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The modified Hinchey classification is based on CT scan findings and is used to categorize diverticulitis, as well as help to guide appropriate. Acute left sided colonic diverticulitis is one of the most common clinical conditions encountered by surgeons in acute setting. A World Society of. The management of patients with acute colonic diverticulitis is . vs. antibiotherapy alone for Hinchey II diverticulitis: a case-control study.

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Causes What diverticulosis No one knows for certain xlasificacion develops however few theories have been suggested. The management of diverticular disease in young patients remains controversial.

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

Laparoscopic sigmoid resection for diverticulitis decreases major morbidity rates: Acknowledgments Open Access This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author s and source are credited.

Ann Surg ; 1: Imaging The original Hinchey classification was based on both clinical and surgical findings. Initial prescriptions are often antibiotics and an easily digestible diet, although no clear evidence exists for both their beneficial actions.

Published data on clinical episodes of diverticulitis do not account for these subjective complaints, leading to an underestimation of the real scale of these mild manifestations of diverticular disease.


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. Treatment of acute diverticulitis laparoscopic lavage vs.

Only a few classifications for diverticular disease were revealed. Routine colonoscopy is not required in uncomplicated diverticulitis: Outpatient treatment for acute uncomplicated diverticulitis. It is the combination of specific hinchej that still form the basis for a differential diagnosis and the indication for additional examinations.

Colorectal Dis ;16 Lorimer JW, Doumit G.

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

It is not generally performed to make diagnosis of diverticulosis but this type exam when done other reasons may identify diverticula [ According to current literature, a safe strategy might be to primarily perform a diagnostic laparoscopy.

World J Surg ; Comparative study of two series. Application of a modified Neff classification to patients with uncomplicated diverticulitis. Dig Dis Sci ; Hughes clasificzcion Hughes et al. Radiol Clin North Am ; Furthermore, recent publications on the natural course of clasificacio disease suggest applying early elective sigmoid resection in high-risk patients, such as the use of immune suppression therapy, having chronic renal failure, or collagen—vascular diseases.

Retrieved from ” https: Mesalamine did not prevent recurrent diverticulitis in phase 3 controlled trials. Is colonoscopy still mandatory after a CT diagnosis of left-sided diverticulitis: Diverticular disease of the colon: A multicenter randomized clinical trial of primary anastomosis or Hartmann’s procedure for perforated left colonic diverticulitis with purulent or fecal peritonitis.


Hinchey classification of acute diverticulitis | Radiology Reference Article |

Hartmann’s procedure in generalized peritonitis complicating diverticular disease of the colon. Laparoscopic peritoneal lavage for generalized peritonitis due to perforated diverticulitis. However, hhinchey it is not contained it leads to faecal contamination of the peritoneal cavity faecal peritonitis which is often fatal.

Prospective descriptive study in a population of patients diagnosed with AD by computerized tomography CT. There are several complications that can arise from diverticulitis, and one of the more serious complications of this is perforation of the bowel.

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Same hospitalization resection for acute diverticulitis. Grade IV 34, 5. Furthermore, conservative management of recurrent non-perforated diverticulitis is associated with low rates of morbidity and mortality.

Grade Ia 52, 8.