当前位置： SCI文献检索 > Techniques in Coloproctology期刊下所有文献 > C-reactive protein as a marker of complicated diverticulitis in patients on anti-inflammatory medications.

C-reactive protein as a marker of complicated diverticulitis in patients on anti-inflammatory medications.

Abstract：

BACKGROUND:Diverticulitis is a common indication for surgical emergency room admission, often leading to abdominal computed tomography (CT) scanning for both diagnosis and staging. C-reactive protein (CRP) has been identified as a useful biomarker of inflammation. Aspirin and corticosteroids are known to down-regulate CRP production. In this study, we evaluated the usefulness of CRP as a biomarker for complicated diverticulitis and specifically in patients on anti-inflammatory medications: aspirin and corticosteroids. METHODS:We analyzed the medical records of patients diagnosed at one medical center during a two-year period, with left-sided diverticulitis, according to clinical data and CT scan. Disease severity was assessed by the Hinchey score using the radiological findings detected by CT. RESULTS:A total of 295 patients were included in the study. Two hundred and forty-three (82 %) were classified with uncomplicated (Hinchey 1a) and 52 (18 %) with complicated disease (Hinchey > 1a). Mean CRP levels were 133.5 and 63.5 mg/ml for those with complicated and uncomplicated disease, respectively (p < 0.001), and 139 and 60 mg/ml, respectively (p < 0.001) in the subgroup of patients taking aspirin (n = 61). For 14 patients on corticosteroid treatment, the difference in mean CRP levels for complicated and uncomplicated disease was not statistically significant. CRP > 90 mg/ml had 88 % sensitivity and 75 % specificity for complicated disease. CONCLUSIONS:The CRP level distinguished between complicated and uncomplicated disease among left-sided diverticulitis patients including those taking aspirin, but not among those on corticosteroid treatment.

journal_name

Tech Coloproctol

journal_title

Techniques in coloproctology

authors

Nizri E,Spring S,Ben-Yehuda A,Khatib M,Klausner J,Greenberg R

doi

10.1007/s10151-013-1044-5

subject

Has Abstract

pub_date

2014-02-01 00:00:00

pages

145-9

issue

2

eissn

1123-6337

issn

1128-045X

journal_volume

18

pub_type

杂志文章

相关文献

Techniques in Coloproctology文献大全
  • Long-acting octreotide in the treatment of diarrhea after pelvic pouch surgery.

    abstract：:After pelvic pouch surgery (restorative proctocolectomy), periodic or continuous diarrhea is common. Distressing diarrhea may be triggered by pouchitis, cuffitis or an anastomotic stricture. Medical therapy with loperamide or diphenoxylate is often unsatisfactory even after the correction of the underlying problem. Se...

    journal_title：Techniques in coloproctology

    pub_type： 杂志文章

    doi：10.1007/s10151-006-0306-x

    authors： Gullichsen R

    更新日期：2006-12-01 00:00:00

  • Bowel cleansing for diagnostic colonoscopy: which method is preferable? Istanbul experience.

    abstract：BACKGROUND:A prospective randomized trial to assess the cleansing ability and tolerance of bowel preparations for colonoscopy was conducted in a group of 953 patients. METHODS:The bowel cleansing methods were: sennoside calcium, polyethylene glycol (PEG) lavage, oral sodium phosphate (NaP) in one 90-ml dose, oral NaP ...

    journal_title：Techniques in coloproctology

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1007/s101510300003

    authors： Tasci I,Altinli E,Sirin F

    更新日期：2003-04-01 00:00:00

  • Mass screening for colorectal cancer: compliance in Almopea Region.

    abstract：:Colorectal cancer (CRC) is the second leading cause of cancer-related morbidity and mortality in Europe and the United States. Planning for a CRC screening began in co-operation with local authorities (Pella Prefecture sponsored test kits). Our aims were to develop a screening programme for colorectal cancer using the...

    journal_title：Techniques in coloproctology

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1007/s10151-004-0154-s

    authors： Chrissidis T,Saliangas K,Economou A,Nikoloudis N,Andreadis E,Prodromou K,Georgakis K

    更新日期：2004-11-01 00:00:00

  • A simple scoring system for risk-stratifying rectal cancer patients prior to radical resection.

    abstract：BACKGROUND:Various predictors of perioperative risk for patients with rectal cancer undergoing radical resection have been well described, but no simple scoring system for surgeons to estimate this risk currently exists. The objective of this study was to develop a system for more accurate preoperative evaluations of c...

    journal_title：Techniques in coloproctology

    pub_type： 杂志文章

    doi：10.1007/s10151-013-1076-x

    authors： Speicher PJ,Ligh C,Scarborough JE,Thacker JK,Mantyh CR,Turley RS,Migaly J

    更新日期：2014-05-01 00:00:00

  • The bother of anal incontinence and St. Mark's Incontinence Score.

    abstract：BACKGROUND:Patient self-report is important in the assessment of the impact of anal incontinence (AI) on quality of life. This study aimed to (1) determine the correlation between total St. Mark's Incontinence Score (SMIS) and a single-item visual analogue scale (VAS) for bother from AI, and (2) determine the correlati...

    journal_title：Techniques in coloproctology

    pub_type： 杂志文章

    doi：10.1007/s10151-015-1397-z

    authors： Paka C,Atan IK,Dietz HP

    更新日期：2016-02-01 00:00:00

  • Is the extent of obstetric anal sphincter injury correlated with the severity of fecal incontinence in the long term?

    abstract：BACKGROUND:Obstetric anal sphincter injury is the most frequent cause of fecal incontinence (FI) in young women. However, the relationship between the extent of anal sphincter defects and the severity of long-term FI (at least 1 year after delivery) has been poorly studied. The aim of the present study was to determine...

    journal_title：Techniques in coloproctology

    pub_type： 杂志文章

    doi：10.1007/s10151-019-02128-1

    authors： Luciano L,Bouvier M,Baumstarck K,Vitton V

    更新日期：2020-01-01 00:00:00

  • Sources of clinical referrals to an urban coloproctology unit in Italy.

    abstract：:Prompt and appropriate referrals to colorectal surgeons result in better clinical and more cost-effective outcome: the question that then arises is how patients with large bowel diseases get in contact with the specialist. The aim of the present research was to investigate the sources of clinical referrals of 1000 pat...

    journal_title：Techniques in coloproctology

    pub_type： 杂志文章

    doi：10.1007/s101510170001

    authors： Basso L,Pescatori M

    更新日期：2001-08-01 00:00:00

  • Approach to the diagnosis and management of retained rectal foreign bodies: clinical update.

    abstract：:Retained rectal foreign body is not an uncommon condition, but reliable epidemiological data are not available. The diagnosis and management can present a significant challenge due to delayed presentation and the reluctance of the patients to provide details of the incident. The aim of the clinical evaluation is to id...

    journal_title：Techniques in coloproctology

    pub_type： 杂志文章,评审

    doi：10.1007/s10151-012-0899-1

    authors： Ayantunde AA

    更新日期：2013-02-01 00:00:00

  • Small bowel adenocarcinoma in Crohn's disease: a rare but devastating complication.

    abstract：BACKGROUND:Small bowel adenocarcinoma (SBA) remains a rare entity but occurs at increased frequency in the setting of chronic Crohn's disease (CD). Our aim was to study the presentation, diagnosis and prognosis of SBA in patients undergoing surgery for CD at a single institution. METHODS:We reviewed the medical record...

    journal_title：Techniques in coloproctology

    pub_type： 杂志文章

    doi：10.1007/s10151-020-02269-8

    authors： Hussain T,Jeganathan NA,Karagkounis G,Stocchi L,Shawki S,Holubar SD,Gordon I,Hull T,Liska D

    更新日期：2020-10-01 00:00:00

  • Complications and results after stapled haemorrhoidopexy as a day surgical procedure.

    abstract：BACKGROUND:The aim of this report is to describe our experience with stapled haemorrhoidopexy as a day surgery procedure. METHODS:From January 2000 to January 2003, a total of 214 patients with third- and fourth-degree haemorrhoids underwent stapled haemorrhoidopexy under spinal anaesthesia. We analysed early postoper...

    journal_title：Techniques in coloproctology

    pub_type： 杂志文章

    doi：10.1007/s10151-003-0029-1

    authors： Mlakar B,Kosorok P

    更新日期：2003-10-01 00:00:00

  • Perforated left-sided diverticulitis with faecal peritonitis: is the Hinchey classification the best guide for surgical decision making?

    abstract：BACKGROUND:Although the Hinchey scoring system has guided surgical decision making for perforated diverticulitis, what constitutes optimal surgical management is controversial. We report our experience of selective primary closure of the perforation without use of a transverse colostomy and the specific circumstances i...

    journal_title：Techniques in coloproctology

    pub_type： 杂志文章

    doi：10.1007/s10151-011-0675-7

    authors： Naraynsingh V,Maharaj R,Hassranah D,Hariharan S,Dan D,Zbar AP

    更新日期：2011-06-01 00:00:00

  • The trans-sphincteric posterior sagittal repair of recto-urinary and recto-vaginal fistulae using Surgisis™ mesh and fibrin sealant.

    abstract：:Recto-urinary, recto-vaginal and ileo-anal pouch-associated fistulae are rare yet a significant clinical problem due to their profound impact on patients' quality of life and are a challenge to repair. In this report, we describe repair of these complex fistulae using a modified trans-sphincteric posterior sagittal ap...

    journal_title：Techniques in coloproctology

    pub_type： 杂志文章

    doi：10.1007/s10151-012-0917-3

    authors： Borowiec AM,McCall M,Lees GM

    更新日期：2014-02-01 00:00:00

  • Accuracy of endorectal ultrasonography in the preoperative staging of rectal cancer.

    abstract：BACKGROUND:Preoperative staging of rectal tumours is considered essential to tailoring treatment for individual patients. The aim of the present study was to evaluate the accuracy of 3-D-endorectal ultrasonography for the preoperative staging of rectal cancer. METHODS:Three hundred and fifty-seven patients with rectal...

    journal_title：Techniques in coloproctology

    pub_type： 杂志文章

    doi：10.1007/s10151-004-0099-8

    authors： Manger T,Stroh C

    更新日期：2004-11-01 00:00:00

  • Brachial plexus injury as a complication after colorectal surgery.

    abstract：:Peripheral neuropathy associated with anesthesia is a significant source of morbidity and the second most frequent cause of professional liability in anesthetic practice. Nerve injuries are a well-recognised complication of anesthesia. Brachial plexus neuropathy is a rare syndrome with an incidence of 1.6 cases per 10...

    journal_title：Techniques in coloproctology

    pub_type： 杂志文章

    doi：10.1007/s10151-005-0212-7

    authors： Brill S,Walfisch S

    更新日期：2005-07-01 00:00:00

  • Robotic versus laparoscopic surgery for rectal cancer: a comparative cost-effectiveness study.

    abstract：BACKGROUND:The differences between the costs of robotic rectal resection and of the laparoscopic approach are still not well known. The aim of this study was to evaluate the cost-effectiveness of robotic versus laparoscopic surgery. METHODS:We conducted an observational, comparative, prospective, non-randomized study ...

    journal_title：Techniques in coloproctology

    pub_type： 杂志文章

    doi：10.1007/s10151-020-02151-7

    authors： Quijano Y,Nuñez-Alfonsel J,Ielpo B,Ferri V,Caruso R,Durán H,Díaz E,Malavé L,Fabra I,Pinna E,Isernia R,Hidalgo Á,Vicente E

    更新日期：2020-03-01 00:00:00

  • A simple and safe technique for performing single-port laparoscopic resection of appendiceal mucocele.

    abstract：:We report a new method of performing single-port laparoscopic surgery for appendiceal mucocele. The key points of our technique are placing a 3/4 circumferential skin incision with multiple radial splits on the confine of the umbilicus, use of a "home-made" multichannel port system, and trimming the skin incision stra...

    journal_title：Techniques in coloproctology

    pub_type： 杂志文章

    doi：10.1007/s10151-011-0695-3

    authors： Ishibashi K,Okada N,Ohsawa T,Kumamoto K,Haga N,Ishida H

    更新日期：2011-09-01 00:00:00

  • Trends in hospital admission for acute diverticulitis in Italy from 2008 to 2015.

    abstract：BACKGROUND:Epidemiological studies in Western countries have documented an increase of hospitalizations for acute diverticulitis (AD) but Italian evidence is scarce. The aim of the present study was to analyse the trend in hospitalization for AD, including in-hospital mortality, in Italy from 2008 to 2015. METHODS:Thr...

    journal_title：Techniques in coloproctology

    pub_type： 杂志文章

    doi：10.1007/s10151-018-1840-z

    authors： Binda GA,Mataloni F,Bruzzone M,Carabotti M,Cirocchi R,Nascimbeni R,Gambassi G,Amato A,Vettoretto N,Pinnarelli L,Cuomo R,Annibale B

    更新日期：2018-08-01 00:00:00

  • Surgical site infection rates: open versus hand-assisted colorectal resections.

    abstract：PURPOSE:This study was performed to determine impact of open and hand-assisted colorectal resection on surgical site infection (SSI) rates. METHODS:National Surgical Quality Improvement Project data from 2006 to 2008 were supplemented with an institutional review board-approved chart review. Primary endpoint was SSI r...

    journal_title：Techniques in coloproctology

    pub_type： 杂志文章

    doi：10.1007/s10151-013-1066-z

    authors： Bishawi M,Fakhoury M,Denoya PI,Stein S,Bergamaschi R

    更新日期：2014-04-01 00:00:00

  • Restorative surgery for ulcerative colitis in the elderly: an analysis of ileal pouch-anal anastomosis procedures from the American College of Surgeons National Surgical Quality Improvement Program.

    abstract：BACKGROUND:Ileal pouch-anal anastomosis (IPAA) for ulcerative colitis(UC) can be performed as either 2- or 3-stage procedure. IPAA in the elderly has been reported as safe and feasible, but little work to date has assessed outcomes by procedure. The aim of our study was to assess use and short-term outcomes of 2- and 3...

    journal_title：Techniques in coloproctology

    pub_type： 杂志文章

    doi：10.1007/s10151-020-02327-1

    authors： Pellino G,Reif de Paula T,Lawlor G,Keller DS

    更新日期：2020-08-16 00:00:00

  • Early and late complications of stapled haemorrhoidopexy: a 6-year experience from a single surgical clinic.

    abstract：PURPOSE:Introduction of stapled hemorrhoidopexy (SH) brought a radical change in the treatment of haemorrhoidal disease. The aim of this study is to evaluate the results and the complications (early and late) from the use of this technique. METHODS:During the last 6 years (2005-2011), 123 patients underwent a SH in ou...

    journal_title：Techniques in coloproctology

    pub_type： 杂志文章

    doi：10.1007/s10151-011-0739-8

    authors： Grigoropoulos P,Kalles V,Papapanagiotou I,Mekras A,Argyrou A,Papageorgiou K,Derian A

    更新日期：2011-10-01 00:00:00

  • Progression of anal intraepithelial neoplasia in HIV-positive individuals: predisposing factors.

    abstract：BACKGROUND:The aim of the present study was to evaluate patient factors that affect the progression of anal dysplasia in human immunodeficiency virus (HIV)-positive individuals. METHODS:A retrospective cohort study of HIV-positive adults with human papilloma virus related anal lesions was performed from 2012 to 2017. ...

    journal_title：Techniques in coloproctology

    pub_type： 杂志文章

    doi：10.1007/s10151-019-01951-w

    authors： McCutcheon T,Hawkins AT,Muldoon RL,Hopkins MB,Geiger TM,Ford MM

    更新日期：2019-04-01 00:00:00

  • Chemoprevention of colorectal cancer: an update.

    abstract：:Colorectal cancer (CRC) is the leading cause of cancer-related mortality in western countries. Adjuvant treatment does not seem to be highly effective and recurrent or metastatic disease occurs in half of the new cases within one year of diagnosis and median survival does not exceed 18 months. CRC represents an optima...

    journal_title：Techniques in coloproctology

    pub_type： 杂志文章,评审

    doi：10.1007/s10151-004-0170-5

    authors： Serrano D,Lazzeroni M,Decensi A

    更新日期：2004-12-01 00:00:00

  • Emergency and elective surgery for small bowel Crohn's disease.

    abstract：:Advancements in the medical treatment of Crohn's disease have reduced the need for surgery. The indications for surgery include the failure of medical management, especially the persistence or worsening of symptoms in spite of proper treatment and complications of the disease process. These complications include intes...

    journal_title：Techniques in coloproctology

    pub_type： 杂志文章

    doi：10.1007/s10151-011-0728-y

    authors： Kosmidis C,Anthimidis G

    更新日期：2011-10-01 00:00:00

  • Right sided colorectal cancer increases with age and screening should be tailored to reflect this: a national cancer database study.

    abstract：BACKGROUND:In the United States, colorectal cancer (CRC) screening and surveillance is recommended until age 75. However, rates of surgery for CRC are greatest in the elderly, questioning current guidelines. Tumor sidedness is an emerging prognostic marker that may help guide screening and treatment decisions, with spe...

    journal_title：Techniques in coloproctology

    pub_type： 杂志文章

    doi：10.1007/s10151-020-02329-z

    authors： Reif de Paula T,Simon HL,Profeta da Luz MM,Keller DS

    更新日期：2020-08-27 00:00:00

  • First clinical experience with single-port robotic transanal minimally invasive surgery (SP rTAMIS) for benign rectal neoplasms.

    abstract：BACKGROUND:The new da Vinci Single-Port (SP) robot is a single-arm four-channel robotic system well suited for endoluminal surgery. We report our initial experience performing SP robotic transanal minimally invasive surgery (SP rTAMIS) for rectal neoplasms. METHODS:Under Institutional Review Board approval, two patien...

    journal_title：Techniques in coloproctology

    pub_type： 杂志文章

    doi：10.1007/s10151-020-02358-8

    authors： Marks JH,Kunkel E,Salem JF,Martin C,Anderson B,Agarwal S

    更新日期：2020-10-17 00:00:00

  • The management of rectal cancer with synchronous liver metastases: a modern surgical dilemma.

    abstract：INTRODUCTION:One in ten patients with rectal cancer presents with synchronous colorectal liver metastases. We present an up-to-date review of the different surgical strategies available for rectal cancer patients with synchronous colorectal liver metastases. METHOD:A literature review of MEDLINE, Cochrane and Google s...

    journal_title：Techniques in coloproctology

    pub_type： 杂志文章,评审

    doi：10.1007/s10151-012-0888-4

    authors： Slesser AA,Bhangu A,Brown G,Mudan S,Tekkis PP

    更新日期：2013-02-01 00:00:00

  • A prospective case-control study of extralevator abdominoperineal excision (ELAPE) of the rectum versus conventional laparoscopic and open abdominoperineal excision: comparative analysis of short-term outcomes and quality of life.

    abstract：BACKGROUND:Conventional abdominoperineal excision (APE) of the rectum is associated with higher circumferential resection margin (CRM) involvement, increased local recurrence, and reduced survival compared to anterior resection. A more radical extralevator APE (ELAPE) technique may improve oncological outcome. However,...

    journal_title：Techniques in coloproctology

    pub_type： 杂志文章

    doi：10.1007/s10151-012-0851-4

    authors： Vaughan-Shaw PG,Cheung T,Knight JS,Nichols PH,Pilkington SA,Mirnezami AH

    更新日期：2012-10-01 00:00:00

  • Prospective randomized crossover trial comparing fibre with lactulose in the treatment of idiopathic chronic constipation.

    abstract：BACKGROUND:Fibre is often recommended as the first-choice treatment but its effects can be uneven. The aim of the study was to compare the clinical efficacy and tolerability of fibre versus lactulose in outpatients with chronic constipation. METHODS:In a prospective randomized crossover trial, patients were randomized...

    journal_title：Techniques in coloproctology

    pub_type： 杂志文章,随机对照试验

    doi：10.1007/s10151-006-0262-5

    authors： Quah HM,Ooi BS,Seow-Choen F,Sng KK,Ho KS

    更新日期：2006-07-01 00:00:00

  • Healing of the perineal wound after proctectomy in Crohn's disease patients: only preoperative perineal sepsis predicts poor outcome.

    abstract：BACKGROUND:The aim of our study was to assess perineal wound healing in patients with Crohn's disease (CD) who undergo proctectomy or proctocolectomy with end ileostomy and to evaluate the influence of various factors including types of perineal dissection on eventual wound healing. METHODS:Data for patients with CD w...

    journal_title：Techniques in coloproctology

    pub_type： 杂志文章

    doi：10.1007/s10151-017-1695-8

    authors： Li W,Stocchi L,Elagili F,Kiran RP,Strong SA

    更新日期：2017-09-01 00:00:00

  • Intraoperative anastomotic dye test significantly decreases incidence of anastomotic leaks in patients undergoing resection for rectal cancer.

    abstract：BACKGROUND:Anastomotic leakage is still a major complication in colorectal surgery. Prompt recognition and immediate treatment of anastomotic leak during surgery may reduce postoperative morbidity and mortality. Various types of intraoperative anastomotic test have been proposed to reduce the incidence of this complica...

    journal_title：Techniques in coloproctology

    pub_type： 杂志文章

    doi：10.1007/s10151-012-0910-x

    authors： Chen CW,Chen MJ,Yeh YS,Tsai HL,Chang YT,Wang JY

    更新日期：2013-10-01 00:00:00