Trends of ureteral stent usage in surgery for diverticulitis

Chiu, Alexander S.; Jean, Raymond; Gorecka, Jolanta; Davis, Kimberly A.; Pei, Kevin Y.

doi:10.1016/j.jss.2017.09.050

Cited by 24 publications

(29 citation statements)

References 18 publications

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“…No results from prospective, randomized trials were available [219][220][221][222]. Results from large populationbased studies performed in the USA have shown that, after adjustment for other patient and clinical factors, ureteral stenting in surgery for diverticular disease is significantly associated with a longer operative time, as well as a longer length of stay and higher costs [219,220,222]. Despite this, the benefits of ureteral stent use remain unclear, since the available literature indicates that selective stent use might have led to confounding by indication.…”

Section: What Is the Role Of Ureteral Stents In Elective Resection Fomentioning

confidence: 99%

European Society of Coloproctology: guidelines for the management of diverticular disease of the colon

Schultz

Azhar

Binda³

et al. 2020

Colorectal Disease

148

177

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Aim The goal of this European Society of Coloproctology (ESCP) guideline project is to give an overview of the existing evidence on the management of diverticular disease, primarily as a guidance to surgeons. Methods The guideline was developed during several working phases including three voting rounds and one consensus meeting. The two project leads (JKS and EA) appointed by the ESCP guideline committee together with one member of the guideline committee (WB) agreed on the methodology, decided on six themes for working groups (WGs) and drafted a list of research questions. Senior WG members, mostly colorectal surgeons within the ESCP, were invited based on publication records and geographical aspects. Other specialties were included in the WGs where relevant. In addition, one trainee or PhD fellow was invited in each WG. All six WGs revised the research questions if necessary, did a literature search, created evidence tables where feasible, and drafted supporting text to each research question and statement. The text and statement proposals from each WG were arranged as one document by the first and last authors before online voting by all authors in two rounds. For the second voting ESCP national representatives were also invited. More than 90% agreement was considered a consensus. The final phrasing of the statements with < 90% agreement was discussed in a consensus meeting at the ESCP annual meeting in Vienna in September 2019. Thereafter, the first and the last author drafted the final text of the guideline and circulated it for final approval and for a third and final online voting of rephrased statements. Results This guideline contains 38 evidence based consensus statements on the management of diverticular disease. Conclusion This international, multidisciplinary guideline provides an up to date summary of the current knowledge of the management of diverticular disease as a guidance for clinicians and patients.

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Section: What Is the Role Of Ureteral Stents In Elective Resection Fomentioning

confidence: 99%

European Society of Coloproctology: guidelines for the management of diverticular disease of the colon

Schultz

Azhar

Binda³

et al. 2020

Colorectal Disease

148

177

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“…These results contrast with the literature. Although PUS has gained popularity in the past two decades [22], no clear guidelines from colorectal or general surgery associations support its use to prevent IUI. Most studies have shown no significant difference in the rate of IUI with or without PUS [23][24][25].…”

Section: Discussionmentioning

confidence: 99%

Iatrogenic ureteral injuries and their prevention in colorectal surgery: results from a nationwide survey

et al. 2019

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Aim Iatrogenic ureteral injury (IUI) occurs rarely during colorectal surgery but is associated with significant mortality, morbidity and medicolegal issues. Few cases are reported, and recommendations regarding prevention are lacking. The aim of this study is to describe the current state of practice regarding IUI and its prevention among general surgeons in Switzerland.78.4% of surgeons with more than 20 years of experience had encountered at least one IUI. Prophylactic ureteral stenting was considered useful in complex procedures by 93.5% of participants, and 56.9% had used stents at least once in the past 12 months. Noninvasive techniques for identifying ureters would be considered in regular daily practice by 54.5% of the participants.Conclusion Most general surgeons experience IUI. Ureter identification is widely integrated in colorectal procedures. Prophylactic stenting is widely used for difficult cases. Noninvasive methods to improve ureter identification are now needed.

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“…The use of catheters for identification and preservation of the ureter during laparoscopic colorectal surgery has increased over the past decade, especially when there is concern for difficult ureteral identification due to inflammation, bulky tumor, prior radiation, or diverticulitis. 6 Criteria for catheter placement often vary from institution to institution. Although complication rates of catheter placement are low, they should not be overlooked.…”

Section: Discussionmentioning

confidence: 99%

Prophylactic ureteral catheter placement for minimally invasive colorectal surgery

Dowd

Muse

Lowry

et al. 2019

Baylor University Medical Center Proceedings

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Ureteral catheter placement for identification of ureters during colorectal surgery has been a controversial subject with ill-defined indications. We present a case of ureteral catheter placement wherein the patient required readmission for renal failure with intervention under local anesthesia. This case highlights the importance of patient selection for catheter placement and clinical follow-up, as well as the need for prospective studies to determine the risk-benefit ratio of preoperative catheters.

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Trends of ureteral stent usage in surgery for diverticulitis

Cited by 24 publications

References 18 publications

European Society of Coloproctology: guidelines for the management of diverticular disease of the colon

European Society of Coloproctology: guidelines for the management of diverticular disease of the colon

Iatrogenic ureteral injuries and their prevention in colorectal surgery: results from a nationwide survey

Prophylactic ureteral catheter placement for minimally invasive colorectal surgery

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