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Antibiotics have been the mainstay of therapy for most patients with Patients with clinically mild diverticulitis, typically with Hinchey stage 0. Acute left sided colonic diverticulitis is one of the most common clinical conditions encountered by surgeons in acute setting. A World Society of. Introduction: Acute diverticulitis (AD) is increasingly seen in Emergency services. The application of a reliable classification is vital for its safe and effective management. The Hinchey system is a surgical classification and as such it is not.

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Nuevas tendencias en el manejo de la diverticulitis y la enfermedad diverticular del colon.

New trends in the management of diverticulitis and colonic diverticular disease. Enfermedad diverticular del colon. Colonic diverticular disease is a chronic disorder presenting with a variety of abdominal symptoms and recurrent episodes of acute diverticulitis.

It is close linked to age so hknchey prevalence has risen notably during the last decades in western countries, increasing costs related to medical attention. Recently, several works have provided evidence to a series of divedticulitis that could improve the outcomes as well as reduce expenses associated to this process. The aim of the present review is to expose a view of the new trends in the management of diverticulitis and colonic diverticular disease, based on the highest clinical evidence available.

De estos, el primero fue publicado en por Lameris y cols. Diverticulitis aguda no complicada: De ellos es destacable el trabajo de Unlu y cols.

Varias publicaciones han propuesto este tipo de manejo siendo aquella con mayor evidencia la publicada por Chabok y cols. En DA-C Hinchey IV casi todos siverticulitis autores coinciden en la diverticuitis de resecar el colon afecto, inflamado y perforado. Esta estrategia, que fue publicada por primera vez en 31ha sido fruto de varios estudios.

No obstante, Choi y cols. Natural history of diverticular disease of the colon.

Review of current classifications for diverticular disease and a translation into clinical practice

Diverticular disease of the colon: Dis Colon Rectum ; Complications of colonic diverticular disease. Comparative study of two series. Rev Esp Enferm Dig ; Guidelines of diagnostics and treatment of acute left-sided colonic diverticulitis.


How to diagnose acute left-sided colonic diverticulitis: Proposal for a clinical scoring system.

Hinchey Classification

d A clinical decision rule to establish the diagnosis of acute diverticulitis at the emergency department. Graded compression ultrasonography and computed tomography in acute colonic diverticulitis: Meta-analysis of test accuracy. Early use of CT in the management of acute diverticulitis of the colon. The role of abdominal imaging in cases with a high probability of acute left-sided colonic diverticulitis based on a clinical scoring system.

Neff CC, vanSonnenberg E. Radiol Clin North Am ; Application of a modified Neff classification to patients with uncomplicated diverticulitis. Treatment of perforated diverticular disease of the colon.

Review of current classifications for diverticular disease and a translation into clinical practice

Same hospitalization resection for acute diverticulitis. Aplicabilidad, seguridad y eficacia de un protocolo de tratamiento ambulatorio de la diverticulitis aguda no complicada. Applicability, safety and efficiency of outpatient treatment in uncomplicated diverticulitis.

A multicenter randomized clinical trial investigating the cost-effectiveness of treatment dr with or without antibiotics for uncomplicated acute diverticulitis DIABOLO trial. Outpatient treatment for acute uncomplicated diverticulitis. Eur J Gastroenterol Hepatol ; Outpatient versus hospitalization management for uncomplicated diverticulitis: Randomized controlled trial of oral vs.

Diverticulutis early enteral nutrition dangerous in acute non diveeticulitis complicated diverticulitis? About 25 patients fed with oral fiber free energetic liquid diet.

Acta Gastroenterol Belg ; Outpatient treatment of uncomplicated acute diverticulitis: Impact on healthcare costs. Jackson JD, Hammond T. Outpatient management of acute uncomplicated diverticulitis. Int J Colorectal Dis ; Are antibiotics beneficial in the treatment of patients with acute uncomplicated diverticulitis? J Okla State Med Assoc ; Are antibiotics required for the treatment cclasificacion uncomplicated diverticulitis? Ann Emerg Med ; No antibiotics in acute uncomplicated diverticulitis: Scand J Gastroenterol ; Randomized clinical trial of antibiotics in acute uncomplicated diverticulitis.

Br J Surg ; Outcomes of percutaneous drainage without surgery for patients with diverticular abscess. Percutaneous CT scan-guided drainage vs. Results from percutaneous drainage of Hinchey stage II diverticulitis guided by computed tomography scan.

Open Hartmann’s procedure vs. Int J Surg ;12 Supl.

Hinchey Classification – Wikipedia

Laparoscopic management of generalized peritonitis due to perforated colonic diverticula. Am J Surg ; Laparoscopic peritoneal lavage for perforated colonic diverticulitis: Laparoscopic peritoneal lavage or resection for purulent peritonitis and Hartmann’s procedure or resection with primary anastomosis for purulent or faecal peritonitis in perforated diverticulitis NTR Treatment of acute diverticulitis laparoscopic lavage vs.

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Study protocol for a randomised controlled trial. Laparoscopic lavage is feasible and safe for the treatment of perforated diverticulitis with purulent peritonitis: Ann Surg in press. Early experience with laparoscopic lavage for perforated diverticulitis. Gawlick U, Nirula R. Resection and primary anastomosis with proximal diversion instead of Hartmann’s: J Trauma Acute Care Surg ; Primary anastomosis after clsificacion colonic lavage vs.

Hartmann’s procedure in generalized peritonitis complicating diverticular disease of the colon. Surgical management of perforating diverticular disease in Austria. Int J Colorectal Dis ;5: Five-year audit of the acute complications of diverticular disease.

Surgical management of perforated colonic diverticulitis. Primary anastomosis vs Hartmann’s procedure in patients undergoing emergency left colectomy for perforated diverticulitis.

Primary anastomosis vs nonrestorative resection for perforated diverticulitis with peritonitis: A prematurely terminated randomized controlled trial. A multicenter randomized clinical trial of primary anastomosis or Hartmann’s procedure for perforated left colonic diverticulitis with purulent or fecal peritonitis. Risk of colon cancer after computed tomography-diagnosed acute diverticulitis: Is routine colonoscopy necessary?

Is early colonoscopy beneficial in patients with CT-diagnosed diverticulitis? Colonoscopy after CT diagnosis of diverticulitis to exclude colon cancer: Is colonoscopy still mandatory after a CT diagnosis of left-sided diverticulitis: Can colorectal cancer be confidently excluded?

Routine colonoscopy is not required in uncomplicated diverticulitis: Routine colonoscopy after left-sided acute uncomplicated diverticulitis: Colonoscopy following nonoperative management of uncomplicated diverticulitis may not be warranted.

Routine colonic endoscopic evaluation following resolution of acute diverticulitis: World J Gastroenterol ; Is colonoscopy necessary after computed tomography diagnosis of acute diverticulitis? Yield of colonoscopy after recent CT-proven uncomplicated acute diverticulitis: A comparative cohort study. Surg Endosc in press. Systematic review and meta-analysis of the role of routine colonic evaluation after radiologically confirmed acute diverticulitis.