Clinics in Colon and Rectal Surgery最新文献

The Ongoing Development of Watch and Wait. 观察和等待的持续发展。

IF 1.2 4区医学

Clinics in Colon and Rectal Surgery Pub Date : 2024-11-04 eCollection Date: 2025-07-01 DOI: 10.1055/s-0044-1791722

Mikhael Belkovsky, Ali Alipouriani, Arielle E Kanters, Joshua Sommovilla, Emre Gorgun, David Liska, Scott R Steele

引用次数: 0

Diverticulitis Management in Complex Medical Contexts. 复杂医学背景下的憩室炎管理。

IF 1.2 4区医学

Clinics in Colon and Rectal Surgery Pub Date : 2024-10-11 eCollection Date: 2025-07-01 DOI: 10.1055/s-0044-1791284

Laura E Cooper, Margaret S Turlington, Rebecca F Brown

{"title":"Diverticulitis Management in Complex Medical Contexts.","authors":"Laura E Cooper, Margaret S Turlington, Rebecca F Brown","doi":"10.1055/s-0044-1791284","DOIUrl":"10.1055/s-0044-1791284","url":null,"abstract":"Diverticulitis is a prevalent medical issue, particularly among elderly individuals in the Western world. Management is nuanced and is influenced by both disease presentation and patient factors, especially those that affect risk of septic and surgical complications. This paper reviews existing literature to explore the incidence, presentation, and management of diverticulitis in complex medical contexts-immunocompromised populations, specifically highlighting those undergoing chemotherapy, HIV/AIDS patients, transplant recipients, and individuals with autoimmune and connective tissue diseases. Not surprisingly, management of diverticulitis in these complex patient populations is associated with increased morbidity. However, even taking into consideration the risk of septic and surgical complications, more recent data and treatment recommendations suggest that both nonoperative and operative management strategies may be appropriate based on individual patient presentations, mirroring the treatment paradigm of immunocompetent patients. In addition, in discussing operative management of complex medical patients, immunosuppression alone should not be considered a contraindication to primary anastomosis. Overall, there are limited existing data on diverticulitis in immunocompromised populations and, especially, patients with autoimmune and connective tissue disorders. Further research is warranted to better understand the impact of these chronic diseases on diverticulitis severity and to best inform evidence-based practices in this complex clinical scenario.","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"38 4","pages":"257-262"},"PeriodicalIF":1.2,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12151587/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Structural Alterations in Diverticular Disease. 憩室病的结构改变。

IF 1.2 4区医学

Clinics in Colon and Rectal Surgery Pub Date : 2024-10-10 eCollection Date: 2025-07-01 DOI: 10.1055/s-0044-1791283

Kerri Lopez, Lillias H Maguire

引用次数: 0

Unusual Variations and Atypical Presentations of Diverticulitis. 憩室炎的异常变异和非典型表现。

IF 1.2 4区医学

Clinics in Colon and Rectal Surgery Pub Date : 2024-10-07 eCollection Date: 2025-07-01 DOI: 10.1055/s-0044-1791553

Sarah Kling, Simran Kripalani, Joceline V Vu

引用次数: 0

The Epidemiology of Diverticulitis. 憩室炎的流行病学。

IF 1.2 4区医学

Clinics in Colon and Rectal Surgery Pub Date : 2024-10-04 eCollection Date: 2025-07-01 DOI: 10.1055/s-0044-1791282

Christopher J Neylan, Alyson Kim, Maya Amy, Paul T Hernandez

{"title":"The Epidemiology of Diverticulitis.","authors":"Christopher J Neylan, Alyson Kim, Maya Amy, Paul T Hernandez","doi":"10.1055/s-0044-1791282","DOIUrl":"10.1055/s-0044-1791282","url":null,"abstract":"Diverticular disease consists of diverticulosis and diverticulitis. Diverticulosis is commonly encountered, and approximately 4% of patients with diverticulosis will progress to develop diverticulitis, which represents a significant health care burden in the United States. Diverticular disease has an increasing incidence both in the United States and globally as important risk factors, including obesity, are becoming more prevalent. The pathophysiology of diverticular disease remains incompletely understood, although geographic and population-based differences in its prevalence and anatomic distribution have generated several hypotheses as to the impact of genetic and environmental factors on development and disease progression. Uncomplicated diverticulitis has had a low mortality rate for the last several decades, but in-hospital mortality approaches 7% for patients with complicated diverticulitis who require emergent surgery. For patients that develop diverticulitis, recent population-based data have led to an improved understanding of which patients will suffer recurrent episodes. This knowledge has facilitated informed discussions with patients and has changed practice in terms of elective surgery.","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"38 4","pages":"241-248"},"PeriodicalIF":1.2,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12151590/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dietary Risk Factors: Fiber and Beyond. 饮食风险因素：纤维及其他。

IF 1.2 4区医学

Clinics in Colon and Rectal Surgery Pub Date : 2024-10-04 eCollection Date: 2025-07-01 DOI: 10.1055/s-0044-1791552

Jeffrey L Roberson, Erica N Pettke

{"title":"Dietary Risk Factors: Fiber and Beyond.","authors":"Jeffrey L Roberson, Erica N Pettke","doi":"10.1055/s-0044-1791552","DOIUrl":"10.1055/s-0044-1791552","url":null,"abstract":"The incidence of diverticulosis continues to rise throughout western nations with collateral increases in the frequency of diverticulitis. However, the mechanism behind the transition from asymptomatic diverticulosis to complicated diverticulitis is incompletely understood. Dietary intake has long been investigated as one of, if not the main, links in the continuum of disease. As the world's diet continues to evolve with increasingly prevalent processed and high-fat food, longitudinal studies have emerged with a goal of finally explaining how diet influences the development of diverticulitis. While low-fiber, high-fat diets are believed to play a role in the development of an index episode of diverticulitis, the role in recurrent disease remains uncertain. More recent avenues of interest include the role of the microbiome, probiotics, and adjunct treatments such as 5-ASA and rifaximin. While robust longitudinal studies have identified an association between low-fiber, high-fat diets and the development of index diverticulitis, the impact of dietary composition and modification on disease recurrence remains unclear and fails to meet the threshold for societal recommendations.","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"38 4","pages":"253-256"},"PeriodicalIF":1.2,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12151583/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Success in Diverticulitis Management: What Outcomes Really Matter? 憩室炎治疗的成功：什么结果真正重要？

IF 1.2 4区医学

Clinics in Colon and Rectal Surgery Pub Date : 2024-10-04 eCollection Date: 2025-07-01 DOI: 10.1055/s-0044-1791558

Alexander T Hawkins, Thomas E Ueland

引用次数: 0

Risk Prediction in Diverticulitis. 憩室炎的风险预测。

IF 1.2 4区医学

Clinics in Colon and Rectal Surgery Pub Date : 2024-09-30 eCollection Date: 2025-07-01 DOI: 10.1055/s-0044-1791497

Jonathan Velez-Padilla, Jonathan Pastrana Del Valle, Paul Cavallaro

{"title":"Risk Prediction in Diverticulitis.","authors":"Jonathan Velez-Padilla, Jonathan Pastrana Del Valle, Paul Cavallaro","doi":"10.1055/s-0044-1791497","DOIUrl":"10.1055/s-0044-1791497","url":null,"abstract":"Acute diverticulitis is a common sequela of colonic diverticulosis that often poses a significant dilemma for surgeons and patients considering surgical management of the disease. Importantly, the decision to recommend surgery for patients with diverticular disease hinges on identifying those who will benefit most in terms of preventing future disease-related complications. This review focuses on identifying patient risk factors that are predictive of onset of diverticulitis, recurrence of disease, and progression to complicated disease, such as abscess, fistula, or stricture, and aims to assist clinicians with counseling patients who are considering surgery versus medical management. Specifically, a variety of modifiable and nonmodifiable risk factors have been identified across several studies that have strong associations with the development of diverticulitis, recurrence of uncomplicated disease, and progression to complicated disease. A handful of clinical scores have been described to guide surgeons and patients on their individual risk; however, none have been adopted into wider clinical practice. A novel polygenic risk score does show promise in potentially fulfilling this role. Nevertheless, there is significant room for innovation and development of new methods to risk-stratify patients presenting with the spectrum of diverticular disease.","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"38 4","pages":"263-268"},"PeriodicalIF":1.2,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12151584/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Emerging Role of the Microbiota and Antibiotics in Diverticulitis Treatment. 微生物群和抗生素在憩室炎治疗中的新作用。

IF 1.2 4区医学

Clinics in Colon and Rectal Surgery Pub Date : 2024-09-30 eCollection Date: 2025-07-01 DOI: 10.1055/s-0044-1791521

Alexander Troester, Lauren Weaver, Cyrus Jahansouz

引用次数: 0

Corrigendum: Current Position of Sacral Neuromodulation in Treatment of Fecal Incontinence. 更正：骶神经调控在治疗大便失禁中的当前地位。

IF 1.2 4区医学

Clinics in Colon and Rectal Surgery Pub Date : 2024-07-20 eCollection Date: 2021-01-01 DOI: 10.1055/s-0044-1788698

Binit Katuwal, Jasneet Bhullar

引用次数: 0