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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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Laparoscopic colectomy for complex diverticular disease: a justifiable choice?
Conclusions The laparoscopic management of complicated diverticular disease is feasible and appears to be safe in the hands of experts.
Despite a high rate of conversion to open surgery, laparoscopy was the sole operative intervention for the majority of patients
with complicated diverticular disease. Further studies are needed to allow rigorous comparison with an open control group.
Content Type Journal ArticleDOI 10.1007/s00464-010-0951-zAuthors
Guillaume Martel, The Ottawa Hospital, University of Ottawa Minimally Invasive Surgery Research Group, Division of General Surgery 501 Smyth Road Ottawa ON K1H 8L6 CanadaAlexandre Bouchard, The Ottawa Hospital, University of Ottawa Minimally Invasive Surgery Research Group, Division of General Surgery 501 Smyth Road Ottawa......
POSTED 02/26/2010 at 12:51 AM --
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Microscopic Findings in Sigmoid Diverticulitis—Changes after Conservative Therapy
This study included all patients who underwent surgery for CT morphologically phlegmonous and covered perforated SD from January
2002 to June 2007. Two groups were formed to record time-course changes: early elective surgery (7–10 days after antibiotic
treatment) and late elective surgery (4–6 weeks after conservative treatment). Exclusion criteria were emergency interventions,
free perforations (Hinchey III and IV), recurrent inflammations, and contrast allergy. The extent of the inflammation recorded
preoperatively by CT scan was compared with histological findings.
Results A total of 257 patients (142 male and 115 female; mean age, 56.6 years) underwent surgery (116 early elective and 141 late
elective) for phlegmonous and covered perforated S......
POSTED 02/25/2010 at 11:58 AM --
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Killian-Jamieson diverticulitis with cervical cellulitis: Report of a case
We report the case of a 53-year-old
woman with cervical cellulitis caused by K-J diverticulitis. The cellulitis was cured by the administration of an antibiotic
agent. The patient underwent a resection of the K-J diverticulum 2 months after the cellulitis was cured. The cervical diverticulum
was judged to be a K-J diverticulum because the diverticulum prolapsed laterally just below the cricopharyngeus muscle on
the esophagogram. The left recurrent laryngeal nerve adhered to the proximity of the orifice of the diverticulum. The recurrent
laryngeal nerve was carefully preserved before the resection of the diverticulum. Accurate differential diagnosis between
K-J and Zenker’s diverticula is necessary before surgery to preserve the recurrent laryngeal nerve.
Content Type Journal A......
POSTED 02/24/2010 at 09:49 AM --
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Commentary: Perspectives on diverticulitis and the art of clinical science – treat the man not the scan
(Source: Colorectal Disease)...
POSTED 02/16/2010 at 06:00 PM --
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Damage control with abdominal vacuum therapy (VAC) to manage perforated diverticulitis with advanced generalized peritonitis—a proof of concept
Conclusions Damage control with lavage, limited bowel resection, VAC, and scheduled second-look operation represents a feasible strategy
in patients with perforated diverticulitis (Hinchey III and IV) to enhance sepsis control and improve rate of anastomosis.
Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00384-010-0887-8Authors
Alexander Perathoner, Medical University Innsbruck Center of Operative Medicine, Department of Visceral, Transplant and Thoracic Surgery Anichstrasse 35 6020 Innsbruck AustriaAlexander Klaus, Medical University Innsbruck Center of Operative Medicine, Department of Visceral, Transplant and Thoracic Surgery Anichstrasse 35 6020 Innsbruck AustriaGilbert Mühlmann, Medical University Innsbruck Center of Operative Medicine, Depart......
POSTED 02/11/2010 at 05:47 AM --
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Current indications and role of surgery in the management of sigmoid diverticulitis.
Authors: Stocchi L
Sigmoid diverticulitis is a common disease which carries both a significant morbidity and a societal economic burden. This review article analyzes the current data regarding management of sigmoid diverticulitis in its variable clinical presentations. Wide-spectrum antibiotics are the standard of care for uncomplicated diverticulitis. Recently published data indicate that sigmoid diverticulitis does not mandate surgical management after the second episode of uncomplicated disease as previously recommended. Rather, a more individualized approach, taking into account frequency, severity of the attacks and their impact on quality of life, should guide the indication for surgery. On the other hand, complicated diverticular disease still requires surgical treatment in pati......
POSTED 02/10/2010 at 11:56 AM --
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Elective laparoscopic recto-sigmoid resection for diverticular disease is suitable as a training operation
Conclusion Since there are no differences in operation time, blood loss, conversion rate and total complications, there is no need to
avoid laparoscopic recto-sigmoid resection for diverticular disease early in the learning curve.
Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00384-010-0875-zAuthors
Robbert Bosker, Medical Center Leeuwarden Department of Surgery Leeuwarden The NetherlandsFroukje Hoogenboom, Medical Center Leeuwarden Department of Surgery Leeuwarden The NetherlandsHenk Groen, University Medical Center Groningen Department of Epidemiology Groningen The NetherlandsChristiaan Hoff, Medical Center Leeuwarden Department of Surgery Leeuwarden The NetherlandsRutger Ploeg, University Medical Center Groningen Department of Surgery Groningen T......
POSTED 02/09/2010 at 11:35 AM --
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Prospective randomized trial comparing short-term antibiotic therapy versus standard therapy for acute uncomplicated sigmoid diverticulitis
Conclusion The results obtained with short-term ertapenem therapy (4 days) showed that this was as effective as standard therapy (7 days)
for treatment of uncomplicated sigmoid diverticulitis.
Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00384-010-0899-4Authors
Christine Schug-Pass, Vivantes Hospital Spandau Department of Surgery, Center for Minimally Invasive Surgery Neue Bergstrasse 6 13585 Berlin GermanyPascal Geers, Hannover Hospital Siloah Department of Surgery, Center for Minimally Invasive Surgery Hannover GermanyOmar Hügel, Hannover Hospital Siloah Department of Surgery, Center for Minimally Invasive Surgery Hannover GermanyHans Lippert, Otto-von-Guericke-University Department of Surgery Magdeburg GermanyFerdinand Köckerling, Vi......
POSTED 02/05/2010 at 11:53 AM --
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Loyola Surgeon Uses Novel Technique To Perform Complicated Colon Surgery
Janet Bunch of Chicago had just experienced another "excruciating" bout of diverticulitis, an inflammation of the pockets in the lining of the colon. "It was the second time in 19 months and the pain was worse than you could imagine," said Bunch, 64, a resident of Chicago. Mild cases of diverticulitis can be treated with changes in diet, rest and antibiotics. However, Bunch's condition was more serious and the chances of recurrences were high. Her doctors at Loyola University Health System said her best option would be surgery to remove the inflamed section of colon... (Source: Health News from Medical News Today)...
POSTED 02/02/2010 at 02:00 AM --
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Loyola Surgeon Uses Novel Technique To Perform Complicated Colon Surgery
Janet Bunch of Chicago had just experienced another "excruciating" bout of diverticulitis, an inflammation of the pockets in the lining of the colon. "It was the second time in 19 months and the pain was worse than you could imagine," said Bunch, 64, a resident of Chicago. Mild cases of diverticulitis can be treated with changes in diet, rest and antibiotics... (Source: GastroIntestinal News From Medical News Today)...
POSTED 02/02/2010 at 02:00 AM --
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Avoiding or Reversing Hartmann’s Procedure Provides Improved Quality of Life After Perforated Diverticulitis
Conclusions Survivors after perforated diverticulitis had a worse QOL than the general population, which was mainly due to the presence
of an end colostomy. QOL may improve if these stomas are reversed or not be performed in the first place.
Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11605-010-1155-5Authors
Jefrey Vermeulen, Erasmus University Hospital Department of Surgery Dr. Molewaterplein 40 3015 GD Rotterdam The NetherlandsMartijn P. Gosselink, Maasstad Hospital Department of Surgery Groene Hilledijk 315 3075 EA Rotterdam The NetherlandsJan J. V. Busschbach, Erasmus University Rotterdam Department for Medical Psychology and Psychotherapy Dr. Molewaterplein 40 3015 GD Rotterdam The NetherlandsJohan F. Lange, Erasmus University Hospital Depart......
POSTED 02/02/2010 at 01:00 AM --
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Comparing administrative and survey data for ascertaining cases of irritable bowel syndrome: a population-based investigation
Conclusions:
Poor agreement between administrative and survey data for IBS may account for differences in the results of health services and outcomes research using these sources. Further research is needed to identify the optimal method(s) to ascertain IBS cases in both data sources. (Source: BMC Health Services Research)...
POSTED 01/31/2010 at 06:00 PM --
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Risk of clinical leak after laparoscopic versus open bowel anastomosis
Conclusions A laparoscopic colorectal approach is not associated with a higher risk of clinical anastomotic bowel leak.
Content Type Journal ArticleDOI 10.1007/s00464-009-0867-7Authors
Galal El-Gazzaz, Cleveland Clinic Foundation A30 Department of Colorectal Surgery Cleveland OH 44195 USADaniel Geisler, Cleveland Clinic Foundation A30 Department of Colorectal Surgery Cleveland OH 44195 USATracy Hull, Cleveland Clinic Foundation A30 Department of Colorectal Surgery Cleveland OH 44195 USA
Journal Surgical EndoscopyOnline ISSN 1432-2218Print ISSN 0930-2794 (Source: Surgical Endoscopy)...
POSTED 01/29/2010 at 06:15 AM --
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Inflammatory myoglandular polyp of the cecum: case report and review of literature
Conclusions:
This is the first case of IMGP of the cecum. It is a benign lesion of unknown pathogenesis and must be considered different from other non-neoplastic polyps of the large bowel such as inflammatory cap polyps (ICP), inflammatory cloacogenic polyps, juvenile polyps (JP), inflammatory fibroid polyps (IFP), polyps secondary to mucosal prolapse syndrome (MPS), polypoid prolapsing mucosal folds of diverticular disease. When symptomatic, IMGP should be removed endoscopically, whereas surgical resection is reserved only in selected patients as in our case. (Source: BMC Gastroenterology)...
POSTED 01/25/2010 at 06:00 PM --
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American Society of Colon & Rectal Surgeons Call for Entries: 2010 National Media Awards
American Society of Colon & Rectal Surgeons Call for Entries: 2010 National Media Awards
The American Society of Colon & Rectal Surgeons Honoring excellence in communicating a better understanding of colon and rectal disease.
Three Categories: Print, Broadcast & Internet Winners will receive: --$1,000 Award --Personally engraved plaque -- Expense-paid trip to Minneapolis, MN, for the ASCRS Annual Meeting, May 15-19, 2010
Deadline for receipt of entries: March 1, 2010
The American Society of Colon and Rectal Surgeons (ASCRS) presents the National Media Awards to journalists who have excelled in communicating information about colon and rectal disease to the public.
ASCRS is a 2,600-member association representing colon and rectal surgeons in the United States......
POSTED 01/24/2010 at 06:00 PM --
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Intestinal Disorders, Falk Symposium 164
The aim of this book is to provide an up-to-date review of the clinical, pathologic, and genetic advances in intestinal disorders. It is a compilation of the proceedings of the Falk Symposium 164 entitled “Intestinal Disorders,” held in Budapest, Hungary, on May 2–3, 2008. The lectures are mainly written and edited by European authors and give a slightly different perspective than the usual treatment algorithms one encounters in US gastroenterology. For example, there are some data on using mesalamine drugs and probiotics to prevent and treat diverticulitis and on novel agents used to treat irritable bowel syndrome. Because the Falk Symposium occurred about 1.5 years ago, recent data that have been reported are not included. Two examples are new data on prevention and treatment of di......
POSTED 01/24/2010 at 06:00 PM --
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Treatment of Perforated Diverticulitis with Generalized Peritonitis: Past, Present, and Future
Conclusions This paper includes a historic summary of changing patterns in surgical strategies in perforated diverticulitis complicated
by generalized peritonitis.
Content Type Journal ArticleDOI 10.1007/s00268-009-0372-0Authors
Jefrey Vermeulen, Erasmus Medical Center Department of Colorectal Surgery Dr Molewaterplein 40 3015 GD Rotterdam The NetherlandsJohan F. Lange, Erasmus Medical Center Department of Colorectal Surgery Dr Molewaterplein 40 3015 GD Rotterdam The Netherlands
Journal World Journal of SurgeryOnline ISSN 1432-2323Print ISSN 0364-2313 (Source: World Journal of Surgery)...
POSTED 01/05/2010 at 10:57 AM --
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Cologenital Fistula Secondary to Diverticulitis
Surgical Infections , Vol. 0, No. 0. (Source: Surgical Infections)...
POSTED 12/29/2009 at 08:28 AM --
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Diverticular disease is associated with an enteric neuropathy as revealed by morphometric analysis
Conclusions & Inferences Patients with DD show substantial structural alterations of the ENS mainly characterized by myenteric and submucosal oligo-neuronal hypoganglionosis which may account for intestinal motor abnormalities reported in DD. The morphometric data give evidence that DD is associated with structural alterations of the ENS which may complement established pathogenetic concepts. (Source: Neurogastroenterology and Motility)...
POSTED 12/23/2009 at 06:00 PM --
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Influence of hysterectomy on fistula formation in women with diverticulitis
Diverticulitis is a risk factor for fistula formation but little is known about the influence of hysterectomy in this association. A population-based nationwide matched cohort study was performed to determine the risk of fistula formation in hysterectomized women with, and without, diverticulitis.Women who had a hysterectomy between 1973 and 2003, and a matched control cohort, were identified from the Swedish Inpatient Register. Incidence of diverticulitis and fistula surgery was determined by cross-linkage to the Register, and risk was estimated using a Cox regression model.In a cohort of 168 563 hysterectomized and 614 682 non-hysterectomized women (mean follow-up 11·0 and 11·5 years respectively), there were 14 051 cases of diverticulitis and 851 fistulas. Compared with women who had ......
POSTED 12/23/2009 at 06:00 PM --
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