Impact of CT imaging on predicting the surgical management of acute diverticulitis.

Abstract:

Purpose:The incidence of colonic diverticular disease is increasing, and several grading systems based on CT findings have been developed. The objective of this study was to define the impact of various CT findings of colonic diverticulitis and to demonstrate which factors affect the need for operative treatment. Methods:Three hundred fifty-seven patients diagnosed with colonic diverticulitis from January 2010 to July 2016 were retrospectively evaluated. Patients were excluded if pure diverticulosis, diverticular bleeding, colon cancer, or relevant data deficiencies, and the remaining patients (n = 178) were reviewed. Patients were categorized into a successful nonoperation group and an operation group. The operation group was then matched 1:2 with the nonoperative group based on age, gender, American Society of Anesthesiologists physical status classification, and body mass index. Results:After propensity score matching, there were no significant differences regarding patients' demographic characteristics between the 2 groups. Left location was more associated with need for operation than the right side (79.2% vs. 31.3%, P < 0.001). CT findings such as distant intraperitoneal air, pericolic air, and free fluid were significantly more apparent in the operation group. When these factors were evaluated in a multivariate analysis, distant intraperitoneal air showed statistical significance (P = 0.046) and pericolic air and left location a significant trend (P = 0.071 and P = 0.067, respectively). Conclusion:This study suggests that distant intraperitoneal air is the most important factor in the need for surgery in patients with colonic diverticulitis. Further study will be able to identify more detailed CT findings and verify their significance, and will be helpful in designing practical scoring and classification systems.

journal_name

Ann Surg Treat Res

authors

Shin S,Kim D,Kang UR,Yang CS

doi

10.4174/astr.2018.94.6.322

subject

Has Abstract

pub_date

2018-06-01 00:00:00

pages

322-329

issue

6

eissn

2288-6575

issn

2288-6796

journal_volume

94

pub_type

杂志文章
  • Right iliac arterial aneurysm in a 4-year-old girl who does not have a right external iliac artery.

    abstract::Pediatric arterial aneurysm is rare disease. Among them, idiopathic-congenital arterial aneurysm is extremely rare. This is a case report of right common iliac artery idiopathic aneurysm with absence of right external iliac artery. A 4-year-old girl who had been complaining of intermittent abdominal pain since 2 years...

    journal_title:Annals of surgical treatment and research

    pub_type:

    doi:10.4174/astr.2016.91.5.265

    authors: Lee JH,Oh C,Youn JK,Han JW,Kim HY,Jung SE

    更新日期:2016-11-01 00:00:00

  • Colon perforation due to embolization coil for internal iliac aneurysm.

    abstract::Coil migration is an extremely rare but hazardous complication of aneurysmal coil embolization. Only 1 case report has described coil migration following endovascular exclusion to gastrointestinal (GI) tract. We report the experience of a case of colon penetration caused by embolization coil placed for internal iliac ...

    journal_title:Annals of surgical treatment and research

    pub_type:

    doi:10.4174/astr.2017.92.6.440

    authors: Lee HK,Jung HS,Chung SY,Choi SJN

    更新日期:2017-06-01 00:00:00

  • The advantages of early trauma team activation in the management of major trauma patients who underwent exploratory laparotomy.

    abstract:PURPOSE:Trauma team activation (TTA) has been shown to have fundamental impact on trauma patients' outcomes. The purpose of this study was to evaluate the short-term outcomes of use of a new TTA protocol in the management of major trauma patients who underwent exploratory laparotomy. METHODS:The medical records of tra...

    journal_title:Annals of surgical treatment and research

    pub_type: 杂志文章

    doi:10.4174/astr.2014.87.6.319

    authors: Yoo Y,Mun S

    更新日期:2014-12-01 00:00:00

  • Technique for orthotopic liver transplantation in cynomolgus monkeys (Macaca fascicularis).

    abstract:Purpose:Recent studies investigating new strategies to modulate the immune system have utilized animal models of liver transplantation (LT). However, the anhepatic phase (AHP) remains a crucial problem in LT. The aim of the present study is to introduce a technique for successful orthotopic LT in cynomolgus monkeys usi...

    journal_title:Annals of surgical treatment and research

    pub_type: 杂志文章

    doi:10.4174/astr.2018.94.1.8

    authors: Lee KW,Cho CW,Park H,Choi GS,Park JB,Kim SJ

    更新日期:2018-01-01 00:00:00

  • Trends in contralateral prophylactic mastectomy rate according to clinicopathologic and socioeconomic status.

    abstract:Purpose:There has been an increasing trend in the use of contralateral prophylactic mastectomy (CPM) among women diagnosed with unilateral breast cancer or mutations in BRCA1 or BRCA2 to reduce the occurrence of contralateral breast cancer. This study aimed to examine trends in the CPM rate according to clinicopatholog...

    journal_title:Annals of surgical treatment and research

    pub_type: 杂志文章

    doi:10.4174/astr.2019.97.3.113

    authors: Jeon HJ,Park HS,Park JS,Nam EJ,Lee ST,Han J

    更新日期:2019-09-01 00:00:00

  • Nomogram for accurate prediction of breast and axillary pathologic response after neoadjuvant chemotherapy in node positive patients with breast cancer.

    abstract:Purpose:Many patients with cytology proven node-positive breast cancer receive a neoadjuvant chemotherapy (NAC) treatment. We developed a nomogram to predict the breast and axillary pathologic complete responses (pCR) in patients with a cytologically proven axillary node positive breast cancer with NAC. Methods:We sel...

    journal_title:Annals of surgical treatment and research

    pub_type: 杂志文章

    doi:10.4174/astr.2019.96.4.169

    authors: Choi HJ,Ryu JM,Kim I,Nam SJ,Kim SW,Yu J,Lee JE,Lee SK

    更新日期:2019-04-01 00:00:00

  • Bacterial infection monitoring in the early period after liver transplantation.

    abstract:Purpose:Infection remains the main cause of morbidity and mortality in liver transplantation (LT) recipients; however infection is notoriously difficult to diagnose because its usual signs and symptoms of infection may be masked or absent. This study comprises an analysis of bacterial infections in the early period aft...

    journal_title:Annals of surgical treatment and research

    pub_type: 杂志文章

    doi:10.4174/astr.2018.94.3.154

    authors: Lee JS,Lee SH,Kim KS,Gil EM,Choi GS,Kim JM,Peck KR,Kwon CHD,Joh JW,Lee SK

    更新日期:2018-03-01 00:00:00

  • Thrombophilia in Korean patients with arterial or venous thromboembolisms.

    abstract:PURPOSE:To determine the prevalence of thrombophilia in Korean patients with an arterial thromboembolism (ATE) or a venous thromboembolism (VTE), and to evaluate the characteristic of VTE in patients with thrombophilia. METHODS:Hospital records of 294 patients (228 with VTE, 66 with ATE) including two foreign ones (me...

    journal_title:Annals of surgical treatment and research

    pub_type: 杂志文章

    doi:10.4174/astr.2016.90.6.340

    authors: Kim S,Song I,Kim HK,Huh S

    更新日期:2016-06-01 00:00:00

  • Single vertical incision thoracoabdominal flap for chest wall reconstruction following mastectomy of locally advanced breast cancer.

    abstract:Purpose:Skin grafts have been widely used in managing extensive chest wall defects after mastectomy for advanced breast cancer. However, their durability and tolerability to radiotherapy is still controversial. A thoracoabdominal (TA) flap with a few technical refinements can safely transfer a larger flap while minimiz...

    journal_title:Annals of surgical treatment and research

    pub_type: 杂志文章

    doi:10.4174/astr.2019.97.4.168

    authors: Min K,Choi EJ,Lee YH,Eom JS,Son BH,Ahn SH,Kim EK

    更新日期:2019-10-01 00:00:00

  • Risk factors for mortality of severe trauma based on 3 years' data at a single Korean institution.

    abstract:PURPOSE:This study aimed to determine the mortality rate in patients with severe trauma and the risk factors for trauma mortality based on 3 years' data in a regional trauma center in Korea. METHODS:We reviewed the medical records of severe trauma patients admitted to Ajou University Hospital with an Injury Severity S...

    journal_title:Annals of surgical treatment and research

    pub_type: 杂志文章

    doi:10.4174/astr.2015.89.4.215

    authors: Sim J,Lee J,Lee JC,Heo Y,Wang H,Jung K

    更新日期:2015-10-01 00:00:00

  • The nutritional risk is a independent factor for postoperative morbidity in surgery for colorectal cancer.

    abstract:PURPOSE:The authors evaluate the prevalence of malnutrition and its effect on the postoperative morbidity of patients after surgery for colorectal cancer. METHODS:Three hundred fifty-two patients were enrolled prospectively. Nutritional risk screening 2002 (NRS 2002) score was calculated through interview with patient...

    journal_title:Annals of surgical treatment and research

    pub_type: 杂志文章

    doi:10.4174/astr.2014.86.4.206

    authors: Kwag SJ,Kim JG,Kang WK,Lee JK,Oh ST

    更新日期:2014-04-01 00:00:00

  • Two-port laparoscopic appendectomy assisted with needle grasper comparison with conventional laparoscopic appendectomy.

    abstract:PURPOSE:The 2-port laparoscopic appendectomy technique (TLA) is between the conventional 3-port and single-port laparoscopic appendectomy surgeries. We compared postoperative pain and cosmetic results after TLA with conventional laparoscopic appendectomy (CLA) by a 3-port device. METHODS:Patients undergoing TLA were m...

    journal_title:Annals of surgical treatment and research

    pub_type: 杂志文章

    doi:10.4174/astr.2016.91.2.59

    authors: Donmez T,Hut A,Avaroglu H,Uzman S,Yildirim D,Ferahman S,Cekic E

    更新日期:2016-08-01 00:00:00

  • The characteristics of antireflux surgery compared to proton pump inhibitor treatment in Korea: a nationwide study using claim data from 2007 to 2016.

    abstract:Purpose:Laparoscopic antireflux surgery is not widely used in Korea, but published data suggest that its results are comparable to those of Western countries. The purpose of this study was to compare the clinical characteristics, medical utilization, and medical costs of antireflux surgery and proton pump inhibitor (PP...

    journal_title:Annals of surgical treatment and research

    pub_type: 杂志文章

    doi:10.4174/astr.2020.98.5.254

    authors: Park S,Kwon JW,Park JM,Park S,Hwang J,Seo KW

    更新日期:2020-05-01 00:00:00

  • Is the "ghost surgery" the subject of legal punishment in Korea?

    abstract:Purpose:Recently a controversy has arisen about so-called "ghost surgery" practices, and people have voiced their opinions for legal sanction against such practices, which clearly undermine the foundation of medical ethics. However, there has been a lack of legal basis for punishing those actions. The present study aim...

    journal_title:Annals of surgical treatment and research

    pub_type: 杂志文章

    doi:10.4174/astr.2018.94.4.167

    authors: Hong SE,Hong MK,Park BY,Woo KJ,Kang SR

    更新日期:2018-04-01 00:00:00

  • Anticancer effect of silibinin on the xenograft model using MDA-MB-468 breast cancer cells.

    abstract:PURPOSE:The aim of this study is to know whether silibinin has an anticancer effect on triple negative breast cancer xenograft model using MDA-MB-468 cells. METHODS:To establish the xenograft model, we injected the MDA-MB-468 cells into female Balb/c-nude mice. After establishing a xenograft model, oral silibinin was ...

    journal_title:Annals of surgical treatment and research

    pub_type: 杂志文章

    doi:10.4174/astr.2014.87.4.167

    authors: Kil WH,Kim SM,Lee JE,Park KS,Nam SJ

    更新日期:2014-10-01 00:00:00

  • Prognostic factors after hepatic resection for the single hepatocellular carcinoma larger than 5 cm.

    abstract:PURPOSE:This study aimed to determine which factors affect the prognosis of hepatectomy for hepatocellular carcinoma (HCC) larger than 5 cm, including the prognostic difference between tumor sizes from 5-10 cm and larger than 10 cm. METHODS:The medical records of 114 patients who underwent hepatectomy for single HCC l...

    journal_title:Annals of surgical treatment and research

    pub_type: 杂志文章

    doi:10.4174/astr.2016.91.3.104

    authors: Noh JH,Kim TS,Ahn KS,Kim YH,Kang KJ

    更新日期:2016-09-01 00:00:00

  • Risk factors for cancer recurrence or death within 6 months after liver resection in patients with colorectal cancer liver metastasis.

    abstract:PURPOSE:The aim of this study was to find risk factors for early recurrence (ER) and early death (ED) after liver resection for colorectal cancer liver metastasis (CRCLM). METHODS:Between May 1990 and December 2011, 279 patients underwent liver resection for CRCLM at Korea University Medical Center. They were assigned...

    journal_title:Annals of surgical treatment and research

    pub_type: 杂志文章

    doi:10.4174/astr.2016.90.5.257

    authors: Jung SW,Kim DS,Yu YD,Han JH,Suh SO

    更新日期:2016-05-01 00:00:00

  • Learning curves for single incision and conventional laparoscopic right hemicolectomy: a multidimensional analysis.

    abstract:PURPOSE:This study aimed to compare the learning curves and early postoperative outcomes for conventional laparoscopic (CL) and single incision laparoscopic (SIL) right hemicolectomy (RHC). METHODS:This retrospective study included the initial 35 cases in each group. Learning curves were evaluated by the moving averag...

    journal_title:Annals of surgical treatment and research

    pub_type: 杂志文章

    doi:10.4174/astr.2015.88.5.269

    authors: Park Y,Yong YG,Yun SH,Jung KU,Huh JW,Cho YB,Kim HC,Lee WY,Chun HK

    更新日期:2015-05-01 00:00:00

  • Comparative study of bilateral axillo-breast approach endoscopic and robotic thyroidectomy: propensity score matching analysis of large multi-institutional data.

    abstract:Purpose:The aim of this study was to compare the large multi-institutional data of surgical outcomes of bilateral axillo-breast approach (BABA) robotic (RT) and endoscopic thyroidectomy (ET) and to evaluate the merits of robotic thyroidectomy. Methods:From 2004 to 2015, 1,029 patients underwent BABA ET, and from 2008 ...

    journal_title:Annals of surgical treatment and research

    pub_type: 杂志文章

    doi:10.4174/astr.2020.98.6.307

    authors: Choi JY,Bae IE,Kim HS,Yoon SG,Yi JW,Yu HW,Kim SJ,Chai YJ,Lee KE,Youn YK

    更新日期:2020-06-01 00:00:00

  • Clinical outcomes of minimally invasive surgery for Meckel diverticulum: a multicenter study.

    abstract:Purpose:Meckel diverticulum (MD), caused by an obliteration defect of the omphalomesenteric duct, is one of the most common congenital anomalies of small intestines. The objective of this study was to review surgical outcomes of MD and evaluate the feasibility of minimally invasive surgery (MIS) in MD. Methods:We perf...

    journal_title:Annals of surgical treatment and research

    pub_type: 杂志文章

    doi:10.4174/astr.2020.99.4.213

    authors: Jung HS,Park JH,Yoon SN,Kang BM,Oh BY,Kim JW

    更新日期:2020-10-01 00:00:00

  • Can the model for end-stage liver disease score replace the indocyanine green clearance test in the selection of right hemihepatectomy in Child-Pugh class A?

    abstract:PURPOSE:To identify the correlation of the model for end-stage liver disease (MELD) scores with the assessment of the risk of hepatic function after hemihepatectomy in patients with hepatocellular carcinoma (HCC) related to hepatitis B virus (HBV). METHODS:A case-control study was performed based on data for 141 conse...

    journal_title:Annals of surgical treatment and research

    pub_type: 杂志文章

    doi:10.4174/astr.2014.86.3.122

    authors: Kim JM,Kwon CH,Joh JW,Park JB,Lee JH,Kim GS,Kim SJ,Paik SW

    更新日期:2014-03-01 00:00:00

  • Spontaneous reduction of small bowel herniation through the foramen of Winslow: importance of a timely approach.

    abstract::We present the case of young female patient presenting with acute onset abdominal pain. Abdominopelvic CT revealed herniation through the foramen of Winslow. The patient was transferred to our hospital and underwent laparoscopic exploration. Though spontaneous reduction was detected, segmental resection of the impacte...

    journal_title:Annals of surgical treatment and research

    pub_type:

    doi:10.4174/astr.2017.92.2.113

    authors: Cho HG,Kang J

    更新日期:2017-02-01 00:00:00

  • Neonatal vitelline vein aneurysm with thrombosis: prompt treatment should be needed.

    abstract::Vitelline veins are a pair of embryonic structures. The veins develop the portal vein system. Serious problems occur if the vitelline vein does not regress and becomes an aneurysm. Thrombus formation in the vitelline vein aneurysm could lead to portal vein thrombosis and portal hypertension unless promptly and correct...

    journal_title:Annals of surgical treatment and research

    pub_type:

    doi:10.4174/astr.2015.89.6.334

    authors: Kim SH,Yu HW,Kim HY,Jo HS

    更新日期:2015-12-01 00:00:00

  • The comparison of monitored anesthesia care with dexmedetomidine and spinal anesthesia during varicose vein surgery.

    abstract:PURPOSE:The purpose of this study was to investigate the effectiveness and safety of monitored anesthesia care (MAC) using dexmedetomidine for its sedative and analgesic effect during varicose vein surgery. METHODS:Forty-two patients, who underwent varicose vein surgery, were divided into the MAC group (n = 20) or the...

    journal_title:Annals of surgical treatment and research

    pub_type: 杂志文章

    doi:10.4174/astr.2014.87.5.245

    authors: Moon EJ,Kang KW,Chung JY,Kang JM,Park JH,Joh JH,Park HC,Yi JW

    更新日期:2014-11-01 00:00:00

  • A comparison of postoperative pain after conventional open thyroidectomy and single-incision, gasless, endoscopic transaxillary thyroidectomy: a single institute prospective study.

    abstract:PURPOSE:The aim of this study was to compare postoperative pain between single-incision, gasless, endoscopic transaxillary thyroidectomy (SET), and conventional open thyroidectomy. METHODS:From March to December 2015, patients with thyroid disease underwent total thyroidectomy or lobectomy. Patient's clinical and path...

    journal_title:Annals of surgical treatment and research

    pub_type: 杂志文章

    doi:10.4174/astr.2017.92.1.9

    authors: Kang JB,Kim EY,Park YL,Park CH,Yun JS

    更新日期:2017-01-01 00:00:00

  • Oncologic impact of pathologic response on clinical outcome after preoperative chemoradiotherapy in locally advanced rectal cancer.

    abstract:PURPOSE:Downstaging after chemoradiotherapy (CRT) for rectal cancer usually occurs. The present study aimed to evaluate pathologic y-stage (yp-stage) and its influence on local recurrence and systemic recurrence in rectal cancer patients treated with CRT followed by surgical resection. METHODS:We retrospectively analy...

    journal_title:Annals of surgical treatment and research

    pub_type: 杂志文章

    doi:10.4174/astr.2015.88.1.15

    authors: Yoon WH,Kim HJ,Kim CH,Joo JK,Kim YJ,Kim HR

    更新日期:2015-01-01 00:00:00

  • Clinicopathological factors increased the risk of malignancy in thyroid nodules with atypical or follicular lesions of undetermined significance (AUS/FLUS) risk factor of malignancy in thyroid nodule with AUS/FLUS.

    abstract:PURPOSE:Ultrasound-guided fine needle aspiration (US-FNA) in thyroid nodules is presently most commonly used to identify whether these nodules are benign or malignant. However, atypical or follicular lesions of undetermined significance (AUS/FLUS), as categorized in the Bethesda System for reporting the results of FNA,...

    journal_title:Annals of surgical treatment and research

    pub_type: 杂志文章

    doi:10.4174/astr.2016.90.4.201

    authors: Hong IK,Kim JH,Cho YU,Park SY,Kim SJ

    更新日期:2016-04-01 00:00:00

  • Preliminary study on application of augmented reality visualization in robotic thyroid surgery.

    abstract:Purpose:Increased robotic surgery is attended by increased reports of complications, largely due to limited operative view and lack of tactile sense. These kinds of obstacles, which seldom occur in open surgery, are challenging for beginner surgeons. To enhance robotic surgery safety, we created an augmented reality (A...

    journal_title:Annals of surgical treatment and research

    pub_type: 杂志文章

    doi:10.4174/astr.2018.95.6.297

    authors: Lee D,Kong HJ,Kim D,Yi JW,Chai YJ,Lee KE,Kim HC

    更新日期:2018-12-01 00:00:00

  • Chronologic trends of cancer-related lymph node research in PubMed: informetrics analysis.

    abstract:Purpose:Given the long history of investigation into cancer and its relevance to the lymph node (LN), it would be meaningful to plot the trends of research on cancer-related LN. Methods:Queries such as "cancer," "lymph node," and "cancer and lymph node" were submitted to PubMed to collect articles on cancer and LN pub...

    journal_title:Annals of surgical treatment and research

    pub_type: 杂志文章

    doi:10.4174/astr.2020.99.5.305

    authors: Oh HJ,Yang D,Oh HW,Jeon JG,Kim C,Ahn JY,Han SW,Kim CY

    更新日期:2020-11-01 00:00:00

  • Tenofovir does not induce renal dysfunction compared to entecavir in post-liver-transplant hepatitis B virus patients.

    abstract:Purpose:Tenofovir disoproxil fumarate is accepted as an effective and tolerable drug for treatment of HBV, similar to entecavir. However, there are some concerns about the nephrotoxicity of tenofovir. The aim of this study is to compare the renal-function change of liver recipients who received tenofovir or entecavir f...

    journal_title:Annals of surgical treatment and research

    pub_type: 杂志文章

    doi:10.4174/astr.2020.99.3.180

    authors: Kim SJ,Rhu J,Lee SH,Kim JM,Choi GS,Kim K,Joh JW

    更新日期:2020-09-01 00:00:00