Article
Gastroenterology & Hepatology
Haoran Zhuo, Zheng Liu, Benjamin J. Resio, Jialiang Liu, Xishan Wang, Kevin Y. Pei, Yawei Zhang
Summary: This study investigates whether bowel preparation affects surgical site infections (SSI) and anastomotic leakage (AL) in patients with diverticulitis undergoing elective colectomies. The results show that patients who received bowel preparation had a significantly decreased risk of SSI and AL, with the combination of mechanical bowel preparation and antibiotic bowel preparation showing the strongest effect. Additionally, patients who underwent open or laparoscopic surgeries and received MBP + ABP also had consistently lower risk for both SSI and AL.
BMC GASTROENTEROLOGY
(2022)
Article
Emergency Medicine
Brit Long, Jessie Werner, Michael Gottlieb
Summary: Acute diverticulitis, a common condition in the emergency department, requires emergency medicine clinicians to be aware of the latest evidence for diagnosis and management. Diagnosis is based on history, examination, and laboratory testing, with imaging options also available. While most cases are uncomplicated, complications may occur and require surgical consultation. Antibiotics are not necessary for uncomplicated cases.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2024)
Article
Surgery
Caitlin Stafford, Todd Francone, Patricia L. Roberts, Peter W. Marcello, Rocco Ricciardi
Summary: The study found that patients who were converted to open surgery had a higher morbidity rate compared to those who underwent completed laparoscopic surgery. However, the overall morbidity rate of the converted procedures was still lower than open surgery. Importantly, the additional morbidity of converted procedures appears to be related to the risk of surgical site infection.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Gastroenterology & Hepatology
Manol Jovani, Wenjie Ma, Kyle Staller, Amit D. Joshi, Po-Hong Liu, Long H. Nguyen, Paul Lochhead, Yin Cao, Idy Tam, Kana Wu, Edward L. Giovannucci, Lisa L. Strate, Andrew T. Chan
Summary: This study aimed to explore the association between bowel movement frequency and incident diverticulitis. The results showed an inverse association between more frequent bowel movements and the risk of developing diverticulitis. This association was not modified by age, BMI, physical activity, laxative use, or fiber intake.
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY
(2022)
Article
Gastroenterology & Hepatology
Anne F. Peery, Aasma Shaukat, Lisa L. Strate
Summary: Management of colonic diverticulitis should involve personalized diagnosis and treatment based on the patient's condition, including the use of imaging and lower endoscopy to exclude alternative diagnoses, selective antibiotic use, and lifestyle modifications to reduce the risk of recurrence. Patients should understand the importance of diet and healthy behaviors in preventing future episodes of diverticulitis.
Article
Surgery
Caitlyn Braschi, Jessica K. Liu, Ashkan Moazzez, Beverley A. Petrie
Summary: This study compared the outcomes of laparoscopic and open surgery for diverticulitis in elderly patients undergoing elective and urgent/emergent surgery. The results showed that laparoscopic surgery was associated with lower 30-day morbidity, fewer surgical site infections, and shorter length of stay in both elective and non-elective cases. Thus, laparoscopy is safe for elderly patients in both elective and select emergent cases of diverticulitis.
LANGENBECKS ARCHIVES OF SURGERY
(2022)
Article
Oncology
Shu-Fen Niu, Sue-Yueh Cheng, Chia-Hui Chin
Summary: The study indicates that patients who undergo laparoscopic-assisted colectomy have higher quality of life and lower symptom severity compared to those who receive conventional open colectomy, highlighting the benefits of laparoscopic surgery in colorectal cancer patients.
Review
Gastroenterology & Hepatology
Karleigh R. R. Curfman, Ian F. F. Jones, Jeffrey R. R. Conner, Christopher C. C. Neighorn, Ryan K. K. Wilson, Laila Rashidi
Summary: As robotic colorectal surgery continues to advance, it has been found to be a safe and feasible option for emergent diverticulitis surgery. Compared to open surgery, robotic surgery shows improvements in ICU admission rates, anastomotic leak rates, and overall length of stay. When compared to laparoscopic surgery, robotic surgery has better outcomes in terms of anastomotic leak rates and a lower conversion rate to open surgery.
INTERNATIONAL JOURNAL OF COLORECTAL DISEASE
(2023)
Article
Surgery
Patricia Tejedor, Carlos Pastor, Gianluca Pellino, Salomone Di Saverio, Marguerite Gorter-Stam, Patricia Sylla, Nader Francis
Summary: This study aimed to identify the optimal management of patients with acute diverticulitis (AD) presenting with pericolic free air with or without pericolic fluid. The results showed that the majority of patients can be successfully managed nonoperatively, but those with free pericolic fluid are more prone to treatment failure, requiring closer observation.
INTERNATIONAL JOURNAL OF SURGERY
(2023)
Article
Surgery
Alexander T. Hawkins, Lauren R. Samuels, Russell L. Rothman, Timothy M. Geiger, David F. Penson, Matthew J. Resnick
Summary: This study identifies significant geographic variation in elective sigmoid resection for diverticulitis and suggests that factors such as surgeon density and hospital characteristics play a major role in this variation. Further research and stronger national guidelines are needed to improve patient selection for surgery.
Article
Surgery
Hunter Jecius, Muhammad Khurrum, Erika Krall, Dynnika Tso, Afang Pefok, Ryan Silva, Emily Wusterbarth, Hina Arif, Mohammad Hamidi, Valentine Nfonsam
Summary: This study compares short-term surgical outcomes of open vs minimally invasive (MIS) approach for emergent colectomy in patients with colorectal cancer (CRC). The results show that patients in the MIS group had longer operative time but lower overall mortality and complications, indicating that MIS may be a safer approach in the emergent treatment of colorectal cancer.
AMERICAN JOURNAL OF SURGERY
(2023)
Review
Gastroenterology & Hepatology
Greg A. Turner, Michael J. O'Grady, Rachel V. Purcell, Frank A. Frizelle
Summary: The incidence of acute diverticulitis has been increasing, especially in younger patients, challenging previous beliefs about the condition and the need for different management strategies between younger and older patients.
DIGESTIVE DISEASES AND SCIENCES
(2022)
Article
Surgery
Zhobin Moghadamyeghaneh, Henry Talus, Garth Ballantyne, Michael J. Stamos, Alessio Pigazzi
Summary: This study comparing laparoscopic and open approaches for emergent/urgent partial colectomy for colonic obstruction from colonic cancer found that laparoscopic surgery was associated with lower morbidity and shorter hospitalization length, but longer operation duration compared to open surgery.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Surgery
Rui Sun, Guannan Zhang, Xiyu Sun, Beizhan Niu, Jiaolin Zhou, Lin Cong, Huizhong Qiu, Guole Lin, Bin Wu, Yi Xiao
Summary: This study aimed to compare the techniques and outcomes of laparoscopic transverse colectomy with traditional laparoscopic right hemicolectomy and laparoscopic left hemicolectomy. The results showed that laparoscopic transverse colectomy is superior in lymphadenectomy, has fewer postoperative complications, and shorter recovery time.
FRONTIERS IN SURGERY
(2023)
Article
Oncology
Makoto Takahashi, Kazuhiro Sakamoto, Takahiro Irie, Shingo Kawano, Kiichi Sugimoto, Yutaka Kojima, Shuko Nojiri, Atsushi Okuzawa, Yuichi Tomiki
Summary: The study found that in elderly patients, short-term outcomes were better after laparoscopic assisted colectomy (LAC) for colorectal cancer compared to open colectomy (OC), while long-term outcomes were similar.
ANTICANCER RESEARCH
(2021)