Management of surgical complications of small-bowel diverticulosis

Songne, B.; Costaglioli, Bruno; Michot, F; Ténière, P.; Scotté, Michel

doi:10.1016/s0399-8320(05)80795-x

Cited by 8 publications

(6 citation statements)

References 3 publications

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“…Palder and Frey [ 13 ] reported 3 out of 47 patients with small intestine diverticulitis. Songne et al [ 14 ] reported 3 cases of small intestine diverticulitis in a retrospective review period extending from 1995 to 2001.…”

Section: Discussionmentioning

confidence: 99%

Non-Meckel Small Intestine Diverticulitis

Ejaz

Vikram

Stroehlein

2017

Case Rep Gastroenterol

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Non-Meckel small intestine diverticulitis can have many manifestations and its management is not well-defined. We report 4 unselect cases of small intestine diverticulitis; all patients were seen by the same physician at the Emergency Center at The University of Texas MD Anderson Cancer Center between 1999 and 2014. The median age at diagnosis of these patients was 82 years (range, 76–87 years). All 4 patients presented with acute onset of abdominal pain, and computed tomography scans showed characteristics of small intestine diverticulitis unrelated to cancer. Most of the diverticula were found in the region of the duodenum and jejuno-ileal segments of the small intestine. The patients, even those with peripancreatic inflammation and localized perforation, were treated conservatively. Non-Meckel diverticulitis can be overlooked in the initial diagnosis because of the location of the diverticulosis, the age of the patient, and the rarity of the disease. Because patients with non-Meckel small intestine diverticulitis can present with acute abdominal pain, non-Meckel small intestine diverticulitis should be considered in the differential diagnosis of patients with acute abdominal pain, and computed tomography scans can help identify the condition. Because of the rarity of non-Meckel small intestine diverticulitis, few studies have been published, and the data are inconclusive about how best to approach these patients. Our experience with these 4 elderly patients indicates that non-Meckel small intestine diverticulitis can be treated conservatively, which avoids the potential morbidity and mortality of a surgical approach.

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Section: Discussionmentioning

confidence: 99%

Non-Meckel Small Intestine Diverticulitis

Ejaz

Vikram

Stroehlein

2017

Case Rep Gastroenterol

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“…En caso de optar por la cirugía, la resección intestinal debe ser limitada pues incluso resecando el segmento completo que contiene los divertículos, éstos pueden recurrir, y en segundo lugar para evitar el síndrome de intestino corto postquirúrgico 4 . Hay que considerar que han sido descritas complicaciones postquirúrgi-cas, incluyendo mortalidad 24,25 . Considerando este punto, el lavado por laparoscopia con instalación de drenaje asociado a un tratamiento conservador ha sido sugerido en pacientes sin evidencias de peritonitis generalizada 22 .…”

Section: Discussionunclassified

Diverticulitis aguda de intestino delgado en un paciente con enfermedad de Crohn: Report of one case

et al. 2017

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“…Clinically, diverticulosis occurs asymptomatically and its clinical manifestation occurs in case of complications such as perforation (4), intestinal obstruction (5), and bleeding (6). The bleeding may occur as occult bleeding or in the form of massive melena and hematemesis (7) leading to a breakdown of hematological indicators.…”

Section: Discussionmentioning

confidence: 99%

Massive bleeding in small bowel diverticulosis

Glinkov¹,

Kiryazov²,

Kornovski³

et al. 2017

Scripta Scientifica Medica

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INTRODUCTION: Diagnosis of small bowel diverticulosis complications is difficult in the emergency setting and often delays surgical management. The aim of this study was to report our experience with three patients presenting with surgical complication of small bowel diverticulosis with massive bleeding. PATIENTS AND METHODS: From January 2015 to February 2017, three patients, two males and one female, presenting with bleeding as a complication of small bowel diverticulosis were included in this study. Their mean age was 70 years. RESULTS: The mean duration between the complication onset and its management was 8.3 days. Gastroendoscopy and colonoscopy were used to eliminate stomach and colon bleeding. All the patients were operated on. Segmental small bowel resection was performed with primary anastomosis without any complications. CONCLUSION: Small bowel diverticulosis is a rare pathology. In cases of gastrointestinal hemorrhage, diagnosis is performed by eliminating the bleeding from gastroduodenal and colonic segment of the gastrointestinal tract. The diagnosis has been established through exploratory laparotomy only. Scr Sci Med 2017; 49(3): 40-44

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Management of surgical complications of small-bowel diverticulosis

Cited by 8 publications

References 3 publications

Non-Meckel Small Intestine Diverticulitis

Non-Meckel Small Intestine Diverticulitis

Diverticulitis aguda de intestino delgado en un paciente con enfermedad de Crohn: Report of one case

Massive bleeding in small bowel diverticulosis

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