Diverticulitis of the Colon: Evolution in Concept and Therapy

Rodkey, Grant V.; Welch, Claude E.

doi:10.1016/s0039-6109(16)37690-3

Cited by 63 publications

(20 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…2). Similarly, Rodkey and Welch [14] reported only four instances of spontaneous colocutaneous communication in a series of 200 cases of fistulae. Fistulae of this type, whether postoperative or preoperative, are usually demonstrated by barium enema examination.…”

Section: Colocutaneous Fistulamentioning

confidence: 92%

Unusual fistulae due to colonic diverticulitis

Smith

Berk

Janes

et al. 1977

Gastrointest Radiol

View full text Add to dashboard Cite

show abstract

Section: Colocutaneous Fistulamentioning

confidence: 92%

Unusual fistulae due to colonic diverticulitis

Smith

Berk

Janes

et al. 1977

Gastrointest Radiol

View full text Add to dashboard Cite

show abstract

“…However, collimation in this study involved 10 10-mm or 10 20-239 Table 2 Techniques for CT of suspected diverticulitis (n/a not available) Hulnick et al 1984 [13] Neff et al 1989 [15] Cho et al 1990 [16] Pradel et al 1997 [17] Stefansson et al 1997 [18] Eggesbo et al 1998 [5] Rao et al 1998 [19] Jang et al 1999 [ Pitch n/a n/a n/a n/a n/a 1.5 abdomen, 1.0 pelvis 1.5 1.0 a One scan without iodinated contrast followed by another with iodinated contrast In addition to the presence of wall thickening, fat stranding, and an inflamed diverticulum, patients with diverticulitis may have phlegmon, abscess, or fecaliths within the diverticulum. Fistulas have also been demonstrated at CT as well as sinus tracks within the wall of the colon [1,13]. Diffuse peritonitis also has findings which are demonstrable at CT.…”

Section: Criteria For the Staging And Diagnosis Of Diverticulitismentioning

confidence: 94%

“…Diverticular disease is increasingly prevalent as patients age, occurring in 5±10 % of patients overall who are more than 45 years old and increasing to 50±80 % of patients more than 65 years old [1,2,3,4]. Of the patients with diverticular disease, 10±30 % will develop diverticulitis [3,5].…”

Section: Introductionmentioning

confidence: 99%

CT evaluation of appendicitis and diverticulitis. Part II: Diverticulitis

Rhea¹

2000

Emergency Radiology

View full text Add to dashboard Cite

CT has become the primary imaging modality for evaluation of possible diverticulitis. In studies of patients taken to surgery for suspected diverticulitis without first undergoing CT, 25±33 % of resected specimens show no inflammation. The overall accuracy of CT in establishing or excluding the diagnosis is between 84 and 99 %. In patients without diverticulitis, an alternative diagnosis is seen in 50±58 % of cases. The appearance of carcinoma with perforation and diverticulitis may be the same, and, as a result, the degree of certainty in the diagnosis should be stated. Techniques include use of either oral and intravenous contrast or rectally administered contrast. No case of colonic perforation due to rectally administered water-soluble contrast for CT has been reported, although there have been cases of perforation using barium and fluoroscopy. All techniques scan the entire abdomen and pelvis since there are frequent alternative diagnoses seen beyond the area of initial pain.

show abstract

“…Lebensjahres Divertikeltr~ger. --Diese beunruhigende Zunahme l~Bt sich mit dem steigenden Durchschnittsalter der BevSlkerung allein nicht erkl~ren; anatomisch-pathologische, physiologische und epidemiologische Untersuchungea der letzten Jahre haben die Bedeutung weiterer pathologischer Faktoren erkennen lassen [2,14,17,20,21,22,27].…”

Section: Schumpelick Und G Kochunclassified

Die Bedeutung des inkompletten Dickdarmdivertikels f�r die Divertikulitis

Schumpelick

Koch

1974

Langenbecks Arch Chiv

View full text Add to dashboard Cite

Summary. Based on the pathogenetic knowledge of diverticular disease the importance of incomplete diverticula is elucidated. The lymphoepithelial tissue structure of incomplete diverticula indicates the tendency for chronic inflammatory disease, which leads to dissecting phlegmons of the wall of large bowels. Perforation of the colon may occur. The pathogenetic importance of incomplete diverticula is seen in the pacemakerfunction for complications of diverticulitis. The radiological proof by barium enema shows indirect and direct signs of incomplete diverticula. This is an important feature in diagnosis and prognosis. Conservative therapy is usually of little value because of the chronic advance of this disease. Only early and extensive resection of large bowel proves compatable success. In view of the complication the surgical risk --2,2 % --is accountable.Key words: Diverticulosis --Diverticulitis --Incomplete Diverticle.Zusammen/assung. Ausgehend yon den pathogenetischen Erkenntnissen der letzten Jahre wird auf die besondere Bedeutung des inkompletten Divertikels ffir das Syndrom Divertikulitis hingewiesen. Die lymphoepitheliale Struktur dieser mit dem kompletten Divertikel vergesellschafteten Form erkl£rt die Neigung zu chronischen, rezidivierend aufflackernden Entziindungen, die zu disseziierenden Phlegmonen der Darmwand mit konsekutiven Darmwandperforationen ffihren k6nnen. Die pathogenetische Bedeutung des inkompletten Divertikels liegt in der Schrittmacherfunktion fiir die Komplikationen der Divertikulitis. Der Nachweis inkompletter Divertikel im Colonkontrasteinlauf an Hand indirekter und direkter Zeichen ist ein wichtiges Indiz ffir die Prognose der Erkrankung. Einc konservatire Therapie wird in diesen Fallen zum Scheitern verurteilt sein, da sie die sehleichende Progredienz der Erkrankung nicht aufhalten kann. Nur die frfihzeitige, ausreichend bemessene Resektion kann einen nachhaltigen Heilungserfolg sichern. Das Risiko dieses Eingriffes liegt mit 2,2 % heute im Bereich des therapeutisch Vertretbaren.War die Dickdarmdivertikulose noch vor einem Jahrhundert eine kaum bekarmte Seltenheit [7], sind heute die Divertikel-bedingten Erkrankungen der h/~ufigste pathologische Befund des Dickdarmes [2].

show abstract

Diverticulitis of the Colon: Evolution in Concept and Therapy

Cited by 63 publications

References 43 publications

Unusual fistulae due to colonic diverticulitis

Unusual fistulae due to colonic diverticulitis

CT evaluation of appendicitis and diverticulitis. Part II: Diverticulitis

Die Bedeutung des inkompletten Dickdarmdivertikels f�r die Divertikulitis

Contact Info

Product

Resources

About