Minimally Invasive Sigmoidectomy for Diverticular Disease Decreases Inpatient Opioid Use: Results of a Propensity Score-matched Study
Patients undergoing gastrointestinal surgery are at high risk for postoperative opioid use.
ConclusionHartmann's Reversal is a complex surgical procedure associated with high rates of complications. In our series, timing of surgery did not affect surgical complications rate or severity or the length of hospital stay.
AbstractPurpose of ReviewSmall bowel diverticulosis is a well-known clinical entity whose diagnosis and management has evolved in recent years. This review covers pathophysiology, incidence, and prevalence, and it also provides an update on modern diagnosis and management. Meckel ’s diverticula are covered elsewhere in this volume.Recent FindingsCT scan and MRI have largely supplanted barium follow-through for diagnosis. No intervention is needed in asymptomatic individuals. Endoscopic management is playing an increasing role for both bleeding and resection of intraduodenal diverticula, but surgical intervention rema...
Approximately 60% of adults over the age of 60 have diverticulosis, of whom 5% will experience complications such as diverticulitis or diverticular bleeding. There are an estimated 300,000 hospital admissions per year in the United States for diverticulitis (Clin Gastroenterol Hepatol 2013;11:1609-13). Despite this burden of disease, risk stratification and prevention strategies for diverticulitis are lacking. Based on the observation that diverticulitis prevalence is significantly higher in developed countries where diets are typically low in fiber, it has been hypothesized that high fiber intake is protective.
AbstractPurpose of ReviewMeckel ’s diverticulum may be detected incidentally or present with symptoms from infancy and to old age. The presentation may be acute, with several complications associated with the condition. We aim to review the many faces with which a Meckel’s diverticulum may present, either symptomatically or as an incidental finding.Recent FindingsDue to its rarity, recent studies mainly include small retrospective series or case reports. Emphasis in the recent literature is on clinical presentation, the pathology of symptomatic cases, management options and risks of neoplasia. Symptoms are main...
PMID: 31941595 [PubMed - as supplied by publisher]
Conclusions: Postoperative VTE risk varies widely by the operation performed, and a diagnostic indication of CD or UC does not play a role. Extended duration VTE prophylaxis should be considered in all patients undergoing high-risk operations, regardless of their underlying diagnosis.
ConclusionRobot-assisted colostomy takedown and anastomosis of the descending colon to rectum were successfully performed. Although there is a paucity of literature examining this technique within gynecologic surgery, the literature on general surgery has supported laparoscopic Hartmann's reversal and has demonstrated improved rates of postoperative complications and incisional hernia and reduced duration of hospitalization . Minimally invasive technique is a feasible alternative to laparotomy for gynecologic oncology patients who undergo colostomy, as long as the patients are recurrence free.
BACKGROUND: The true incidence of, and risk factors for, readmission for treatment failure after nonoperative management of acute diverticulitis remain poorly understood. OBJECTIVE: The purpose of this study was to describe the incidence and risk factors for readmission for treatment failure after nonoperative management of acute diverticulitis using a large national database. DESIGN: This was a retrospective cohort study. SETTINGS: A representative sample of admissions and discharges from hospitals in the United States captured in the National Readmissions Database were included. PATIENTS: Adult patients (ag...
Condition: Perforated Diverticulitis Intervention: Procedure: Damage control strategy Sponsors: Städtisches Klinikum München GmbH; Charite University, Berlin, Germany; Medical University Innsbruck; University of Pisa; Cardarelli Hospital Not yet recruiting