Treatment of the acute diverticulitis: A systematic review.
[Treatment of the acute diverticulitis: A systematic review]. Presse Med. 2015 Sep 7; Authors: Dréanic J, Sion E, Dhooge M, Dousset B, Camus M, Chaussade S, Coriat R Abstract Acute diverticulitis is a common disease with increasing incidence. In most of cases, diagnosis is made at an uncomplicated stage offering a curative attempt under medical treatment and use of antibiotics. There is a risk of diverticulitis recurrence. Uncomplicated diverticulitis is opposed to complicated forms (perforation, abscess or fistula). Recent insights in the pathophysiology of diverticulitis, the natural history, and treatments have permitted to identify new treatment strategies. For example, the use of antibiotics tends to decrease; surgery is now less invasive, percutaneous drainage is preferred, peritoneal lavage is encouraged. Treatments of the diverticulitis are constantly evolving. In this review, we remind the pathophysiology and natural history, and summarize new recommendations for the medical and surgical treatment of acute diverticulitis. PMID: 26358668 [PubMed - as supplied by publisher]
Colon perforations are rare in MM and here we report characteristics and clinical outcomes of 30 patients that were treated at Mayo Clinic. We believe that steroids are the precipitating factor. AbstractGastrointestinal complications of multiple myeloma (MM) treatment are common and include nausea, constipation, and diarrhea. However, acute gastrointestinal events like perforations are rare. We aimed to describe the characteristics and outcomes of patients with MM that had colonic perforations during their treatment. This is a retrospective study that included patients from all three Mayo Clinic sites who had MM and develo...
AbstractThe acute left diverticulitis is a common problem encountered by surgeons in the acute setting. Some years ago, the Italian Prospective Observational Diverticulitis (IPOD) study showed several disputes in managing acute left colon diverticulitis in Italian surgical department. The aim of this study is to check the compliance of Italian surgeons with clinical evidence-based guidelines in non-university hospitals. A 21 multiple-choice questions survey was sent to the Italian Society of Hospital Surgeons (ACOI) mailing list members, from the 1st April 2019 to 6th June 2019. One hundred and seventy-four Italian general...
Conclusions: The safety of laparoscopic surgery for the emergency treatment of complicated diverticulitis is related to different surgical methods. LCR is suggested to be a better choice according to the postoperative outcomes. More definite conclusions can be drawn in future randomized controlled trials.
A subset of patients who undergo colon resection for suspected diverticulitis will be found to have cancer. We hypothesized that cancer-related variables could be used to help predict a diagnosis of cancer preoperatively.
Appendicular diverticulitis can be congenital or acquired. It is typically found in elder populations and characterized by inflammation of appendiceal diverticula. Although it mimics acute appendicitis, it carries four times the risk of perforation, thirty times the risk of mortality, and is frequently associated with mucinous adenomas and carcinoid tumors according to literature.
This study aims to assess AL after surgery for diverticular disease using a national database.
Whether prophylactic ureteral stent placement before colectomy decreases rate of ureteral injury has been controversial. Stent insertion prior to operative management of diverticular disease has not been previously examined in this context. We sought to determine the impact, if any, of preoperative ureteral stent placement in patients with diverticulitis.
Surgery especially in the emergent setting carries higher rates of morbidity and mortality. The aim of our study was to evaluate the impact of preoperative anemia on outcomes in patients undergoing colectomy for acute diverticulitis in elective and emergent settings.
Management of uncomplicated and selected cases of complicated diverticulitis has shifted away from surgery in favor of surveillance, often with repeated antibiotic treatment. Data are lacking regarding patients with simultaneous Clostridium difficile colitis (Cdif), which can occur following antibiotic therapy. We aimed to characterize the clinical course and surgical options for this population.