-
Gastroenterologie Clinique Et Biologique 2005
Review
Topics: Algorithms; Diverticulitis; Humans; Sigmoid Diseases
PubMed: 16294150
DOI: 10.1016/s0399-8320(05)86352-3 -
Chirurgia (Bucharest, Romania : 1990) 2018Jejunal diverticulitis is a rare entity with a higher prevalence among patients between 60 and 70 years. Jejunal diverticula are most often considered an incidental... (Review)
Review
Jejunal diverticulitis is a rare entity with a higher prevalence among patients between 60 and 70 years. Jejunal diverticula are most often considered an incidental finding, but, they can have complications such as diverticulitis, perforation, abscess, generalized peritonitis, fistula, obstruction and bleeding.Setting the diagnosis still remains challenging. Physicians should be aware of their existence and the clinical suspicion should be raised, especially in the setting of acute abdominal pain where jejunal diverticulitis should be included in the differential diagnosis. A small amount of free air adjacent to the small bowel can be confusing and easily misdiagnosed as small bowel perforation, but, it can actually be found as a result of the inflammation itself without macroperforation or complications.This fact can change the therapeutic strategy to less aggressive, conservative treatments. We present a case of a patient coming to the emergency department with acute abdominal pain, signs of peritonitis, a small amount of extraluminal air, and jejunal diverticulitis without perforation was diagnosed on laparotomy, and a review of the current literature.
Topics: Diagnosis, Differential; Diverticulitis; Humans; Intestinal Perforation; Intestine, Small; Jejunal Diseases; Laparotomy
PubMed: 30183590
DOI: 10.21614/chirurgia.113.4.576 -
The Australian and New Zealand Journal... Feb 1963
Topics: Diverticulitis; Diverticulitis, Colonic; Humans
PubMed: 13934087
DOI: 10.1111/j.1445-2197.1963.tb03025.x -
Gastroenterology Clinics of North... Sep 2009Colonic diverticulosis is a common, usually asymptomatic, entity of Western countries, with an incidence that increases with age. When these diverticula become infected... (Review)
Review
Colonic diverticulosis is a common, usually asymptomatic, entity of Western countries, with an incidence that increases with age. When these diverticula become infected and inflamed, patients can present with a wide variety of clinical manifestations. Management of acute, uncomplicated diverticulitis can often be treated successfully with antibiotics alone and the decision to proceed with more aggressive measures such as surgical intervention is made on a case-by-case basis. The treatment algorithm for diverticular disease continues to evolve as the pathophysiology, etiology, and natural history of the disease becomes better understood.
Topics: Acute Disease; Aging; Anti-Bacterial Agents; Colon, Sigmoid; Diagnostic Imaging; Diverticulitis; Diverticulosis, Colonic; Drainage; Enema; Humans; Laparoscopy
PubMed: 19699411
DOI: 10.1016/j.gtc.2009.06.004 -
Gastroenterologia Y Hepatologia Apr 2022
Topics: Diverticulitis; Humans; Jejunal Diseases; Jejunum; Phlebitis
PubMed: 33744364
DOI: 10.1016/j.gastrohep.2021.02.006 -
The American Journal of Gastroenterology Jun 2008Diverticular disease is one of the most prevalent medical conditions to affect Western populations. Symptomatic diverticular disease can range from mild, low-level... (Review)
Review
Diverticular disease is one of the most prevalent medical conditions to affect Western populations. Symptomatic diverticular disease can range from mild, low-level symptomatology similar to that seen in irritable bowel syndrome to acute bouts of diverticulitis complicated by abscess or frank perforation. This review discusses the epidemiology, pathophysiology, clinical presentation, and management of the spectrum of diverticular disease, including mention of recent advances in the treatment of chronic diverticular disease with aminosalicyclates and probiotics.
Topics: Diverticulitis; Diverticulum, Colon; Humans; Irritable Bowel Syndrome; Risk Factors
PubMed: 18479497
DOI: 10.1111/j.1572-0241.2008.01879.x -
Diseases of the Colon and Rectum Sep 2020
Topics: Diverticular Diseases; Diverticulitis; Diverticulitis, Colonic; Humans
PubMed: 33216487
DOI: 10.1097/DCR.0000000000001739 -
ANZ Journal of Surgery Oct 2015Acute diverticulitis (AD) is one of the most common acute admission diagnoses for general surgery, and its prevalence is increasing, in part due to the ageing... (Review)
Review
Acute diverticulitis (AD) is one of the most common acute admission diagnoses for general surgery, and its prevalence is increasing, in part due to the ageing population. Currently, most patients who present to a tertiary hospital are admitted for a period of treatment and observation. Simple, safe and cost-effective strategies for improving our current treatment of this condition will be invaluable in providing the most appropriate management for individual patients and for reducing the health resources expended on hospital admissions and parenteral antibiotics. AD can be categorized as uncomplicated or complicated, these two subtypes have a very different clinical course. The management of uncomplicated AD has become increasingly conservative, with a focus on symptomatic relief and supportive management. Recent research has brought into question the need for extended hospital admission and questioned the current use of antibiotics. Anti-inflammatory agents that reduce local inflammation in uncomplicated AD may be a useful means of reducing damage caused by inflammation and aiding earlier resolution of the inflammatory response and associated symptoms. Mesalazine is an anti-inflammatory agent that has been trialled in uncomplicated AD. Mesalazine has been shown to improve time to resolution of endoscopic and histological evidence of inflammation following an episode of AD and also reduce the rate of recurrence. In this literature review, we provide an overview of recent advances in AD classification, pathophysiology and management, and examine the possibility of introducing the use of anti-inflammatory agents in the management of uncomplicated AD.
Topics: Acute Disease; Anti-Bacterial Agents; Anti-Inflammatory Agents; Diverticulitis; Diverticulitis, Colonic; Hospitalization; Humans; Mesalamine
PubMed: 26211943
DOI: 10.1111/ans.13233 -
JAMA Sep 2016
Topics: Diverticulitis; Diverticulum; Humans
PubMed: 27623476
DOI: 10.1001/jama.2016.3592 -
The Korean Journal of Gastroenterology... Jun 2022Colonic diverticulosis is one of the most common conditions of the digestive system and patients generally remain asymptomatic. However, about 20% of patients develop... (Review)
Review
Colonic diverticulosis is one of the most common conditions of the digestive system and patients generally remain asymptomatic. However, about 20% of patients develop symptomatic diverticular disease such as acute diverticulitis or diverticular hemorrhage, and these have become a huge burden on healthcare systems worldwide. Recent understanding of the pathophysiology of diverticulosis and diverticular disease suggests the role of multiple factors including genetic and environment. Based on this understanding, a preventive strategy to reduce the risk factors of diverticulosis and diverticular disease is highly recommended. The diagnosis of the acute diverticulitis relies on imaging modalities such as an abdominal-pelvic CT scan together with symptoms and signs. Treatment of diverticular disease should be individualized and include modification of lifestyle, use of antibiotics, and surgery. Recent guidelines recommend pursuing less aggressive treatment for patients with acute diverticulitis. This review will provide an overview of both the existing and evolving understanding regarding colonic diverticulosis and diverticular disease and can help clinicians in the management of their patients with diverticular disease.
Topics: Diverticular Diseases; Diverticulitis; Diverticulitis, Colonic; Diverticulosis, Colonic; Diverticulum; Humans
PubMed: 35746837
DOI: 10.4166/kjg.2022.072