Pneumoperitoneum, pneumoretroperitoneum and pneumomediastinum: rare complications of perforation peritonitis: a case report
ConclusionsThis case report highlights the clinical novelty of gas extravasation complications in perforated diverticulitis. The unique triad of pneumoperitoneum, pneumoretroperitoneum, and pneumomediastinum in a 74-year-old female underscores the diagnostic challenges and the importance of advanced imaging techniques. The successful collaboration between radiologists and surgeons facilitated a timely and accurate diagnosis, enabling a minimally invasive surgical approach. This case contributes to the understanding of atypical presentations of diverticulitis and emphasizes the significance of interdisciplinary teamwork in ...
Source: Journal of Medical Case Reports - April 17, 2024 Category: General Medicine Source Type: research
Management of Diverticulitis
This narrative review summarizes left-sided diverticulitis pathophysiology, advances in diagnosis, prevention strategies, and surgical approaches and decision-making. (Source: JAMA Surgery)
Source: JAMA Surgery - April 17, 2024 Category: Sports Medicine Source Type: research
Towards a tailored approach for patients with acute diverticulitis and abscess formation. The DivAbsc2023 multicentre case –control study
ConclusionsNon-operative treatment is generally effective for diverticular abscesses. Tobacco smoking's role as an independent risk factor for treatment failure underscores the need for targeted behavioural interventions in diverticular disease management. IIb Hinchey diverticulitis patients, particularly young smokers, require vigilant monitoring due to increased risks of treatment failure and septic progression. Further research into the efficacy of image-guided percutaneous drainage should involve randomized, multicentre studies focussing on homogeneous patient groups.Graphical abstract (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 17, 2024 Category: Surgery Source Type: research
Body composition assessment by artificial intelligence can be a predictive tool for short-term postoperative complications in Hartmann ’s reversals
Hartmann's reversal, a complex elective surgery, reverses and closes the colostomy in individuals who previously underwent a Hartmann's procedure due to colonic pathology like cancer or diverticulitis. It dema... (Source: BMC Surgery)
Source: BMC Surgery - April 15, 2024 Category: Surgery Authors: Reshi Suthakaran, Ke Cao, Yasser Arafat, Josephine Yeung, Steven Chan, Mobin Master, Ian G. Faragher, Paul N. Baird and Justin M. C. Yeung Tags: Research Source Type: research
Does surgery improve quality of life in patients with ongoing- or recurrent diverticulitis; a systematic review and meta-analysis
CONCLUSION: Although surgery for recurrent diverticulitis is not without risk, it might improve long-term quality of life in patients suffering from recurrent- or ongoing diverticulitis when compared to conservative treatment. Therefore, it should be considered in this patient group.PMID:38613245 | DOI:10.1080/00365521.2024.2337833 (Source: Scandinavian Journal of Gastroenterology)
Source: Scandinavian Journal of Gastroenterology - April 13, 2024 Category: Gastroenterology Authors: B A J Kertzman F J Amelung H E Bolkenstein E C J Consten W A Draaisma Source Type: research
Risk factors for emergency surgery for diverticulitis: A retrospective multicentric French study at 41 hospitals
This study aimed to assess the rate and risk factors of emergency surgery for sigmoid diverticulitis. (Source: Surgery)
Source: Surgery - April 11, 2024 Category: Surgery Authors: Camille Godet, Charles Sabbagh, Laura Beyer-Berjot, Mehdi Ouaissi, Philippe Zerbib, Bridoux Val érie, Gilles Manceau, Yves Panis, Etienne Buscail, Aurélien Venara, Iman Khaoudy, Martin Gaillard, Manon Viennet, Alexandre Thobie, Benjamin Menahem, Clariss Source Type: research
Successful Management of Ileorectal Anastomotic Disruption With Off-Label Use of Endoscopic Covered Metallic Stent
Am Surg. 2024 Apr 10:31348241241708. doi: 10.1177/00031348241241708. Online ahead of print.ABSTRACTColorectal surgery poses significant risks, with anastomotic disruption being a severe complication. Traditional management involves surgical intervention, contributing to postoperative morbidity and mortality. In this brief report, we present a 54-year-old woman with a history of diverticulitis, multiple surgeries, and anastomotic leak following ileorectal anastomosis. Attempts at managing anastomotic leaks with more minimally invasive approaches have been successful in esophageal surgery with the use of covered metallic ste...
Source: The American Surgeon - April 10, 2024 Category: Surgery Authors: Alex Tran Donald Davis Sowsan Rasheid Source Type: research
Successful Management of Ileorectal Anastomotic Disruption With Off-Label Use of Endoscopic Covered Metallic Stent
Am Surg. 2024 Apr 10:31348241241708. doi: 10.1177/00031348241241708. Online ahead of print.ABSTRACTColorectal surgery poses significant risks, with anastomotic disruption being a severe complication. Traditional management involves surgical intervention, contributing to postoperative morbidity and mortality. In this brief report, we present a 54-year-old woman with a history of diverticulitis, multiple surgeries, and anastomotic leak following ileorectal anastomosis. Attempts at managing anastomotic leaks with more minimally invasive approaches have been successful in esophageal surgery with the use of covered metallic ste...
Source: The American Surgeon - April 10, 2024 Category: Surgery Authors: Alex Tran Donald Davis Sowsan Rasheid Source Type: research
Is there a link between appendicitis and the risk of diverticular disease?: a large German cohort study
ConclusionThis large-scale population-based study provides valuable insights into the interaction between appendicitis and diverticular disease. The study underscores the need for further research elucidating the underlying mechanisms linking appendicitis to diverticular disease. Probiotics emerge as a potential therapeutic avenue warranting exploration in the management of both conditions. These findings have important implications for clinical practice, highlighting the importance of considering appendicitis as a potential risk factor for diverticular disease, particularly in men. Further investigation is warranted to va...
Source: International Journal of Colorectal Disease - April 10, 2024 Category: Gastroenterology Source Type: research
The role of procalcitonin as a risk stratification tool of severity, prognosis, and need for surgery in patients with acute left-sided colonic diverticulitis
This study aims to investigate the role of an early procalcitonin assessment in the emergency department as a risk stratification tool for severity, prognosis, and need for surgery in patients with acute left-sided colonic diverticulitis. (Source: Surgery)
Source: Surgery - April 9, 2024 Category: Surgery Authors: Carlo Alberto Schena, Marcello Covino, Vito Laterza, Giuseppe Quero, Antonio La Greca, Caterina Cina, Nicola de ’Angelis, Francesco Marchegiani, Gabriele Sganga, Antonio Gasbarrini, Francesco Franceschi, Fabio Longo, Sergio Alfieri, Fausto Rosa Source Type: research
Systematic review and meta-analysis of the management of acute uncomplicated diverticulitis: time to change traditional practice
ConclusionObservation-only treatment is feasible and safe in selected clinically stable patients with uncomplicated acute diverticulitis (Hinchey 1a classification). It may provide better outcomes including decreased length of hospital stay. Moreover, the OP approach in treating patients with Hinchey 1a acute diverticulitis is comparable to IP management. Future high-quality randomised controlled studies are needed to understand the outcomes of the NABX approach used in an OP setting in managing patients with uncomplicated acute diverticulitis. (Source: International Journal of Colorectal Disease)
Source: International Journal of Colorectal Disease - April 5, 2024 Category: Gastroenterology Source Type: research
Primary anastomosis with diverting loop ileostomy vs. Hartmann ’s procedure for acute diverticulitis: what happens after discharge? Results of a nationwide analysis
ConclusionPatients who undergo primary anastomosis for acute diverticulitis are more likely to undergo ostomy reversal and experience fewer postoperative complications upon stoma reversal. These data support the current national guidelines that recommend primary anastomosis in appropriate cases of acute diverticulitis requiring operative treatment.Graphical abstract (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 5, 2024 Category: Surgery Source Type: research
Systematic review and meta-analysis of the management of acute uncomplicated diverticulitis: time to change traditional practice
ConclusionObservation-only treatment is feasible and safe in selected clinically stable patients with uncomplicated acute diverticulitis (Hinchey 1a classification). It may provide better outcomes including decreased length of hospital stay. Moreover, the OP approach in treating patients with Hinchey 1a acute diverticulitis is comparable to IP management. Future high-quality randomised controlled studies are needed to understand the outcomes of the NABX approach used in an OP setting in managing patients with uncomplicated acute diverticulitis. (Source: International Journal of Colorectal Disease)
Source: International Journal of Colorectal Disease - April 5, 2024 Category: Gastroenterology Source Type: research
Atypical Duplex appendix arising from the ascending colon: a case report
ConclusionDuplex appendicitis, though rare, should be considered in the differential diagnosis of recurrent acute abdomen even after appendectomy. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - March 29, 2024 Category: General Medicine Source Type: research
New | phs003531.v1.p1 | A Prospective Study of Lifestyle, the Gut Microbiome, and Diverticulitis
A Prospective Study of Lifestyle, the Gut Microbiome, and Diverticulitis (study page |release notes) (Source: dbGaP, the database of Genotypes and Phenotypes)
Source: dbGaP, the database of Genotypes and Phenotypes - March 26, 2024 Category: Genetics & Stem Cells Tags: StudyRelease Source Type: research
