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Clinical Gastroenterology and... Apr 2023Hemorrhoids are a common but poorly understood gastrointestinal condition. Bowel habits and fiber consumption are frequently cited as risk factors for hemorrhoids, but...
Hemorrhoids are a common but poorly understood gastrointestinal condition. Bowel habits and fiber consumption are frequently cited as risk factors for hemorrhoids, but research has been inconclusive. Recent genome-wide association studies (GWAS) have suggested an association between diverticular disease and hemorrhoids. We sought to investigate the association between colonic diverticulosis and internal hemorrhoids to validate the prediction from the GWAS.
Topics: Humans; Hemorrhoids; Genome-Wide Association Study; Diverticulum; Colonoscopy; Diverticulosis, Colonic; Risk Factors
PubMed: 35176499
DOI: 10.1016/j.cgh.2022.02.020 -
Endoscopy Dec 2022
Topics: Humans; Diverticulum, Esophageal; Myotomy; Esophagus; Esophageal Achalasia; Natural Orifice Endoscopic Surgery; Treatment Outcome; Esophageal Sphincter, Lower
PubMed: 35395688
DOI: 10.1055/a-1795-7215 -
Acta Gastro-enterologica Belgica 2022
Topics: Diverticulum; Duodenal Diseases; Duodenal Ulcer; Humans; Intestinal Perforation
PubMed: 35709782
DOI: 10.51821/85.2.9584 -
Medicina 2024
Topics: Humans; Diverticulum; Urachus; Male; Female; Tomography, X-Ray Computed
PubMed: 38907983
DOI: No ID Found -
Ultrasound in Obstetrics & Gynecology :... Oct 2019Urethral diverticulum is an uncommon cause of urinary dysfunction in women, with often a significant delay in diagnosis. Urethroscopy and/or magnetic resonance imaging...
OBJECTIVE
Urethral diverticulum is an uncommon cause of urinary dysfunction in women, with often a significant delay in diagnosis. Urethroscopy and/or magnetic resonance imaging are/is widely used for its identification. Translabial ultrasound is an alternative, particularly since the introduction of three-/four-dimensional imaging. The aim of our study was to review 10 years' experience of urethral diverticula evaluated by translabial ultrasound.
METHODS
We reviewed 4121 patients seen in a tertiary urogynecologic unit between 2008 and 2018. All women were examined using multiplanar translabial ultrasound as well as office urethroscopy. Data regarding demographics, presenting symptoms and findings on clinical examination were collected. Archived ultrasound volumes were analyzed for diverticular location, diameters, complexity and echogenicity as well as tract visualization.
RESULTS
Of our study population, 23 (0.6%) were found to have a major urethral abnormality on translabial ultrasound, 15 of whom were confirmed to have a urethral diverticulum on urethroscopy. Of these, 12 had a cystic component and three were non-cystic on imaging. Mean maximum diameter was 15.3 mm (range, 4-32 mm). In 9/15 there was a simple diverticulum, while in 6/15 it was classified as complex. A communicating tract was seen in 10/15 (67%), and this was located at the 5-7 o'clock position in 7/10 (70%). Mean urethral circumference covered by the diverticulum was 39%.
CONCLUSIONS
Translabial ultrasound is a valid, non-invasive method for the diagnosis of urethral diverticulum. A cystic structure crossing the urethral rhabdosphincter has high predictive value for urethroscopic diagnosis of urethral diverticulum. Multiple hyperechogenic foci may indicate the presence of a small urethral diverticulum. Copyright © 2019 ISUOG. Published by John Wiley & Sons Ltd.
Topics: Adult; Aged; Diverticulum; Female; Humans; Imaging, Three-Dimensional; Incidence; Middle Aged; Predictive Value of Tests; Retrospective Studies; Ultrasonography; Urethra; Urethral Diseases; Urethral Neoplasms; Urinary Incontinence
PubMed: 31038237
DOI: 10.1002/uog.20305 -
BMC Gastroenterology Apr 2015To investigate the prevalence and risk factors of asymptomatic colorectal diverticulosis in Taiwanese general population.
BACKGROUND
To investigate the prevalence and risk factors of asymptomatic colorectal diverticulosis in Taiwanese general population.
METHODS
From January 2009 to December 2011, consecutive asymptomatic subjects undergoing a health check-up were evaluated by colonoscopy. The colorectal diverticulosis was assessed, and a medical history and demographic data were obtained from each subject. Logistic regression analysis was conducted to search the risk factors of colorectal diverticulosis.
RESULTS
Of the 1899 asymptomatic subjects, the prevalence of colorectal diverticulosis was 13.5%. On univariate logistic regression analysis, age over 60 years old, male, adenomatous polyp, current smoking and heavy alcohol consumption were significantly associated with diverticulosis. Multivariate logistic regression analysis revealed that age over 60 years old (relative risk [RR], 2.57; 95% confidence interval [CI], 1.64-6.47), adenomatous polyps (RR, 2.18; 95% CI, 1.18-4.61) and heavy alcohol consumption (RR, 1.82; 95% CI, 1.04-3.08) were independent predictors for colorectal diverticulosis.
CONCLUSIONS
The prevalence of asymptomatic colorectal diverticulosis was 13.5% in Taiwan. Age over 60 years old, adenomatous polyp and heavy alcohol consumption may affect the risk of development of the disease.
Topics: Adenomatous Polyps; Adult; Age Factors; Aged; Aged, 80 and over; Alcoholism; Asymptomatic Diseases; Colonoscopy; Colorectal Neoplasms; Diverticulosis, Colonic; Diverticulum; Female; Humans; Male; Middle Aged; Prevalence; Rectal Diseases; Risk Factors; Taiwan; Young Adult
PubMed: 25888375
DOI: 10.1186/s12876-015-0267-5 -
Clinical Gastroenterology and... Jun 2018
Topics: Diverticulosis, Colonic; Diverticulum, Colon; Gastrointestinal Diseases; Humans; Inflammation
PubMed: 29155169
DOI: 10.1016/j.cgh.2017.11.020 -
Revista Espanola de Enfermedades... Jan 2017As we know, the frequency of diverticular disease (DD) increases according to age, being less than 5% in patients under 40 years of age and up to 60% after 80 years of...
As we know, the frequency of diverticular disease (DD) increases according to age, being less than 5% in patients under 40 years of age and up to 60% after 80 years of age. The most common distribution of diverticula is in the left colon, except for the Asian population, where diverticular disease of the right colon is more frequent.
Topics: Colonic Diseases; Diverticulosis, Colonic; Diverticulum, Colon; Gastrointestinal Hemorrhage; Humans; Risk Factors
PubMed: 28044446
DOI: 10.17235/reed.2017.4821/2017 -
Journal of Vascular Surgery Jun 2020The Kommerell diverticulum (KD) is an extremely rare developmental abnormality of the aorta related to an aberrant subclavian artery (ASCA). The objective of our study...
OBJECTIVE
The Kommerell diverticulum (KD) is an extremely rare developmental abnormality of the aorta related to an aberrant subclavian artery (ASCA). The objective of our study was to review the natural history of KD and ASCA using our single-center experience in diagnosing and managing KD and ASCA.
METHODS
A retrospective review of the Yale radiological database from January 1999 to December 2016 was performed. Only patients with KD/ASCA and a computed tomography (CT) scan of the chest were selected for review. The primary goal was to examine the natural history of KD and ASCA and the secondary goals were to review the management and outcomes of those patients treated for KD and ASCA.
RESULTS
There were 75 patients with KD/ASCA identified, with a mean age of 63 ± 19 years; 49 were female (65%). On CT scans, left- and right-sided aortas were present in 47 (63%) and 28 (37%) patients. A right ASCA or a left ASCA were present in 47 (63%) and 28 (37%) patients. Six patients were symptomatic on presentation. Symptoms included dysphagia, chest or back pain, and emboli to the fingers. The mean KD diameter was 21.8 ± 6.0 mm and the distance to the opposite aortic wall (DAW) was 48.3 ± 10.8 mm. Sixty-six patients were followed for a mean of 31.7 ± 32.5 months. One patient ruptured without repair. Nine patients underwent operative intervention, including eight open and one endovascular repair. Complications from operative intervention included ischemic stroke with hemorrhagic transformation, deep vein thrombosis and pneumonia. The mean growth rate for KD and DAW was 1.45 ± 0.39 mm/year and 2.29 ± 0.47 mm/year, respectively. On multivariable regression analysis, hypertension was a predictor of growth of DAW (P = .03).
CONCLUSIONS
KD is uncommon and shows a female predominance. The diverticulum grows, albeit slowly (KD and DAW growth rates of 1.45 ± 0.39 mm/year and 2.29 ± 0.47 mm/year). Most patients are asymptomatic, but dysphagia, chest/back pain, and distal emboli may occur. Rupture is rare. Symptomatic patients should be operated. Asymptomatic patients can be followed with serial CT scans.
Topics: Adolescent; Adult; Aged; Aged, 80 and over; Aorta; Aortic Rupture; Aortography; Cardiovascular Abnormalities; Computed Tomography Angiography; Connecticut; Databases, Factual; Disease Progression; Diverticulum; Female; Humans; Male; Middle Aged; Postoperative Complications; Retrospective Studies; Risk Factors; Sex Factors; Subclavian Artery; Tertiary Care Centers; Treatment Outcome; Vascular Malformations; Vascular Surgical Procedures; Young Adult
PubMed: 31708305
DOI: 10.1016/j.jvs.2019.08.260 -
Polski Przeglad Chirurgiczny Aug 2019Meckel's diverticulum is the most common congenital malformation of the gastrointestinal tract, with its incidence estimated at 1-4% in the general population. In most... (Review)
Review
Meckel's diverticulum is the most common congenital malformation of the gastrointestinal tract, with its incidence estimated at 1-4% in the general population. In most cases Meckel's diverticulum is a latent, asymptomatic anomaly, but in some cases, it may lead to complications such as intestinal obstruction, bleeding and inflammation. The literature provides no precise recommendations for the management of accidentally diagnosed, unaffected Meckel's diverticulum. The aim of this study was to review the literature on the subject to determine the current state of knowledge. Based on an analysis of 17 papers, the following criteria (risk factors) were identified justifying 'preventive' resection of an accidentally found, unaffected Meckel's diverticulum: age <50 years, male gender, length >2 cm, macroscopic abnormalities suggesting the presence of ectopic gastric mucosa as well as narrow neck of the diverticulum. When the criteria are not met, there is a minimal lifetime risk of complications. Leaving diverticulum intact is recommended in cases of peritonitis, major abdominal trauma and at older age. Nevertheless, indications or contraindications for resection are relative, and surgeons are safe to make their decision depending on individual patient's situation.
Topics: Gastrointestinal Hemorrhage; Humans; Intestinal Obstruction; Meckel Diverticulum; Risk Factors
PubMed: 31849359
DOI: 10.5604/01.3001.0013.3400