Diverticular disease is an extremely common disease entity in our society. Nov 01, 2016 enfermedad diverticular no complicada dieta alta en fibra 2035 gr diarios. Enfermedad diverticular abril 2016 centro colorectal. Role of surgery 1 surgery and colorectal endoscopy. Diverticular disease is re lated to poor fibre diet. Diverticulitis is a common cause of abdominal pain in the emergency room. Francisco javier medinafernandez 1,2, nelida diazjimenez 1, ana belen gallardoherrera 1, irene gomezluque 1, dimas javier garcilazoarsimendi 1 and jose gomez. Recent epidemiologic studies suggest its incidence may be dramatically on the rise, in part due to the growing burden of disease as the baby boomer population. This system as modified by hinchey became the most popular classification, and is the one in current use. Of these, out of treatment of perforated diverticular disease of the colon. Diverticular disease diverticular disease is a common process that affects about 50% of the people over 60, although the figure increases with age. Diverticular bleeding is a major cause of lower digestive haemorrhage, but generally selflimited.
Surgical management of acute diverticulitis authorstream. Current approach to complicated diverticular disease by the gastroenterologist full text pdf. Introduzione frequeza in uk prevalenza 40% in persone 50 aa 70% in quelle 80 aa 68,000 ricoveri anno in uk 2,000 decessi anno in uk spiller rc. Ctguided or usguided percutaneous drainage may be appropriate for pericolic or distant abscess hinchey i and ii. The lsge is a scientific society of medical doctors who are interested in the function and diseases of the gastro intestinal tract. It is located primarily in the left colon, being the sigmoid colon the most frequent location. About a third of these patients are estimated to present symptoms, and only one out of three of them will require surgery due to the seriousness of the condition.
Scribd is the worlds largest social reading and publishing site. Enfermedad diverticular niddk cirugia y endoscopia monclova. Management of hinchey ii diverticulitis pubmed central pmc. With the application of therapeutic endoscopic and angiographic methods, emergency surgery can. Fead fundacion espanola del aparato digestivo 4,407 views. Colon y enfermedad diverticular slideshare health for you. The choice of the treatment in case of perforated acute diverticulitis changes according to clinical severity evaluated with the hinchey staging system. Enfermedad diverticular no complicada o diverticulosis. Diverticulitis final by maria jesus campos alfaro on prezi. Diverticular disease of the colon is very frequent in the occidental countries. Role of surgery 359 the severity of these inflammatory and infectious changes has been clinically classified by several authors.
Diagnosis and medical management of complicated diverticular disease diverticulosis is a very frequent condition in elderly patients, reaching an incidence of 66% among those patients over 80 years old. Sep 16, 20 the choice of the treatment in case of perforated acute diverticulitis changes according to clinical severity evaluated with the hinchey staging system. Obesidad y enfermedad diverticular del colon complicada. The major complication of diverticular disease, diverticulitis, can have quite variable presentations. Enfermedad diverticular del colon trabajos pedrin25.
The justification of using the laparoscopic approach for colectomy in diverticular disease was studied by two randomized controlled trials comparing open with laparoscopic resection for sigmoid diverticular disease 17, 18. The impact of diverticular disease on western society is substantial, affecting 50% of those older than 60 years, and up to 80% of those age 80 years and older. Its prevalence has risen in recent years due to the increase in the age of the general population and also due to dietary changes 1,2. Enfermedad diverticular definicion y hechos sintomas y causas diagnostico tratamiento alimentacion, dieta y nutricion ensayos clinicos return to overview page definicion y hechos.
This approach is an acceptable alternative to treating patients with lowgrade hinchey i and ii disease who undergo laparotomy for diverticular peritonitis. Ultrasonography and computed tomography ct studies are used in imaging diagnosis. To describe the complicated diverticulitis, hinchey stages and identify the most frequent. New trends in the management of diverticulitis and colonic diverticular disease. Prospective, fiveyear followup study of patients with symptomatic uncomplicated diverticular disease.
Enfermedad diverticular university of california, san diego. Please use one of the following formats to cite this article in your essay, paper or report. Acknowledgements we thank the staff of the general surgery service who made it possible to apply the ad management protocol at our center, the staff at the radiology service for their help in implementing the mneff classification, and the home. Mechanistic rct of mesalazine in symptomatic diverticular disease. Diverticulosis, diverticular abscess, hinchey classification, percutaneous drainage, recurrent diverticulitis introduction the prevalence of colonic diverticulosis has gradually yet steadily increased in the western world and ranges from 30%50% of population over the age of 50 and more than two thirds over the age of 80 1. Chief of the training program in coloproctology, laparoscopic colorectal surgery and diagnostic and therapeutic colonoscopy at the universidad militar nueva granada.