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At least 199 records · Page 11Linked to original sources
PubMed1981

Acute perforation of sigmoid diverticula.

Forty patients underwent operative therapy for acute perforation of colonic diverticula. The group I patients had some localization of infection, group II had generalized feculent-purulent contamination with free perforation, and group III had free perforation and were treated with chronic steroids for various medical disorders. The retrospective evaluation was directed at evaluating the effect on survival of methods to treat the hole in the colon and methods to treat peritoneal contamination. It is concluded that control of the perforation in the bowel and aggressive peritoneal irrigation may decrease the high morbidity and mortality rates.

Adult↗
PubMed1989

Diverticular disease.

Although most often clinically silent, colonic diverticula are responsible for a large number of gastrointestinal illnesses in our society. Complications of diverticular disease, including perforation and hemorrhage, may occur in 15% to 20% of patients with diverticula during their lifetime, and although often mild and self-limiting diseases, they too frequently cause life-threatening problems that require prompt surgical intervention. Despite a cadre of sophisticated laboratory and radiologic tests that have been developed to aid in the diagnosis of complicated diverticular disease, the diagnosis and treatment of diverticulitis still relies heavily on patient history, physical examination, physician judgment, and the patient's clinical response to treatment. Thus it is important for the managing physician to fully understand the pathogenesis of diverticula, the clinical consequences and modes of presentation of complicated diverticular disease, and the array of interventions available for treatment of these problems. This monograph summarizes our knowledge of diverticular disease to date and tries to give specific guidelines for the treatment of patients with complicated diverticulitis. However, it must be understood that the presentation and severity of these complications vary widely from patient to patient. Thus one cannot take a single approach toward a patient who has diverticulitis or diverticular bleeding. Rather, successful outcomes depend on an individual approach to each patient while maintaining certain generally accepted principles of treatment.

Colonic Diseases↗
PubMedDate not supplied

CT colonography features of sigmoid diverticular disease.

OBJECTIVE: The objective of this study is to assess the sigmoid distensibility during CT colonography (CTC) in patients with diverticular disease. METHODS: Consecutive patients without a history of pelvic radiation or neoplasms underwent 150 CTC. Three radiologists in consensus evaluated axial images for colonic distention, luminal diameters (mm), diverticula, and muscular thickening. RESULTS: The minimum colon diameter in patients with muscular thickening was significantly smaller, irrespective of the presence of diverticula (P=.009). CONCLUSION: Muscular thickening with diverticular disease was associated with significantly less sigmoid colon distension.

Adult↗
PubMed2006

Diagnosis of diverticulitis by bedside ultrasound in the Emergency Department.

This case report describes a potential novel indication for the use of bedside ultrasound in the Emergency Department. The patient in this case had some of the signs and symptoms of diverticulitis. The "pseudo-kidney" sign, which was thought to represent acute diverticulitis, was appreciated on a rapid, bedside ultrasound and confirmed by computed tomography. Knowledge of the sonographic appearance of diverticulitis may aid emergency physicians in making this diagnosis promptly, and facilitate the appropriate disposition.

Diverticulitis, Colonic↗
PubMed1994

Diverticular disease. Surgical options, patient management.

Diverticular disease is a common and occasionally complicated disease in our western society. Although the exact etiology is unknown, diet is thought to be a contributing factor to the formation of diverticula. Diverticular disease most often is managed medically. When surgery is indicated, perioperative nursing care is based on knowledge of the disease process and attention to the physical and emotional needs of the patient.

Diverticulitis, Colonic↗
PubMed2001

Preservation of the inferior mesenteric artery in colorectal resection for complicated diverticular disease.

BACKGROUND: Preservation of the inferior mesenteric artery (IMA) and consequential blood flow to the rectum would reduce the risk of leakage of a colorectal anastomosis. METHODS: One hundred and sixty-three patients undergoing left colectomy for complicated diverticular disease of the colon were randomly placed into two groups: A, n = 86; and B, n = 77. In group A, the integrity of the IMA was preserved by artery skeletization (IMAS); in group B, the IMA was divided at its origin. Variables recorded included duration of the surgical procedure, need for blood transfusion, length of hospital stay, operative mortality and morbidity, staple-ring disruption, and radiologic and clinical leakage. Anastomotic stenosis and recurrence of diverticular disease were noted. RESULTS: Surgical time was superior in the IMAS group. Radiologic and clinical leakages were significantly higher in group B (P = 0.02, P = 0.03, respectively). In group A a significant lower number of staple-ring disruptions was observed, evolving into clinical dehiscence. CONCLUSION: Preserving the natural blood supply to the rectum and the ensuing use of a healthy well-nourished rectal stump are suggested as the main aspects of IMAS in preventing and healing leakage of colorectal anastomosis.

Aged↗