Giant colonic diverticula—Three distinct entities

McNutt, Richard; Schmitt, David D.; Schulte, William J.

doi:10.1007/bf02556799

Cited by 68 publications

(55 citation statements)

References 15 publications

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“…Nano et al [78]discuss the phenomenon of a intermittently palpable mass, the reason they call it a phantom tumor, similar findings are reported by others as well [5, 50, 52, 71]. Objective enlargement of the mass is found in 15 patients [2, 17, 18, 33, 38, 50, 51, 65, 68, 79, 86, 103]. As Choong et al [84]discuss, this increase in volume of a GCD can be related to differences in the intracolonic and GCD pressure through the communicating ostium.…”

Section: Resultssupporting

confidence: 63%

“…Histologically, there are three different types of GCD [65]. The first type of a GCD is called a pseudo-diverticulum.…”

Section: Resultsmentioning

confidence: 99%

“…Thewall of the diverticulum contains no portion of the bowel, but only reactive scar tissue. The third type of a GCD is the true diverticulum, in which the wall contains all layers of normal bowel wall, including serosa, muscularis, submucosa and mucosa [65]. …”

Section: Resultsmentioning

confidence: 99%

“…Further papers were identified by cross-referencing from the reference lists of relevant articles. A total of 135 patients were identified, presenting with a total of 155 GCD [1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, …”

Section: Methodsmentioning

confidence: 99%

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Giant Colonic Diverticula

Steenvoorde

Vogelaar²,

Oskam³

et al. 2004

Dig Surg

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Background: A rare complication of diverticulosis of the colon is giant colonic diverticula (GCD). The condition was first described in English literature in 1953 [1, 2]. Methods: A Medline search was undertaken for English, French and German language articles on ’giant colonic diverticula’. Results: A total of 135 patients were identified, presenting with a total of 155 GCD [1–98]. With a complication rate of 28% and an operative mortality of 5%, GCD seems to have a high clinical significance. Radiological examination of choice seems to be plain abdominal X-ray and CT examination, barium enema carries the risk of perforation of the diverticulum, and should not be performed. Conclusions: There are different therapeutic options, in our opinion diverticulectomy alone is not the treatment of choice. Because of the possibility of recurrence and oncological reasons, colectomy seems to be the best treatment. The creation of a protecting colostomy depends on other operative findings.

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Section: Resultssupporting

confidence: 63%

“…Histologically, there are three different types of GCD [65]. The first type of a GCD is called a pseudo-diverticulum.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Giant Colonic Diverticula

Steenvoorde

Vogelaar²,

Oskam³

et al. 2004

Dig Surg

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show abstract

“…The third type is based on the congenital duplication theory where all components of bowel Discussion wall may also be found in the sac of the diverticulum [5]. Progressive inflation of the diverticular sac is due to a flap valve mechanism at the tiny opening at the entrance to the diverticulum and due to the action of gas forming organisms [5,6].The reported complication rates of a giant divericulum are as high as 19% and includes perforation with peritonitis, abscess formation and volvulus [7]. Resection of the diseased segment is thus currently recommended [4,6].…”

mentioning

confidence: 99%