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Diverticular Disease Medical and Health News Headlines
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All Recent Diverticular Disease Medical Condition News Headlines |
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Diverticulitis (Diverticulosis)
Title: Diverticulitis (Diverticulosis)Category: Diseases and ConditionsCreated: 12/31/1997Last Editorial Review: 8/25/2010 (Source: MedicineNet Senior Health General)...
POSTED 08/25/2010 at 02:00 AM --
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Diverticulitis (Diverticulosis)
Title: Diverticulitis (Diverticulosis)Category: Diseases and ConditionsCreated: 12/31/1997Last Editorial Review: 8/25/2010 (Source: MedicineNet Digestion General)...
POSTED 08/25/2010 at 02:00 AM --
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Diverticulitis (Diverticulosis)
Title: Diverticulitis (Diverticulosis)Category: Diseases and ConditionsCreated: 12/31/1997Last Editorial Review: 8/25/2010 (Source: MedicineNet Womens Health General)...
POSTED 08/25/2010 at 02:00 AM --
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Shorter Recovery With Laparoscopic Surgery for Diverticulitis
Dramatic reductions in time to return of intestinal function and postoperative stay were seen with laparoscopic vs conventional open surgery. Medscape General Surgery (Source: Medscape Today Headlines)...
POSTED 08/24/2010 at 12:41 PM --
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Elective Open versus Laparoscopic Sigmoid Colectomy for Diverticular Disease: A Meta-Analysis with the Sigma Trial
Conclusions Laparoscopic sigmoid resection takes longer to perform than open procedures; however, it is safe and has lower overall morbidity,
earlier return of bowel function, and shorter hospital stays. This approach should be considered for elective cases but more
randomized controlled trials are required to strengthen the evidence.
Content Type Journal ArticleDOI 10.1007/s00268-010-0762-3Authors
Muhammed R. S. Siddiqui, Department of Colorectal Surgery, Worthing Hospital, Washington Suite, North Wing, West Sussex, BN11 2DH UKMuhammed S. Sajid, Department of Colorectal Surgery, Worthing Hospital, Washington Suite, North Wing, West Sussex, BN11 2DH UKKamran Khatri, Department of Colorectal Surgery, Worthing Hospital, Washington Suite, North Wing, West Sussex, BN11 ......
POSTED 08/17/2010 at 12:51 AM --
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[Tocilizumab : What comes after TNF-blockers in clinical routine.]
Authors: Roll P, Rubbert-Roth A, Tony HP
Tocilizumab, a monoclonal humanized antibody against IL-6, was licensed in January 2009 in combination with Methotrexate for the treatment of adult patients with moderately to severely active rheumatoid arthritis and inadequate response to one or more DMARDs or TNF antagonists. Tocilizumab is given once every 4 weeks as a 60-min single intravenous infusion at a dosage of 8 mg/kg body weight and may be used as a monotherapy in the case of MTX or DMARD incompatibility. Clinical response is rapid and lasting according to clinical measurements such as ACR response rates or DAS28, irrespective of previous therapy. Within 2 weeks of the first infusion, inflammatory parameters such as CRP and ESR decline and the haemoglobin concentration increases. Adv......
POSTED 08/12/2010 at 06:00 PM --
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Small bowel diverticulitis: an often overlooked cause of acute abdomen
We present 3 cases of small bowel diverticulitis ultimately presenting to our Emergency Department over a span of 2 years.
Though the final diagnosis was the same, each patient's symptomatology was different, mimicking more common pathologies. Thus,
it is important to consider this entity when confronted with signs and symptoms of acute abdomen, especially in the elderly.
A missed or delayed diagnosis can lead to costly erroneous studies, incorrect treatments and delay in proper management, resulting
in significant morbidity and even mortality. The variety of presentations can often be misleading; therefore, a high index
of suspicion is needed on the part of the Emergency Department physician and Radiologist.
Content Type Journal ArticleDOI 10.1007/s10140-010-0896-5Authors
Nico......
POSTED 08/10/2010 at 02:21 PM --
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Features and Management of Colonic Diverticular Disease
Abstract Diverticular disease is one of the most prevalent gastrointestinal conditions to afflict Western populations. Although the
majority of patients with diverticulosis remain asymptomatic, about one third will develop symptoms at some point in their
lives. Symptomatic diverticular disease can range from chronic mild gastrointestinal distress to acute bouts of diverticulitis
complicated by abscess or frank colonic perforation. The mainstay of treatment of symptomatic diverticular disease has long
been bowel rest, antibiotics, and pain control, reserving surgery for those with complicated disease. This review discusses
the epidemiology, pathophysiology, clinical presentation, and management of the spectrum of diverticular disease, including
recent advances in the treatm......
POSTED 08/09/2010 at 12:44 AM --
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In Brief
Diverticular disease is common in industrialized nations. Diverticular disease tends to affect patients during their most economically productive years; the incidence rises from 5% at age 40 to 80% by age 80. Ten percent to 25% of patients who develop diverticulosis will develop diverticulitis. In the USA, diverticular disease and its complications are responsible for nearly 400,000 admissions, 112,000 disability cases, and 3,000 case fatalities annually. (Source: Current Problems in Surgery)...
POSTED 08/07/2010 at 02:16 AM --
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New Paradigms in the Management of Diverticular Disease
A colonic diverticulum is a saccular outpouching of the colonic wall. Diverticula may be âfalse,â containing mucosa and muscularis mucosa, or âtrue,â containing all layers of the bowel wall. Although the terms diverticulosis, diverticulitis, and diverticular disease are often used interchangeably, in this monograph, diverticulosis refers to the presence of diverticula within the colon in the absence of inflammation. Diverticulitis refers to the presence of peridiverticular inflammation and infection and diverticular disease refers to the range of problems that may be caused by diverticula. (Source: Current Problems in Surgery)...
POSTED 08/07/2010 at 02:16 AM --
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DIRECT trial: Diverticulitis Recurrences or Continuing Symptoms;
Operative versus Conservative Treatment. A MULTICENTER RANDOMISED CLINICAL TRIAL
DiscussionConsidering the high incidence and the multicenter design of this study, it may be assumed that the number of patients needed for this study (n= 214), may be gathered within one and a half year.Depending on the expertise and available equipment, we prefer to perform a laparoscopic resection on patients randomised for elective surgery. Should this be impossible, an open technique may be used as this also reflects the current situation.(Trial register number: NTR1478) (Source: BMC Surgery)...
POSTED 08/05/2010 at 06:00 PM --
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Current management of diverticular disease of the colon
Abstract The medical treatment plays the first role in the vast majority of cases. Severe acute diverticulitis requires hospitalization
and supporting care with intravenous fluids and antibiotics such as ciprofloxacin and metronidazole. Emergency operative intervention
is necessary if complication occurs. Laparoscopic surgery has a well-defined place and such colectomy has been gaining, nowadays,
more popularity.
Content Type Journal ArticleDOI 10.1007/s10151-010-0629-5Authors
T. E. Pavlidis, Aristotle University Second Surgical Propedeutical Department, Medical School Thessaloniki GreeceE. T. Pavlidis, Aristotle University Second Surgical Propedeutical Department, Medical School Thessaloniki GreeceA. K. Sakantamis, Aristotle University Second Surgical Propedeutical De......
POSTED 08/04/2010 at 03:03 AM --
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Co-morbidity and postsurgical outcome in patients with perforated sigmoid diverticulitis
Conclusions Emergency surgery for perforated sigmoid diverticulitis is associated with high morbidity and mortality rates. Anastomotic
leakage was associated with patient co-morbidity rather than with intraoperative Hinchey category, suggesting that the decision
to perform PA should better be based on patientâs general condition rather than on intraoperative extent of inflammation.
Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00384-010-1017-3Authors
Mario H. Mueller, Ludwig-Maximilians-University Department of Surgery Marchioninistr. 15 81377 Munich GermanyMartina Karpitschka, Ludwig-Maximilians-University Department of Surgery Marchioninistr. 15 81377 Munich GermanyBernhard Renz, Ludwig-Maximilians-University Department of Surgery Marchionini......
POSTED 07/30/2010 at 11:54 AM --
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Rives-Stoppa incisional hernia repair combined with laparoscopic separation of abdominal wall components: a novel approach to complex abdominal wall closure
Conclusions The authors conclude that Rives-Stoppa repair augmented by laparoscopic components separation is an innovative method for
reconstruction of complex abdominal wall defects. Laparoscopic components separation allows fascial closure to be achieved
anterior to the mesh in large incisional hernias, which may reduce wound infection rates.
Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10029-010-0704-xAuthors
T. C. Cox, The Uniformed Services University Norman M. Rich Department of Surgery, National Naval Medical Center 4301 Jones Bridge Road Bethesda MA 20814 USAJ. P. Pearl, The Uniformed Services University Norman M. Rich Department of Surgery, National Naval Medical Center 4301 Jones Bridge Road Bethesda MA 20814 USAE. M. Ritter, The Unifo......
POSTED 07/27/2010 at 04:11 AM --
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The cost effectiveness of elective laparoscopic sigmoid resection for symptomatic diverticular disease: financial outcome of the randomized control Sigma trial
Conclusion Total healthcare costs of laparoscopic and open elective sigmoid resections for symptomatic diverticular disease are similar.
As the clinical outcomes are in favor of the LSR group, candidates for an elective sigmoid resection should preferably be
approached laparoscopically.
Content Type Journal ArticleDOI 10.1007/s00464-010-1252-2Authors
Bastiaan R. Klarenbeek, VU University Medical Center Department of Surgery Amsterdam The NetherlandsVeerle M. H. Coupé, VU University Medical Center Department of Epidemiology and Biostatistics Amsterdam The NetherlandsDonald L. van der Peet, VU University Medical Center Department of Surgery Amsterdam The NetherlandsMiguel A. Cuesta, VU University Medical Center Department of Surgery Amsterdam The Netherlands
J......
POSTED 07/27/2010 at 04:10 AM --
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Incidence of diverticular disease and complicated diverticular disease in young patients with Williams syndrome
Content Type Journal ArticleCategory Letter to the EditorDOI 10.1007/s00383-010-2666-6Authors
Stefano Stagi, University of Florence Department of Paediatrics, Paediatric Endocrinology Unit, Anna Meyer Childrenâs Hospital Viale Pieraccini 24 50139 Florence ItalyElisabetta Lapi, Anna Meyer Childrenâs Hospital Genetics and Molecular Medicine Unit Florence ItalyFrancesco Chiarelli, University of Chieti Department of Paediatrics Chieti ItalyMaurizio de Martino, University of Florence Department of Paediatrics, Anna Meyer Childrenâs Hospital Viale Pieraccini 24 50139 Florence Italy
Journal Pediatric Surgery InternationalOnline ISSN 1437-9813Print ISSN 0179-0358 (Source: Pediatric Surgery International)...
POSTED 07/23/2010 at 07:24 AM --
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Risk factors for colonic perforation after screening computed tomographic colonography: a multicentre analysis and review of the literature
Conclusion
There is a small but real risk of perforation following CT colonography. Patient selection and preventative procedural measures may reduce this risk. The importance of the consent process is emphasized. (Source: Journal of Medical Screening)...
POSTED 07/21/2010 at 04:37 PM --
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Safety and learning curve in robotic colorectal surgery
We describe our experience with benign and malignant disease since
September 2008 in a dedicated colorectal practice. A prospective collected robotic database was queried for colon and rectal
procedures. Anonymized demographic, intraoperative, and postoperative data, and pathology information, were collected and
analyzed. A total of 48 robotic procedures for colorectal maladies were performed in the study period. There were 35 females
and 13 males. The average age was 57 years. Twenty-two cases were performed for diverticulitis, 13 for malignancy (10 distal
rectum (<8 cm anal verge), two rectosigmoid, and one ascending colon cancer), 10 for rectal prolapse, two for rectovaginal
fistula, and one for incidental appendiceal mucocele found during a gynecologic resection. The......
POSTED 07/20/2010 at 03:01 AM --
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Diagnostic Value of Inflammation Markers in Predicting Perforation in Acute Sigmoid Diverticulitis
Conclusions A CRP below 50 mg/l suggests a perforation to be unlikely in acute sigmoid diverticulitis, whereas a CRP higher than 200 mg/l
is a strong indicator of perforation.
Content Type Journal ArticleDOI 10.1007/s00268-010-0726-7Authors
S. A. Käser, Hospital of Liestal Department of General, Visceral, Vascular and Thoracic Surgery Rheinstrasse 26 4410 Liestal SwitzerlandG. Fankhauser, Hospital of Tafers Department of General and Visceral Surgery Maggenberg 1 1712 Tafers SwitzerlandP. M. Glauser, Hospital of Liestal Department of General, Visceral, Vascular and Thoracic Surgery Rheinstrasse 26 4410 Liestal SwitzerlandD. Toia, Hospital of Liestal Department of Radiology Rheinstrasse 26 4410 Liestal SwitzerlandChristoph A. Maurer, Hospital of Liestal Depa......
POSTED 07/20/2010 at 02:52 AM --
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Gastrointestinal Conditions during Pregnancy
Clinics in Colon and Rectal Surgery 2010; 23: 080-089DOI: 10.1055/s-0030-1254294ABSTRACTPregnancy causes anatomic and physiologic changes in the gastrointestinal tract. Pregnant women with intestinal disease such as Crohn disease or ulcerative colitis pose a management challenge in clinical diagnosis, radiologic evaluation, and treatment secondary to potential risk to the fetus. Heightened physician awareness on possible etiologies such as appendicitis, diverticulitis, and rarely colorectal cancer is required for rapid diagnosis and treatment to improve maternal/fetal outcome. A multidisciplinary approach to evaluation is a necessity because radiologic procedures and treatment medications commonly used in nonpregnant patients may have a potential harmful effect on the fetus. The authors re......
POSTED 07/20/2010 at 02:02 AM --
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