The Prognosis in Diverticulitis of the Colon

Zollinger, Richard W.

doi:10.1001/archsurg.1968.01340030078006

Cited by 44 publications

(15 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Despite these factors, there is a temporal relationship between episodes of diverticulitis and the presence of persistent colonic symptoms, predominantly abdominal pain 4,5,62 . This phenomenon is not unique as the persistence of colonic symptoms following resolution of infective enteritis 63 and inflammatory bowel disease 64 has been demonstrated previously.…”

Section: Inflammatory Changesmentioning

confidence: 99%

“…Although most patients remain asymptomatic 3 , a significant proportion of those affected suffer complications. Abdominal pain for which admission to hospital is required 4 is the most common symptom associated with diverticular disease and often indicates that inflammatory complications have developed 1 . Patients typically present with severe unremitting abdominal pain, pyrexia and signs of peritonitis.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Origin of symptoms in diverticular disease

Simpson

Scholefield

Spiller

2003

British Journal of Surgery

View full text Add to dashboard Cite

Several theories now exist about the mechanisms underlying the symptoms of diverticular disease. Initial studies suggested that they may be due to alterations in the intracolonic pressure, extrapolating earlier thoughts on the likely pathogenesis of diverticula. It seems more likely, however, that several inter-related processes, such as muscular dysfunction, visceral hypersensitivity and inflammation, are involved in symptom generation.

show abstract

Section: Inflammatory Changesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Origin of symptoms in diverticular disease

Simpson

Scholefield

Spiller

2003

British Journal of Surgery

View full text Add to dashboard Cite

show abstract

“…The clinical course of diverticular disease varies widely and 15-30% of patients with diverticulosis will sooner or later exhibit symptoms related to diverticulitis [5], Twenty-one percent of admitted pa tients with the diagnosis of diverticulitis coli require sur gical interventions [6], The main reasons for operating are complications, such as an abscess, fistula, obstruction, or perforation. But free perforation into the peritoneal cav ity resulting in severe generalized purulent-fecal peritoni tis is a quite unusual complication [7][8][9], and is rarely encountered secondary to barium ingestion [3].…”

Section: Discussionmentioning

confidence: 99%

Diffuse Peritonitis due to Perforation of a Colonic Diverticulum Secondary to a Gastrointestinal Barium Study

Harada¹,

Noguchi²,

Urata³

et al. 1992

Dig Surg

View full text Add to dashboard Cite

A case of diffuse stercopurulent peritonitis due to the perforation of a colonic diverticulum secondary to a gastrointestinal barium study is reported. An emergency operation was performed and the patient is now doing well. Perforation of a diverticulum induced by impacted barium is a rare complication of gastrointestinal barium studies. However, it may be of critical importance to recognize this as a possible complication of barium ingestion, especially in patients with colonic diverticula. Once severe generalized stercopurulent peritonitis takes place, there is a high mortality rate.

show abstract

“…Les études sur l'histoire naturelle de la maladie sont de qualités variées, tant au niveau du diagnostic de certitude de l'affection qu'au niveau du recul. Selon les séries, on retrouve un risque de symptômes récidivant compris entre 7 et 45 %, reflétant bien cette grande variabilité interétudes [4][5][6][7][8]. Si les récidives sont plus fréquentes après une première poussée, on devrait retrouver de nombreux antécédents de poussée de diverticulite chez les patients opérés.…”

Section: Les Références Essentiellesunclassified

Colectomie élective pour diverticulite chez le patient âgé de moins de 50 ans ? Les arguments contre

Lefèvre

Parc

2009

Colon Rectum

View full text Add to dashboard Cite

Après un premier épisode de diverticulite traité médicalement, les recommandations proposent de pratiquer une colectomie prophylactique chez les patients de moins de 50 ans. Les données de la littérature sont contradictoires quant à la pertinence de cette attitude. Le risque de récidive est très variable mais inférieur à 20 % dans les séries les plus larges. De plus, le taux de diverticulite compliquée requérant un geste en urgence est très faible. Ces données associées aux risques inhérents à toute chirurgie abdominale même par laparoscopie ne semblent pas valider l'indication systématique de colectomie après une première poussée de diverticulite chez les patients de moins de 50 ans. Mots clés Côlon · Diverticulite · Âge · Colectomie prophylactique · MorbiditéAbstract After a first episode of diverticulitis treated medically, the clinical guidelines recommend prophylactic colectomy for patients under 50. Data in the literature are contradictory as to the suitability of this approach. Risk of recurrence is highly variable but less than 20% in the broader series. Moreover, the rate of complicated diverticulitis requiring an emergency operation and a stoma is very low. These data, associated with the inherent risks of any abdominal surgery, even through laparoscopy, do not validate systematic colectomy after a first episode of diverticulitis in patients under 50.

show abstract

The Prognosis in Diverticulitis of the Colon

Cited by 44 publications

References 3 publications

Origin of symptoms in diverticular disease

Origin of symptoms in diverticular disease

Diffuse Peritonitis due to Perforation of a Colonic Diverticulum Secondary to a Gastrointestinal Barium Study

Colectomie élective pour diverticulite chez le patient âgé de moins de 50 ans ? Les arguments contre

Contact Info

Product

Resources

About