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acute colonic diverticulitis

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https://www.readbyqxmd.com/read/27834014/ipod-study-management-of-acute-left-colonic-diverticulitis-in-italian-surgical-departments
#1
Massimo Sartelli, Gian Andrea Binda, Francesco Brandara, Andrea Borasi, Francesco Feroci, Salvatore Vadalà, Francesco M Labricciosa, Arianna Birindelli, Gianluigi Luridiana, Federico Coccolini, Salomone Di Saverio, Fausto Catena, Luca Ansaloni, Fabio Cesare Campanile, Ferdinando Agresta, Diego Piazza
BACKGROUND: In recent years, the emergency management of acute left colonic diverticulitis (ALCD) has evolved dramatically despite lack of strong evidence. As a consequence, management strategies are frequently guided by surgeon's personal preference, rather than by scientific evidence. The primary aim of IPOD study (Italian Prospective Observational Diverticulitis study) is to describe both the diagnostic and treatment profiles of patients with ALCD in the Italian surgical departments...
November 10, 2016: World Journal of Surgery
https://www.readbyqxmd.com/read/27830520/is-it-safe-and-useful-laparoscopic-peritoneal-lavage-in-the-treatment-of-acute-diverticulitis-of-octogenarian-patients-a-multicenter-retroprospective-observational-study
#2
Carlo Boselli, Alessandro Gemini, Roberto Cirocchi, Veronica Grassi, Stefano Avenia, Andrea Polistena, Alessandro Sanguinetti, Daniele Pironi, Alberto Santoro, Renata Tabola, Maria Federica Burattini, Nicola Avenia
BACKGROUND: Diverticular disease of the colon also affects older people. Generally, older patients with diverticulitis may be regarded as too risky to undergo surgery. This retroprospective multicentric observational study aims to assess the safety and benefits of laparoscopic peritoneal lavage (LPL) in elderly patients with perforated sigmoid diverticulitis. PATIENTS AND METHOD: We hospitalized in urgency 100 patients, aged over 75, for sigmoid diverticulitis. Sixty-nine patients were treated with conservative medical therapy, while 31 were treated surgically, in which the surgery was performed in urgency in 18 cases, while in election in 13 cases...
November 9, 2016: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/27815648/small-bowel-diverticulitis-an-imaging-review-of-an-uncommon-entity
#3
Darren L Transue, Tarek N Hanna, Haris Shekhani, Saurabh Rohatgi, Faisal Khosa, Jamlik-Omari Johnson
In this review, we discuss the clinical and radiologic findings of small bowel diverticulosis, which is infrequently encountered during practice and far less common than colonic diverticulosis. Small bowel diverticulosis can present with a range of emergent symptomatic complications including diverticulitis, perforation, or hemorrhage. Here, we focus on the clinical features, pathogenesis, radiologic findings, and treatment of small bowel diverticulitis. Although not routinely considered in the differential diagnosis of an acute abdomen, prospective radiologic diagnosis of small bowel diverticulitis is important and can lead to conservative treatment thus preventing unnecessary exploratory laparotomy...
November 4, 2016: Emergency Radiology
https://www.readbyqxmd.com/read/27808151/mesalamine-in-recurrent-acute-colonic-diverticulitis
#4
Cong Dai, Min Jiang, Ming-Jun Sun
No abstract text is available yet for this article.
November 2016: American Journal of Gastroenterology
https://www.readbyqxmd.com/read/27762218/coloenteric-fistula-in-a-young-patient-with-recurrent-diverticulitis-a-case-report-and-review-of-the-literature
#5
D S Ahmad, E E Quist, G F Hutchins, I Bhat
The development of colonic diverticula is common in developed countries and complications of colonic diverticulosis are responsible for a remarkable burden of the disease. The natural history and management of complicated and recurrent diverticulitis in young patients are still a matter of debate. Coloenteric fistula is a rare complication of diverticulitis in young adults. In this report, and utilising a case study, we will review the natural history, outcome and management of acute diverticulitis in the young...
October 2016: Netherlands Journal of Medicine
https://www.readbyqxmd.com/read/27745889/operative-management-of-diverticulitis-in-a-tertiary-care-center
#6
David R Rosen, Grace S Hwang, Glenn T Ault, Adrian E Ortega, Kyle G Cologne
BACKGROUND: Diverticulitis has become a medically managed disease process; the indications and timing of surgical intervention have evolved. METHODS: We retrospectively reviewed all patients who underwent surgical intervention due to diverticular disease by the Division of Colon and Rectal Surgery from 2012 to 2014. RESULTS: Ninety-eight surgeries were performed. Indications included colovesicular fistula, multiple recurrences of diverticulitis, medically refractory diverticulitis, stricture, abscess, colocutaneous fistula, and colovaginal fistula...
August 3, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27741423/treatment-of-patients-with-acute-colonic-diverticulitis-complicated-by-abscess-formation-a-systematic-review-and-meta-analysis
#7
Rasmus Gregersen, Laura Quitzau Mortensen, Jakob Burcharth, Hans-Christian Pommergaard, Jacob Rosenberg
PURPOSE: This study aimed to systematically review the literature and present the evidence on outcomes after treatment for acute diverticulitis with abscess formation. Secondly, the paper aimed to compare different treatment options. METHODS: PubMed, EMBASE and the Cochrane Library were searched. Two authors screened the records independently, initially on title and abstract and subsequently on full-text basis. Articles describing patients treated acutely for Hinchey Ib and II were included...
October 11, 2016: International Journal of Surgery
https://www.readbyqxmd.com/read/27684821/patients-with-end-stage-renal-disease-were-at-an-increased-risk-of-hospitalization-for-acute-diverticulitis
#8
Shen-Shong Chang, Nicole Huang, Hsiao-Yun Hu
Patients with end-stage renal disease (ESRD) show a high incidence of bacterial translocation and impaired gastrointestinal motility. The intestinal tract is believed to be the most crucial source of translocated bacteria. To evaluate the risk of colonic diverticulitis in patients with ESRD, we conducted a nationwide population-based cohort study. Patients who met the following 3 criteria were defined as patients with ESRD: patients diagnosed with ESRD who received regular hemodialysis between 2000 and 2005, patients who received hemodialysis for more than 90% of the time during the observation period (2000-2011), and patients with no prior history of hemodialysis between 1997 and 1999...
September 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27622380/current-management-of-patients-with-diverticulosis-and-diverticular-disease-a-survey-from-the-2nd-international-symposium-on-diverticular-disease
#9
Antonio Tursi, Marcello Picchio, Walter Elisei, Francesco Di Mario, Carmelo Scarpignato, Giovanni Brandimarte
BACKGROUND: Management of diverticular disease (DD) remains a point of debate. GOALS: To investigate the current opinion of participants of the 2nd International Symposium on Diverticular Disease, on real-life management of patients with DD of the colon. STUDY: Twelve questions were aimed at the diagnosis, treatment, and management options for diverticulosis and symptomatic DD. RESULTS: In total, 115 surveys from 8 European Countries were filled out...
October 2016: Journal of Clinical Gastroenterology
https://www.readbyqxmd.com/read/27622377/the-management-of-patients-with-diverticulosis-and-diverticular-disease-in-primary-care-an-online-survey-among-italian-general-pratictioners
#10
Rudi De Bastiani, Guido Sanna, Pierluigi Fracasso, Maurizio D'Urso, Edoardo Benedetto, Antonio Tursi
GOALS: To investigate the current opinion of Italian general practitioners (GPs) on the management of patients with diverticular disease (DD) of the colon. BACKGROUND: The management of DD remains a point of debate, and guidelines are not uniform in their advice. STUDY: A web-based survey was conducted among Italian GPs. Twelve questions were aimed at the diagnosis, treatment, and management options for diverticulosis and symptomatic DD. RESULTS: In total, 245 surveys were filled out...
October 2016: Journal of Clinical Gastroenterology
https://www.readbyqxmd.com/read/27622376/diverticular-disease-in-the-primary-care-setting
#11
Knut-Arne Wensaas, Amrit Pali Hungin
Diverticular disease is a chronic and common condition, and yet the impact of diverticular disease in primary care is largely unknown. The diagnosis of diverticular disease relies on the demonstration of diverticula in the colon, and the necessary investigations are often not available in primary care. The specificity and sensitivity of symptoms, clinical signs and laboratory tests alone are generally low and consequently the diagnostic process will be characterized by uncertainty. Also, the criteria for symptomatic uncomplicated diverticular disease in the absence of macroscopic inflammation are not clearly defined...
October 2016: Journal of Clinical Gastroenterology
https://www.readbyqxmd.com/read/27622369/treatment-of-diverticular-disease-with-aminosalicylates-the-evidence
#12
Giovanni Barbara, Cesare Cremon, Maria R Barbaro, Lara Bellacosa, Vincenzo Stanghellini
Colonic diverticulosis is an increasingly common condition in Western industrialized countries. About 20% of patients develop symptoms, including abdominal pain, bloating, changes in bowel habits, and, eventually, diverticulitis or other complications. The management of symptomatic uncomplicated diverticular disease (SUDD) and the prevention of acute diverticulitis remains a challenge for the clinician. The rationale for the use of aminosalicylates, such as mesalazine, is based on the assumption of low-grade inflammation in SUDD and symptoms generation, whereas an overt inflammation may induce diverticulitis in patients with diverticular disease...
October 2016: Journal of Clinical Gastroenterology
https://www.readbyqxmd.com/read/27622367/medical-treatment-of-diverticular-disease-antibiotics
#13
Alberto Lué, Viviana Laredo, Angel Lanas
Diverticular disease (DD) of the colon represents the most common disease affecting the large bowel in western countries. Its prevalence is increasing. Recent studies suggest that changes in gut microbiota could contribute to development of symptoms and complication. For this reason antibiotics play a key role in the management of both uncomplicated and complicated DD. Rifaximin has demonstrated to be effective in obtaining symptoms relief at 1 year in patients with uncomplicated DD and to improve symptoms and maintain periods of remission following acute colonic diverticulitis (AD)...
October 2016: Journal of Clinical Gastroenterology
https://www.readbyqxmd.com/read/27622365/management-of-diverticular-disease-in-scandinavia
#14
Johannes K Schultz, Sheraz Yaqub, Tom Øresland
Throughout the last century, the incidence of diverticular disease of the colon has increased tremendously in industrialized countries; nevertheless, the management of this condition is still controversial. Although several international guidelines for the management of diverticular disease are based on the same evidence, the recommendations differ greatly, emphasizing the lack of high-quality prospective studies. In Scandinavia, official guidelines for the management of diverticular disease exist only in Denmark...
October 2016: Journal of Clinical Gastroenterology
https://www.readbyqxmd.com/read/27622356/the-role-of-biomarkers-in-diverticular-disease
#15
Antonella Gallo, Gianluca Ianiro, Massimo Montalto, Giovanni Cammarota
Diverticulosis of the colon is a common condition in western countries. Acute diverticulitis may occur in 10% to 25% of the patients, sometimes associated with the presence of complications such as abscess, fistula, and perforation. Early diagnosis and accurate assessment of acute diverticulitis are necessary to start an efficacious treatment promptly, either conservatively or by surgery. The clinical picture may mimic other abdominal conditions; therefore, imaging techniques such as ultrasound or computed tomography are usually recommended, although they are expensive, examiner dependent, and potentially harmful...
October 2016: Journal of Clinical Gastroenterology
https://www.readbyqxmd.com/read/27622355/diverticular-disease-of-the-colon-news-from-imaging
#16
Nicola Flor, Simone Soldi, Edoardo Zanchetta, Sara Sbaraini, Filippo Pesapane
Different scenarios embrace computed tomography imaging and diverticula, including asymptomatic (diverticulosis) and symptomatic patients (acute diverticulitis, follow-up of acute diverticulitis, chronic diverticulitis). If the role of computed tomography is validated and widely supported by evidence in case of acute diverticulitis, this is not the case of patients in their follow-up for acute diverticulitis or with symptoms related to diverticula, but without acute inflammation. In these settings, computed tomography colonography is gaining consensus as the preferred radiologic test...
October 2016: Journal of Clinical Gastroenterology
https://www.readbyqxmd.com/read/27622354/intestinal-ultrasonography-in-the-diagnosis-and-management-of-colonic-diverticular-disease
#17
Giovanni Maconi, Stefania Carmagnola, Tom Guzowski
Diverticula of the colon and their symptomatic manifestations, including acute diverticulitis (AD), are frequent complaints and the cause of an increasing burden of ambulatory visits, diagnostic procedures, and hospital admissions. Endoscopic and radiologic diagnostic procedures have a well-known role in the diagnosis and management of the disease, but recently intestinal ultrasonography has been proposed as a complementary tool in the diagnosis and follow-up of diverticular disease. This review shows the main sonographic features of diverticula and discusses the potential role of ultrasound in suggesting the presence of symptomatic uncomplicated diverticular disease of the colon...
October 2016: Journal of Clinical Gastroenterology
https://www.readbyqxmd.com/read/27622352/prognostic-role-of-the-endoscopic-classification-dica
#18
Antonio Tursi, Giovanni Brandimarte, Francesco Di Mario, Walter Elisei, Carmelo Scarpignato, Marcello Picchio
Diverticular inflammation and complication assessment (DICA) endoscopic classification has been recently developed for patients suffering from diverticulosis and diverticular disease. Its predictive value in those patients was recently retrospectively assessed. For each patient, the following parameters were recorded: age, severity of DICA, presence of abdominal pain, C-reactive protein, fecal calprotectin test (if available) at the time of diagnosis, months of follow-up, therapy taken during the follow-up to maintain remission (if any), occurrence/recurrence of diverticulitis, and need of surgery...
October 2016: Journal of Clinical Gastroenterology
https://www.readbyqxmd.com/read/27622351/the-role-of-colonoscopy-in-the-diverticular-disease
#19
Giuseppe Grande, Claudio Zulli, Flavia Pigò, Maria E Riccioni, Francesco Di Mario, Rita L Conigliaro
Colonic diverticula are one of the most frequent conditions found during the endoscopic examination of the lower digestive tract, interestingly in >70% of people after 80 years old. Of them, only a few percentage develop complications such as acute diverticulitis or diverticular bleeding. Up to now, colonoscopy represents the most important diagnostic and therapeutic tool on the hands of the clinicians. On the basis of this the need for a standardized and reproducible approach is now emerging. This short review article is tasked to point out some open issues concerning the role of colonoscopy in diverticular disease...
October 2016: Journal of Clinical Gastroenterology
https://www.readbyqxmd.com/read/27613727/clinical-diagnostic-accuracy-of-acute-colonic-diverticulitis-in-patients-admitted-with-acute-abdominal-pain-a-receiver-operating-characteristic-curve-analysis
#20
A Jamal Talabani, B H Endreseth, S Lydersen, T-H Edna
PURPOSE: The study investigated the capability of clinical findings, temperature, C-reactive protein (CRP), and white blood cell (WBC) count to discern patients with acute colonic diverticulitis from all other patients admitted with acute abdominal pain. METHODS: The probability of acute diverticulitis was assessed by the examining doctor, using a scale from 0 (zero probability) to 10 (100 % probability). Receiver operating characteristic (ROC) curves were used to assess the clinical diagnostic accuracy of acute colonic diverticulitis in patients admitted with acute abdominal pain...
September 9, 2016: International Journal of Colorectal Disease
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