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PubMed1978

The diagnosis and management of diverticular disease.

Diverticular disease is very common among elderly members of "Western, civilized" communities. The aetiopathogenesis is unknown, but may be related to diet and raised intracolonic pressure. Patients with diverticulosis are usually asymptomatic, but those with diverticulitis (which implies inflammation) often present with pain, pyrexia and changes in bowel habit. Careful differential diagnosis is necessary to permit appropriate treatment (medical or surgical), and to detect and treat potentially dangerous complications (abscess, peritonitis, haemorrhage, stenosis, fistula).

Colonic Diseases↗
PubMed1982

The increasing use of fibreoptics in radiodiagnosis.

The technique of fibreoptic endoscopy has introduced a new dimension in the treatment and diagnosis of many diseases and abnormal conditions. Fibreoptic endoscopy has allowed greater visualization of the gastro-intestinal tract, and the recent years the biliary and respiratory systems. When used as a follow-up to, or in conjunction with many radiographic techniques, its findings may clarify many questionable abnormalities. The therapeutic application of fibreoptic endoscopy in the removal of bowel polyps has now become a successful alternative to surgery for many patients. The knowledge gained from these examinations has proved invaluable, and these techniques have provided an alternative to other well established and less rewarding techniques.

Adenocarcinoma↗
PubMed1980

[Fistulas complicating diverticular disease of the colon].

Five patients were admitted to the 1st and 2nd Division of General Surgery of Soronno Hospital between July '75 and September '78 suffering from fistulas complicating colon diverticulosis. A sixth patient, operated on for diverticulitis, developed a stercoraceous cutaneous fistula in the postoperative period. This was closed by conservative therapy. A woman patient suffering from colo-enteric fistula, was not operated because she refused. In all operated patients, broad resection of the sigmoid was carried out with end-to-end anastomosis. In three cases a caecostomy was formed to protect the anastomosis. All operated patients were treated preoperatively with laxatives, clysters and intestinal antibiotics, prevalently paromomycin and in one case neomycin plus base erythromycin. Surgery led to the cure of all patients treated.

Aged↗