Review of current classifications for diverticular disease and a translation into clinical practice

Klarenbeek, Bastiaan; Korte, Niels de; Peet, Donald L. van der; Cuesta, Miguel A.

doi:10.1007/s00384-011-1314-5

Cited by 174 publications

(170 citation statements)

References 38 publications

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“…Various systems for the classification of diverticular disease have been proposed in the past [12,28]. From today's standpoint, the most commonly used classification systems, the Hinchey-Wasvary classification and the Hansen & Stock classification, are suboptimal for different reasons [2,3]:…”

Section: Classificationsmentioning

confidence: 99%

The CDD System in Computed Tomographic Diagnosis of Diverticular Disease

Pustelnik

Elsholtz

Bojarski

et al. 2017

Fortschr Röntgenstr

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ABSTR AC TPurpose This overview sums up the Classification of Diverticular Disease (CDD) with regard to its application in computed tomographic diagnosis and briefly recapitulates its targeted advantages over preliminary systems. Primarily, application of the CDD in computed tomography diagnostics is described. Differences with respect to the categories of the older systems are pointed out on the level of each CDD type using imaging examples. Materials and MethodsThe presented images are derived from our institute according to the S2k criteria. Literature was researched on PubMed.Results The CDD constitutes an improvement compared to older systems for categorizing the stages of diverticular disease. It provides more discriminatory power on the descriptive-morphological level and defines as well as differentiates more courses of the disease. Furthermore, the categories translate more directly into state-of-the-art decisionmaking concerning hospitalization and therapy.Conclusion The CDD should be applied routinely in the computed tomographic diagnosis of diverticular disease. Typical imaging patterns are presented. Key points▪ The CDD is superior to its predecessors. It better stratifies Material und Methode Die gezeigten Bilder stammen aus der eigenen Klinik und wurden entsprechend der S2k-Leitlinie definiert. Ferner wurde eine PubMed-Literaturrecherche durchgeführt.Ergebnisse Die CDD stellt einen Fortschritt gegenüber älte-ren Klassifikationssystemen der Divertikelkrankheit dar. Sie bietet deskriptiv-morphologisch mehr Trennschärfe und erfasst und differenziert mehr Verläufe. Darüber hinaus über-setzen sich ihre Kategorien direkter in zeitgemäße Indikationsstellung von Hospitalisierung und Therapie. This document was downloaded for personal use only. Unauthorized distribution is strictly prohibited.Schlussfolgerung Die CDD sollte in der alltäglichen computertomografischen Befundung der Divertikelkrankheit verwendet werden. Hierzu wurden entsprechende Bildbeispiele hinterlegt.

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Section: Classificationsmentioning

confidence: 99%

The CDD System in Computed Tomographic Diagnosis of Diverticular Disease

Pustelnik

Elsholtz

Bojarski

et al. 2017

Fortschr Röntgenstr

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“…The first clinical manifestation is usually caused by complications of the condition, and includes detection of fecal occult blood, hemochezia or, more rarely, melena, abdominal pain and/or sideropenic anemia 2 . Diverticulitis may result in life-threatening conditions such as intestinal perforation, peritonitis, abscesses, strictures, adhesions and ileus 3 . The gold standard in diagnosis of intestinal diverticulosis is computed tomography (CT) with luminal radiocontrast, including multislice enteroclysis and colonography 4 .…”

Section: Visualization Of Sigmoidal Diverticulosis During Gynecologicmentioning

confidence: 99%

Visualization of sigmoidal diverticulosis during gynecological three‐dimensional ultrasound examination

Dankovcik

Vargová

Balasicova

et al. 2013

Ultrasound in Obstet & Gyne

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“…Of these 15-20% will develop significant complications (3), which include abscess, perforation, fistula formation and bowel obstruction and may require more invasive forms of treatment. (4)(5)(6) The mainstay of treatment for uncomplicated diverticulitis is conservative including monitoring, antibiotics and analgesia while patients with complicated diverticulitis may need more invasive procedures such as percutaneous drainage or surgery. (7) The clinical diagnosis of acute diverticulitis is often straight forward, but to differentiate between uncomplicated and complicated will require further imaging (8)(9)(10).…”

Section: Introductionmentioning

confidence: 99%

The Use of Biochemical Markers in Complicated and Uncomplicated Acute Diverticulitis

Kumarasinghe

Zahid

O’Grady

et al. 2018

International Surgery

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Abstract:Abstract BACKGROUND: Diverticulosis is extremely common in western society. A recent study has shown that outpatient, non-antibiotic management of acute uncomplicated diverticulitis may be a feasible and safe option. However the ability to identify these patients is still difficult. This study explores the ability of white cell count, C-reactive protein and bilirubin in differentiating patients with complicated and uncomplicated diverticulitis as well as progression to surgical intervention. METHODS: This is a retrospective study of patients admitted with acute diverticulitis over a 5-year period (2009)(2010)(2011)(2012)(2013)(2014) at a single institution in Australia. Patients were classified into three groups; uncomplicated diverticulitis, complicated diverticulitis without surgery and complicated diverticulitis with surgery. ANOVA and Bonferroni's post-hoc analyses were used to compare markers across the groups. RESULTS: A total of 541 patients met the inclusion criteria for this study. One-way ANOVA showed a significant difference in white cell count (p<0.0001), C-reactive protein (p<0.0001) and bilirubin (p=0.0006) between all three groups. Post-hoc analyses showed a significant difference in white cell count, C-reactive protein and bilirubin when comparing uncomplicated diverticulitis against complicated diverticulitis without surgery (p<0.05) and complicated diverticulitis with surgery (p<0.05). White cell count also showed a significant difference when comparing complicated diverticulitis without surgery and complicated diverticulitis with surgery (p<0.05). CONCLUSIONS: White cell count, C-reactive protein and bilirubin can distinguish between uncomplicated and complicated diverticulitis.

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Review of current classifications for diverticular disease and a translation into clinical practice

Cited by 174 publications

References 38 publications

The CDD System in Computed Tomographic Diagnosis of Diverticular Disease

The CDD System in Computed Tomographic Diagnosis of Diverticular Disease

Visualization of sigmoidal diverticulosis during gynecological three‐dimensional ultrasound examination

The Use of Biochemical Markers in Complicated and Uncomplicated Acute Diverticulitis

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