Timing of elective surgery for diverticular disease.

Abstract:

:The timing of elective surgery for the treatment of diverticular disease is constantly evolving. Historically, the indications for elective surgery were relatively consistent. It was recommended that patients undergo elective resection after two documented attacks of uncomplicated diverticulitis or after one attack of complicated diverticulitis in which the patient did not require emergent surgery. There were some exceptions to these guidelines; people <50 years old could undergo elective resection after their first attack, and patients who had previous solid organ transplants could undergo resection after a single attack. In this article, the author updates the data regarding the timing of surgery in elective diverticular disease and challenges surgical dogma.

journal_name

Clin Colon Rectal Surg

authors

Margolin DA

doi

10.1055/s-0029-1236161

subject

Has Abstract

pub_date

2009-08-01 00:00:00

pages

169-72

issue

3

eissn

1531-0043

issn

1530-9681

journal_volume

22

pub_type

杂志文章
  • Laparoscopy for Colon Cancer.

    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

    authors: Franklin BR,McNally MP

    更新日期:2017-04-01 00:00:00

  • Imaging of colonic diverticular disease.

    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 ex...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章

    doi:10.1055/s-2004-832696

    authors: Snyder MJ

    更新日期:2004-08-01 00:00:00

  • Urological Injuries during Colorectal Surgery.

    abstract::The proximity of the colon and rectum to the organs of the urologic system virtually ensures that iatrogenic urologic injuries become a distinct possibility during complex colorectal surgical procedures. An intimate knowledge of urogenital anatomy as well as strategies for identification and repair of potential injuri...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0038-1677026

    authors: Ferrara M,Kann BR

    更新日期:2019-05-01 00:00:00

  • How Can Social Media Get Us in Trouble?

    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

    authors: Langenfeld SJ,Batra R

    更新日期:2017-09-01 00:00:00

  • Abdominal wall reconstruction in patients with digestive tract fistulas.

    abstract::Abdominal wall reconstruction in the digestive tract fistula patient is a complex issue. The authors review the available data and present information regarding the timing of surgery, techniques of abdominal wall reconstruction, hernia repair, and discuss pitfalls associated with the various options. A simple and basi...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章

    doi:10.1055/s-0030-1262988

    authors: Johnson EK,Tushoski PL

    更新日期:2010-09-01 00:00:00

  • Is There Any Reason to Still Consider Lateral Lymph Node Dissection in Rectal Cancer? Rationale and Technique.

    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

    authors: Kusters M,Uehara K,Velde CJHV,Moriya Y

    更新日期:2017-11-01 00:00:00

  • Types of Leadership and How to Use Them in Surgical Areas.

    abstract::Surgery is a very complex, changing, and, sometimes, threatening environment. Emotional intelligence is a key skill for surgical leaders. Authoritarian, hierarchical, transactional, transformational, adaptive, situational, and servant-shepherd leadership can all be used in surgical leadership. Patient care must be the...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0040-1709457

    authors: Onaca N,Fleshman JW

    更新日期:2020-07-01 00:00:00

  • Surgical hemorrhage, damage control, and the abdominal compartment syndrome.

    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

    authors: Hammond KL,Margolin DA

    更新日期:2006-11-01 00:00:00

  • Hemorrhoids.

    abstract::Hemorrhoid disease is the most common reason patients seek evaluation by a colon and rectal surgeon. The majority of hemorrhoids can be managed nonoperatively with medical management or office-based procedures. The authors review the anatomy, pathophysiology, presentation, and management of hemorrhoids. ...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章

    doi:10.1055/s-0031-1272818

    authors: Sanchez C,Chinn BT

    更新日期:2011-03-01 00:00:00

  • Perineal wound complications after abdominoperineal resection.

    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

    doi:10.1055/s-2008-1055325

    authors: Wiatrek RL,Thomas JS,Papaconstantinou HT

    更新日期:2008-02-01 00:00:00

  • The Role of Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy for Appendiceal Tumors and Colorectal Adenocarcinomas.

    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

    authors: Kuncewitch M,Levine EA,Shen P,Votanopoulos KI

    更新日期:2018-09-01 00:00:00

  • Physical, Laboratory, Radiographic, and Endoscopic Workup for Clostridium difficile Colitis.

    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

    authors: Baker SJ,Chu DI

    更新日期:2020-03-01 00:00:00

  • Diverticular disease and the obese patient.

    abstract::Diverticular disease is common in the Western world and is a considerable source of morbidity. Many have proposed an association between diverticular disease, its complications, and obesity. We examine this question through a review of the available literature. While it is likely that an association between diverticul...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章

    doi:10.1055/s-0031-1295688

    authors: Johnson EK,Champagne BJ

    更新日期:2011-12-01 00:00:00

  • Inherited colorectal cancer syndromes.

    abstract::Colorectal cancer is common in the Western world; ~5% of individuals diagnosed with colorectal cancer have an identifiable inherited genetic predisposition to this malignancy. Genetic testing and rational clinical management recommendations currently exist for the management of individuals with a variety of colorectal...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章

    doi:10.1055/s-0029-1242459

    authors: Gryfe R

    更新日期:2009-11-01 00:00:00

  • Laparoscopy for inflammatory bowel disease: pushing the envelope.

    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

    authors: Marcello PW

    更新日期:2006-02-01 00:00:00

  • Intestinal Intussusception: Etiology, Diagnosis, and Treatment.

    abstract::Intussusception is defined as the invagination of one segment of the bowel into an immediately adjacent segment of the bowel. Idiopathic ileocolic intussusception is the most common form in children and is typically managed with nonoperative reduction via pneumatic and/or hydrostatic enemas. In the adult population, i...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0036-1593429

    authors: Marsicovetere P,Ivatury SJ,White B,Holubar SD

    更新日期:2017-02-01 00:00:00

  • Laparoscopy for benign colorectal diseases.

    abstract::The applicability of laparoscopy to many complex intraabdominal colorectal procedures continues to expand, and has been shown to be feasible and safe in experienced hands. Data are available on the elderly, rectal prolapse, diverticulitis, Hartman's takedown, small bowel obstruction, Crohn's disease, and ulcerative co...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章

    doi:10.1055/s-0030-1247857

    authors: Shin T,Rafferty JF

    更新日期:2010-02-01 00:00:00

  • Laparoscopy in Crohn's disease.

    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

    authors: Naidu MN,Trang AC,Salky BA

    更新日期:2007-11-01 00:00:00

  • Miscellaneous Perianal Afflictions.

    abstract::This article provides an overview of hidradenitis suppurativa, lichen planus, lichen sclerosis, calcinosis cuti, pyogenic granuloma, intertrigo, and seborrheic keratosis. This article also focuses on recognition and management of these pleomorphic afflictions of the perianal region. ...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0039-1687836

    authors: Hagerman GF,Silva-Velazco J,Molina-Lopez JF

    更新日期:2019-09-01 00:00:00

  • Medical treatment of ulcerative colitis.

    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

    authors: Mahadevan U

    更新日期:2004-02-01 00:00:00

  • ISR for T1-2 Low Rectal Cancer: A Japanese Approach.

    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

    authors: Ito M

    更新日期:2020-11-01 00:00:00

  • Use of intra-abdominal drains.

    abstract::The use of drains in colorectal surgery has been a subject of debate for several decades. Prophylactic drainage of the peritoneal cavity has become less popular in recent years. This change is due to several studies demonstrating that intraperitoneal drains do not adequately drain the peritoneal cavity and do not prev...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0033-1351134

    authors: Puleo FJ,Mishra N,Hall JF

    更新日期:2013-09-01 00:00:00

  • Functional anorectal disorders.

    abstract::Functional anorectal disorders include solitary rectal ulcer syndrome, rectocele, nonrelaxing puborectalis syndrome, and descending perineal syndrome. Patients usually present with "constipation," but the clinical picture of these disorders includes rectal pain and bleeding, digitalization, incomplete evacuation, and ...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章

    doi:10.1055/s-2005-870892

    authors: Times ML,Reickert CA

    更新日期:2005-05-01 00:00:00

  • Locally Advanced Disease and Pelvic Exenterations.

    abstract::Advanced primary and recurrent colorectal cancer can be successfully treated by experienced, dedicated centers delivering good outcomes with low mortality and morbidity. Development and implementation of a comprehensive referral pathway is to be encouraged. Multidisciplinary team management is essential in the managem...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0037-1606118

    authors: Kontovounisios C,Tekkis P

    更新日期:2017-11-01 00:00:00

  • Multispecialty clinic practice.

    abstract::A multispecialty clinic practice is a common practice arrangement for colorectal surgeons. A practice of this type has a variety of features, both positive and negative. This article explores the location, practice patterns, lifestyles, compensation, and academic opportunities associated with a multispecialty clinic p...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章

    doi:10.1055/s-2006-948023

    authors: Beck DE,Margolin DA

    更新日期:2006-08-01 00:00:00

  • Current Status of the Radiologic Assessment of Diverticular Disease.

    abstract::Radiologic assessment plays a vital role in the management of diverticulitis. It not only helps in the diagnosis, but also helps to guide the management. As technology has progressed, different modalities have offered insight into the treatment of this disease process. Through various trials and studies, certain modal...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0037-1607466

    authors: Kandagatla PG,Stefanou AJ

    更新日期:2018-07-01 00:00:00

  • Establishing a successful clinical research program.

    abstract::Clinical research (CR) is a natural corollary to clinical surgery. It gives an investigator the opportunity to critically review their results and develop new strategies. This article covers the critical factors and the important components of a successful CR program. The first and most important step is to build a de...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0034-1376171

    authors: Scoglio D,Fichera A

    更新日期:2014-06-01 00:00:00

  • Pediatric Crohn's Disease.

    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

    authors: von Allmen D

    更新日期:2018-03-01 00:00:00

  • Postoperative Complications: Looking Forward to a Safer Future.

    abstract::Colorectal surgery patients frequently suffer from postoperative complications. Patients with complications have been shown to be at higher risk for mortality, poor oncologic outcomes, additional complications, and worse quality of life. Complications are increasingly recognized as markers of quality of care with more...

    journal_title:Clinics in colon and rectal surgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0036-1584501

    authors: Tevis SE,Kennedy GD

    更新日期:2016-09-01 00:00:00

  • Role of professional societies in career development.

    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

    authors: Beck DE

    更新日期:2011-06-01 00:00:00