Modern Management of Colorectal Disease
Colorectal disease is incredibly common and significantly impactful to patients. Unfortunately, the surgical management of these processes is not always straightforward, and commonly encountered issues are hotly debated. Who necessitates fecal diversion in inflammatory bowel disease? In cancer? In diverticulitis? Is it actually safe to "watch and wait" in rectal cancer? When is the appropriate time to intervene on ulcerative colitis that has not quite met the threshold mandating life-saving surgery? When should a flap be performed for pilonidal disease? Who truly needs an elective hemorrhoidectomy? And is the microbiome si...
Source: Surgical Clinics of North America - December 14, 2023 Category: Surgery Authors: Quinton M. Hatch Tags: Preface Source Type: research

Diverticulitis: A Review of Current and Emerging Practice-Changing Evidence
Clin Colon Rectal Surg DOI: 10.1055/s-0043-1777439Acute diverticulitis represents a common colorectal emergency seen in the Western world. Over time, management of this condition has evolved. This review aims to highlight recent evidence and update current recommendations. Notable evidence has emerged in certain aspects of diverticulitis. This includes disease pathogenesis, as emerging data suggest a potentially greater role for the microbiome and genetic predisposition than previously thought. Acute management has also seen major shifts, where traditional antibiotic treatment may no longer be necessary for acute uncomplic...
Source: Clinics in Colon and Rectal Surgery - December 13, 2023 Category: Surgery Authors: Wu, Sonia Al Khaldi, Maher Richard, Carole S. Dagbert, Fran çois Tags: Review Article Source Type: research

Risk Factors Associated with Postoperative Outcomes in Diverticular Disease Undergoing Elective Colectomy-A Retrospective Cohort Study from the ACS-NSQIP Database
J Clin Med. 2023 Nov 27;12(23):7338. doi: 10.3390/jcm12237338.ABSTRACTRecommendations for elective colectomies after recovery from uncomplicated acute diverticulitis should be individualized. The kinds of associated risk factors that should be considered for this approach remain undetermined. The aim of this study was to identify the risk factors associated with postoperative outcomes in patients with diverticular disease after receiving an elective colectomy. This is a retrospective study using the multi-institutional, nationally validated database of the American College of Surgeons-National Surgical Quality Improvement ...
Source: Clinical Colorectal Cancer - December 9, 2023 Category: Cancer & Oncology Authors: Wan-Hsiang Hu Samuel Eisenstein Lisa Parry Sonia Ramamoorthy Source Type: research

Risk Factors Associated with Postoperative Outcomes in Diverticular Disease Undergoing Elective Colectomy-A Retrospective Cohort Study from the ACS-NSQIP Database
J Clin Med. 2023 Nov 27;12(23):7338. doi: 10.3390/jcm12237338.ABSTRACTRecommendations for elective colectomies after recovery from uncomplicated acute diverticulitis should be individualized. The kinds of associated risk factors that should be considered for this approach remain undetermined. The aim of this study was to identify the risk factors associated with postoperative outcomes in patients with diverticular disease after receiving an elective colectomy. This is a retrospective study using the multi-institutional, nationally validated database of the American College of Surgeons-National Surgical Quality Improvement ...
Source: Clinical Colorectal Cancer - December 9, 2023 Category: Cancer & Oncology Authors: Wan-Hsiang Hu Samuel Eisenstein Lisa Parry Sonia Ramamoorthy Source Type: research

Endoscopic diverticular ridge myotomy to treat acute colonic diverticulitis caused by impacted fecalith
(Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - December 6, 2023 Category: Gastroenterology Authors: Lijuan Mao, Qide Zhang Tags: Images and Videos Source Type: research

Impact of the first wave of COVID-19 epidemy on the surgical management of sigmoid diverticular disease in France: National French retrospective study
ConclusionThis study shows that the management of SDD was impacted by COVID-19 at CR, but also after and until September 2021, both on the initial clinical presentation and on postoperative mortality. (Source: International Journal of Colorectal Disease)
Source: International Journal of Colorectal Disease - December 2, 2023 Category: Gastroenterology Source Type: research