Abstract:
:Diverticular disease affects approximately two thirds of the population over the age of 70. While only a small fraction of these patients will develop diverticulitis, adequate radiological evaluation of diverticulitis and its complications is imperative in determining proper medical and surgical treatment. Clinical examination and laboratory tests alone have been found to be inaccurate in defining many aspects of the disease in up to 60% of cases. Over the past 30 years, contrast enema, computed tomography, and ultrasound have all been used extensively to diagnose the complications of diverticular disease. More recently, magnetic resonance imaging has been studied in patients with complicated diverticulitis. This article reviews the use of these different radiological modalities in diagnosing acute colonic diverticulitis and its complications.
journal_name
Clin Colon Rectal Surgjournal_title
Clinics in colon and rectal surgeryauthors
Snyder MJdoi
10.1055/s-2004-832696subject
Has Abstractpub_date
2004-08-01 00:00:00pages
155-62issue
3eissn
1531-0043issn
1530-9681journal_volume
17pub_type
杂志文章abstract::This article provides an overview of the pathophysiology, causes, investigations, and management of high-output enterostomy and enterocutaneous fistula. High-output stoma and enterocutaneous fistula can result in intestinal failure and this is often fatal if not managed properly. The management involves reducing fluid...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章,评审
doi:10.1055/s-0037-1598163
更新日期:2017-07-01 00:00:00
abstract::Nodal dissemination in locally advanced rectal cancer occurs mainly in two directions: upward and lateral. Lateral node involvement has been demonstrated; however, lateral lymph node dissection (LLND) is not routinely performed in Western countries and the focus is more on neoadjuvant treatment regimens. The main reas...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章,评审
doi:10.1055/s-0037-1606112
更新日期:2017-11-01 00:00:00
abstract::In the interest of improving patient care quality and reducing costs, many hospitals across the nation participate in quality measurements. The three programs most applicable to colon and rectal surgery are the National Surgical Quality Improvement Project, the Surgical Care Improvement Project (SCIP), and the Surgica...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章,评审
doi:10.1055/s-0034-1366914
更新日期:2014-03-01 00:00:00
abstract::Squamous cell carcinoma of the anus (SCCA) is a rare tumor. However, its incidence has been increasing in men and women over the past 25 years worldwide. Risk factors associated with this cancer are those behaviors that predispose individuals to human papillomavirus (HPV) infection and immunosuppression. Anal cancer i...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章
doi:10.1055/s-0031-1286002
更新日期:2011-09-01 00:00:00
abstract::The evolution over the past 20 years of anal preservation in rectal cancer surgery has been truly remarkable. Intersphincteric resection (ISR) reported by Schiessel in 1994 in Australia has been shown to enable anal preservation even for cancers quite close to the anus. In Japan, ISR via the detachment of the anal can...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章,评审
doi:10.1055/s-0040-1714240
更新日期:2020-11-01 00:00:00
abstract::Ulcerative colitis is a chronic inflammatory disease of the colon with an increasing incidence worldwide. The medical management of this disease continues to expand as drugs to induce and maintain remission are sought to avoid the need for colectomy. This article will review the standard of care for the treatment of m...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章
doi:10.1055/s-2004-823066
更新日期:2004-02-01 00:00:00
abstract::The world of medicine is in a state of flux with major and substantive changes in its educational model. Students, residents, and junior attendings can no longer rely entirely on experiential development through clinical immersion. Instead, to attain similar levels of knowledge, technique, and situational comfort, the...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章,评审
doi:10.1055/s-0033-1356720
更新日期:2013-12-01 00:00:00
abstract::Professional medical societies serve several functions that may benefit society, the sponsoring medical profession, and individual members. Several professional societies are available for colorectal surgeons to join and participate in. Reasons to join include service, educational offerings, networking, and companions...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章
doi:10.1055/s-0031-1278406
更新日期:2011-06-01 00:00:00
abstract::Peritoneal surface disease (PSD) has historically been used interchangeably with the term peritoneal carcinomatosis (PC) and has a dismal natural history. A variety of malignant pathologies, including colorectal and appendiceal primary tumors, can disseminate throughout the peritoneal cavity, leading to bowel obstruct...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章,评审
doi:10.1055/s-0038-1642052
更新日期:2018-09-01 00:00:00
abstract::Bladder dysfunction following colorectal surgery may be related to extirpative procedures in the region of the pelvic autonomic plexus. The most common etiology is from autonomic disruption during abdominoperineal or low anterior resections. Contemporary technical modifications have allowed surgeons to achieve oncolog...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章
doi:10.1055/s-0030-1254299
更新日期:2010-06-01 00:00:00
abstract::Paradoxical puborectalis contraction and increased perineal descent are two forms of functional constipation presenting as challenging diagnostic and treatment dilemmas to the clinician. In the evaluation of these disorders, the clinician should take special care to exclude anatomic disorders leading to constipation. ...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章
doi:10.1055/s-2008-1075863
更新日期:2008-05-01 00:00:00
abstract::Parasitic infections are a major worldwide health problem, and they account for millions of infections and deaths each year. Most of the infections as well as the morbidity and mortality from these diseases occur in the developing world in rural regions. However, these diseases have become more common in Western count...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章
doi:10.1055/s-2007-970199
更新日期:2007-02-01 00:00:00
abstract::As a result of the obvious benefits of laparoscopic cholecystectomy, minimally invasive techniques have been applied to more complex gastrointestinal procedures, including colorectal resections. The goal in adapting laparoscopic techniques for colorectal surgery is to offer an operation that results in less pain, shor...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章
doi:10.1055/s-2005-916278
更新日期:2005-08-01 00:00:00
abstract::Large bowel obstruction is a common problem with many different causes, the most common being colorectal adenocarcinoma, extracolonic adenocarcinoma, diverticular disease, volvulus, and inflammatory bowel disease. The nature of the obstruction can influence the best management. Historically, treatment of obstruction c...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章,评审
doi:10.1055/s-0032-1329533
更新日期:2012-12-01 00:00:00
abstract::A range of topics are covered in this issue dedicated to complex and reoperative colorectal surgery, from radiation-induced surgical problems, to enterocutaneous fistulas and locally advanced or recurrent rectal cancer. Common themes include the importance of operative planning and patient counseling on the expected f...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章,评审
doi:10.1055/s-0036-1580634
更新日期:2016-06-01 00:00:00
abstract::In the United States, the prevalence of adenomatous polyps found during colonoscopic evaluation ranges from 25 to 41%, and of these, 2 to 5% contain invasive malignancy. The management of the malignant polyp continues to be challenging. Endoscopic resection by polypectomy has been shown to be sufficient for management...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章
doi:10.1055/s-0028-1089944
更新日期:2008-11-01 00:00:00
abstract::The incidence of Crohn's disease in the pediatric population is increasing. While pediatric patients with Crohn's disease exhibit many of the characteristics of older patients, there are important differences in the clinical presentation and course of disease that can impact the clinical decisions made during treatmen...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章,评审
doi:10.1055/s-0037-1609022
更新日期:2018-03-01 00:00:00
abstract::The morbidity and mortality associated with surgical hemorrhage are considerable, particularly when relaparotomy is necessary. This complication can usually be avoided with comprehensive preoperative patient evaluation and meticulous surgical technique. The damage control sequence is a useful surgical strategy when se...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章
doi:10.1055/s-2006-956439
更新日期:2006-11-01 00:00:00
abstract::When utilized properly, social media offers several personal and professional benefits for the practicing surgeon, including peer networking, education, e-mentorship, marketing, recruitment, and patient outreach. However, unprofessional online behavior is common among surgeons, and this improper use of social media ca...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章,评审
doi:10.1055/s-0037-1604255
更新日期:2017-09-01 00:00:00
abstract::Crohn's disease represents a challenging operative dilemma. The nature of the disease increases the technical complexity of operations, their morbidity, and the likelihood of multiple operations. In this setting, the advantages of laparoscopic surgery, including shorter hospital stays, less adhesion formation, fewer w...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章
doi:10.1055/s-2007-991033
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abstract::Crohn disease remains a challenging clinical entity, both medically and surgically. It frequently presents in early adulthood and imposes a lifetime exposure to chronic inflammation that can affect the entire gastrointestinal tract. Although the mainstay of therapy is treatment with immunomodulating drugs, ∼70 to 90% ...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章,评审
doi:10.1055/s-0033-1348051
更新日期:2013-06-01 00:00:00
abstract::Colorectal cancer begins as a polyp that is a benign growth on the mucosal surface of the colon or rectum. Over a period of 5 to 15 years, polyps can degenerate into a cancer, thus invading the colonic wall. Colorectal screening methods are designed to diagnose and remove polyps before they acquire invasive potential ...
journal_title:Clinics in colon and rectal surgery
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更新日期:2016-12-01 00:00:00
abstract::Despite the slower learning curve of laparoscopic colectomy and the lack of prospective randomized trials, laparoscopic procedures have repeatedly demonstrated a shortened length of stay, reduction in postoperative ileus, and earlier resumption of diet. However, laparoscopy in inflammatory bowel disease has unique cha...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章
doi:10.1055/s-2006-939528
更新日期:2006-02-01 00:00:00
abstract::The use of laparoscopy has become widespread across many surgical specialties. Its utility as treatment for colon cancer was initially met with hesitancy due to concern for port site and wound recurrences; however, this was later disproven by large retrospective series. Subsequently, there have been multiple, large, p...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章,评审
doi:10.1055/s-0036-1597317
更新日期:2017-04-01 00:00:00
abstract::Clostridium (reclassified as " Clostridioides ") difficile colitis is a common nosocomial infection associated with increased morbidity and mortality. Like many clinical encounters, a focused history and physical examination will help to guide initial management. Further laboratory testing will assist with diagnosis t...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章,评审
doi:10.1055/s-0039-3400474
更新日期:2020-03-01 00:00:00
abstract::Transanal total mesorectal excision (taTME) is a novel technique that has evolved over the years to address the challenges of low rectal cancer surgery by applying the principles and benefits of laparoscopic surgery to more historic transanal techniques. It has been popularized through its use in rectal cancer, but th...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章,评审
doi:10.1055/s-0039-3402781
更新日期:2020-05-01 00:00:00
abstract::Colorectal cancer, which kills more than 50,000 patients every year in the United States and costs more than $6 billion in direct health costs, is a prime target for cancer prevention. Computed tomography colonography (CTC) has emerged as a minimally invasive, structural examination of the entire colon that can comple...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章
doi:10.1055/s-2008-1081001
更新日期:2008-08-01 00:00:00
abstract::Advances in the surgical management of rectal cancer have placed the quality of total mesorectal excision (TME) as the major predictor in overall survival. A standardized TME technique along with quality increases the percentage of patients undergoing a complete TME. Quality measurements of TME will place increasing d...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章,评审
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更新日期:2015-03-01 00:00:00
abstract::Perineal wound complications following abdominoperineal resection (APR) is a common occurrence. Risk factors such as operative technique, preoperative radiation therapy, and indication for surgery (i.e., rectal cancer, anal cancer, or inflammatory bowel disease [IBD]) are strong predictors of these complications. Pati...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章
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更新日期:2008-02-01 00:00:00
abstract::Pruritus ani is a common condition with many different potential causes. Because of this, it can be difficult to treat. It is important to identify and eliminate any inciting factors, which are often unintentional consequences of the patient's attempts to alleviate symptoms. If no reversible cause is found, simple mea...
journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章,评审
doi:10.1055/s-0035-1570391
更新日期:2016-03-01 00:00:00