, and its impact on outcomes. MATERIALS AND METHODS: Retrospective review of elective colectomies at a tertiary care center (2007-2015) for left-sided diverticulitis were identified from the National Surgical Quality Improvement Program...
March 1, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/28258453/failure-of-conservative-treatment-of-acute-diverticulitis-with-extradigestive-air
#19
P A Colas, E Duchalais, Q Duplay, V Serra-Maudet, S Kanane, C Ridereau-Zins, E Lermite, C Aubé, A Hamy, A Venara
BACKGROUND: Medical management for perforated diverticulitis without abscess or peritonitis (PDwAP) has a success rate of 40-70%. Identifying patients with a risk of medical treatment failure would improve outcomes. The aim of this study was to identify the risk factors for failure of medical treatment in patients admitted with PDwAP. METHODS: This multicenter retrospective observational study included all consecutive patients admitted for PDwAP and not surgically treated over a 7-year period...
March 3, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/28257321/laparoscopic-lavage-for-hinchey-iii-diverticulitis-but-to-whom
#20
Ville Sallinen, Panu Mentula, Ari Leppäniemi
No abstract text is available yet for this article.
March 2, 2017: Annals of Surgery
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