scispace - formally typeset
Search or ask a question
Journal ArticleDOI

Long-term risk of acute diverticulitis among patients with incidental diverticulosis found during colonoscopy.

TL;DR: It is found that younger patients have a higher risk of diverticulitis, with risk increasing per year of life, than older patients, contradicting the common belief that Diverticulosis has a high rate of progression.
About: This article is published in Clinical Gastroenterology and Hepatology.The article was published on 2013-12-01 and is currently open access. It has received 330 citations till now. The article focuses on the topics: Diverticulosis & Diverticular disease.
Citations
More filters
Journal ArticleDOI
TL;DR: The aim of this paper is to promote global standards of care in IAIs and update the 2013 WSES guidelines for management of intra-abdominal infections.
Abstract: Intra-abdominal infections (IAIs) are common surgical emergencies and have been reported as major contributors to non-trauma deaths in the emergency departments worldwide. The cornerstones of effective treatment of IAIs are early recognition, adequate source control, and appropriate antimicrobial therapy. Prompt resuscitation of patients with ongoing sepsis is of utmost important. In hospitals worldwide, non-acceptance of, or lack of access to, accessible evidence-based practices and guidelines result in overall poorer outcome of patients suffering IAIs. The aim of this paper is to promote global standards of care in IAIs and update the 2013 WSES guidelines for management of intra-abdominal infections.

289 citations


Cites background from "Long-term risk of acute diverticuli..."

  • ...Recent evidence suggests that lifetime risk of developing acute left-sided colonic diverticulitis (ALCD) is only about 4% among patients with diverticulosis [90]....

    [...]

Journal ArticleDOI
TL;DR: Elective surgical resection is no longer recommended solely based on number of recurrent events or young patient age and might not be necessary for some patients with diverticulitis complicated by abscess, and randomized trials of hemodynamically stable patients who require urgent surgery provide evidence to support primary anastomosis vs sigmoid colectomy with end colostomy.

199 citations

Journal ArticleDOI
TL;DR: The incidence of diverticulitis has increased by 50% in 2000–2007 compared with 1990–1999, and more so in younger people, and less severe disease, more recurrence, and better survival.

195 citations

Journal ArticleDOI
TL;DR: The executive summary of the final guidelines approved by the consensus conference for the management of acute left sided colonic diverticulitis in the emergency setting are presented.
Abstract: Acute left sided colonic diverticulitis is one of the most common clinical conditions encountered by surgeons in acute setting. A World Society of Emergency Surgery (WSES) Consensus Conference on acute diverticulitis was held during the 3rd World Congress of the WSES in Jerusalem, Israel, on July 7th, 2015. During this consensus conference the guidelines for the management of acute left sided colonic diverticulitis in the emergency setting were presented and discussed. This document represents the executive summary of the final guidelines approved by the consensus conference.

146 citations


Cites background from "Long-term risk of acute diverticuli..."

  • ...Recent evidence suggests that lifetime risk of developing acute left sided colonic diverticulitis (ALCD) is only about 4 % among patients with diverticulosis [6]....

    [...]

References
More filters
Journal ArticleDOI
TL;DR: The burden of GI disease in the United States is estimated and the most common GI symptom is abdominal pain, while the total cost for outpatient GI endoscopy examinations was $32.4 billion.

1,741 citations

Journal ArticleDOI
TL;DR: The most prevalent diseases were non-food-borne gastroenteritis, food-borne illness, gastroesophageal reflux disease, and irritable bowel syndrome, followed by gallbladder disease, which had the highest annual direct costs in the United States.

1,410 citations


"Long-term risk of acute diverticuli..." refers background in this paper

  • ...Nguyen GC, Sam J, Anand N. Epidemiological trends and geographic variation in hospital admissions for diverticulitis in the United States....

    [...]

  • ...4 billion in direct costs annually in the United States.(1,9,10) The incidence of diverticular complications is increasing, and the number of patients affected by diverticular disease will continue to increase as the population ages....

    [...]

  • ...The prevalence of diverticulosis increases with age, affecting approximately 70% of individuals aged 80 years or older in the United States.1,2 Patients with diverticulosis may experience acute complications, including diverticulitis, peritonitis, obstruction, fistulization, or abscess formation,5–7 and chronic complications including a picture resembling irritable bowel syndrome.8 When a complication of diverticulosis occurs, it is broadly termed diverticular disease.7 Diverticular disease accounts for more than 300,000 hospital admissions, 1.5 million inpatient care days, and $2.4 billion in direct costs annually in the United States.1,9,10 The incidence of diverticular complications is increasing, and the number of patients affected by diverticular disease will continue to increase as the population ages.11 These epidemiologic trends are familiar to any endoscopist who performs colon cancer screening because diverticulosis is the most commonly reported lesion found on routine colonoscopy.1 Despite this growingburdenofdisease, there are few studies that evaluate the natural history of colonic diverticulosis....

    [...]

  • ...Sandler RS, Everhart JE, Donowitz M, et al. The burden of selected digestive diseases in the United States....

    [...]

Book
01 Jan 2016
TL;DR: The principles of surgery are applied to the treatment of central giant cell prolapse prolapse in women.
Abstract: Schwartz's principles of surgery , Schwartz's principles of surgery , کتابخانه مرکزی دانشگاه علوم پزشکی ایران

1,127 citations

Book
01 Sep 1977
TL;DR: The incidence, pathophysiology, clinical presentation, and management of diverticular disease of the colon and its complications are reviewed.
Abstract: Summary Colonic diverticulosis refers to small outpouchings from the colonic lumen due to mucosal herniation through the colonic wall at sites of vascular perforation. Abnormal colonic motility and inadequate intake of dietary fibre have been implicated in its pathogenesis. This acquired abnormality is typically found in developed countries, and its prevalence rises with age. Most patients affected will remain entirely asymptomatic; however, 10–20% of those affected can manifest clinical syndromes, mainly diverticulitis and diverticular haemorrhage. As our elderly population grows, we can anticipate a concomitant rise in the number of patients with diverticular disease. Here, we review the incidence, pathophysiology, clinical presentation, and management of diverticular disease of the colon and its complications.

918 citations

Journal ArticleDOI
TL;DR: It should be recognized that these guidelines should not be deemed inclusive of all proper methods of care or exclusive of methods of Care reasonably directed to obtaining the same results.
Abstract: It should be recognized that these guidelines should not be deemed inclusive of all proper methods of care or exclusive of methods of care reasonably directed to obtaining the same results. The ultimate judgment regarding the propriety of any specific procedure must be made by the physician in light of all of the circumstances presented by the individual patient.

632 citations