FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2001377364> ?p ?o ?g. }

• W2001377364 endingPage "10" @default.
• W2001377364 startingPage "9" @default.
• W2001377364 abstract "Diverticular disease is a common entity. The presentation, investigations performed, and management are variable. Our objectives were to assess the presentation, extent of disease, and treatment of a cohort of patients with colonic diverticulitis.All patients with a diagnosis of diverticulitis over a 9-year period were reviewed. Patients were assessed as to age, sex, presenting symptoms, diagnostic studies, extent of disease, treatment, and outcome.Over a 9-year period (1992 to 2001), 192 patients were admitted with a diagnosis of colonic diverticulitis. The mean age was 61 years (range 28 to 90); 113 of 192 (59%) were female. The mean duration of symptoms prior to presentation was 14 days (range 1 to 270 days). One hundred eighteen of 192 (61%) had a previous documented attack of diverticulitis. Of the investigations performed 128 of 192 (66.7%) had a computed tomography (CT) scan of the abdomen and pelvis, 37 of 192 (20%) underwent a contrast enema, 61 of 192 (32%) underwent colonoscopy and 2 of 192 (1%) underwent a small bowel series. The abnormal findings on the CT scan were as follows: diverticular abscess (16%), diverticulitis (37%), diverticulosis without inflammation (15%), free air (10%) and fistula (1%). The locations of the diverticular abscesses were: pelvic (36%), pericolic sigmoid (36%), and “other,” which included interloop (28%). Preoperative abscess drainage occurred in 10 of 192 (5%), which were either percutaneous, 6 of 192 (3%), or transrectal, 4 of 192 (2%). Nine of 192 (6%) presented with a fistula, colovesical fistulae (3%), colocutaneous (1%), enterocolic (1%), or colovaginal (1%). Overall, 73 of 192 (38%) underwent surgery. All patients undergoing surgery had a resection of their colon. The operative findings were localized abscess in 16 of 73 (22%), purulent/feculent peritonitis in 12 of 73 (17%), and phlegmon in 10 of 73 (14%). Sixty-seven of 73 (92%) had a primary resection with anastomosis; 38 of 67 (56%) had a protecting stoma. Five of 73 (7%) patients were found to have an unsuspected carcinoma. Overall, 29 of 192 (15%) developed a complication related to diverticulitis. Morbidity was 15.1%, of which 34% was infection related. Four of 192 patients (2%) died.In our experience, most patients presented with abdominal pain predominantly in the left lower quadrant. The symptoms were present on average of 14 days, most were female (59%), and most patients had a previous attack of diverticulitis. The commonest investigation performed was a CT scan (66.7%); however, other investigations were performed, for example, barium enemas. The practice of resection and primary anastomosis for acute diverticulitis has an acceptable morbidity and mortality. For high-risk anastomoses, a covering loop ileostomy and not a Hartmann's procedure is preferred. Surgery remains safe for the majority of patients and is associated with resolution of symptoms. We believe that because of the high number of patients in our series who had a previous attack of diverticulitis, therapy should be focused on preventing recurrent and virulent attacks by earlier operative intervention." @default.
• W2001377364 created "2016-06-24" @default.
• W2001377364 creator A5017879995 @default.
• W2001377364 date "2007-03-01" @default.
• W2001377364 modified "2023-09-27" @default.
• W2001377364 title "The Difficult Resection in Diverticulitis" @default.
• W2001377364 cites W1978921177 @default.
• W2001377364 cites W2000252633 @default.
• W2001377364 cites W2006969968 @default.
• W2001377364 cites W2022391240 @default.
• W2001377364 cites W2033845893 @default.
• W2001377364 cites W2062544434 @default.
• W2001377364 cites W2157622972 @default.
• W2001377364 cites W2466394584 @default.
• W2001377364 doi "https://doi.org/10.1053/j.scrs.2006.12.004" @default.
• W2001377364 hasPublicationYear "2007" @default.
• W2001377364 type Work @default.
• W2001377364 sameAs 2001377364 @default.
• W2001377364 citedByCount "1" @default.
• W2001377364 countsByYear W20013773642023 @default.
• W2001377364 crossrefType "journal-article" @default.
• W2001377364 hasAuthorship W2001377364A5017879995 @default.
• W2001377364 hasConcept C121608353 @default.
• W2001377364 hasConcept C126322002 @default.
• W2001377364 hasConcept C126838900 @default.
• W2001377364 hasConcept C141071460 @default.
• W2001377364 hasConcept C2776341189 @default.
• W2001377364 hasConcept C2776867784 @default.
• W2001377364 hasConcept C2777035434 @default.
• W2001377364 hasConcept C2777929615 @default.
• W2001377364 hasConcept C2778357063 @default.
• W2001377364 hasConcept C2778435480 @default.
• W2001377364 hasConcept C2779329469 @default.
• W2001377364 hasConcept C2779983558 @default.
• W2001377364 hasConcept C526805850 @default.
• W2001377364 hasConcept C71924100 @default.
• W2001377364 hasConceptScore W2001377364C121608353 @default.
• W2001377364 hasConceptScore W2001377364C126322002 @default.
• W2001377364 hasConceptScore W2001377364C126838900 @default.
• W2001377364 hasConceptScore W2001377364C141071460 @default.
• W2001377364 hasConceptScore W2001377364C2776341189 @default.
• W2001377364 hasConceptScore W2001377364C2776867784 @default.
• W2001377364 hasConceptScore W2001377364C2777035434 @default.
• W2001377364 hasConceptScore W2001377364C2777929615 @default.
• W2001377364 hasConceptScore W2001377364C2778357063 @default.
• W2001377364 hasConceptScore W2001377364C2778435480 @default.
• W2001377364 hasConceptScore W2001377364C2779329469 @default.
• W2001377364 hasConceptScore W2001377364C2779983558 @default.
• W2001377364 hasConceptScore W2001377364C526805850 @default.
• W2001377364 hasConceptScore W2001377364C71924100 @default.
• W2001377364 hasIssue "1" @default.
• W2001377364 hasLocation W20013773641 @default.
• W2001377364 hasOpenAccess W2001377364 @default.
• W2001377364 hasPrimaryLocation W20013773641 @default.
• W2001377364 hasRelatedWork W1976678508 @default.
• W2001377364 hasRelatedWork W2038151300 @default.
• W2001377364 hasRelatedWork W2188075165 @default.
• W2001377364 hasRelatedWork W2519306261 @default.
• W2001377364 hasRelatedWork W2904045635 @default.
• W2001377364 hasRelatedWork W2977574247 @default.
• W2001377364 hasRelatedWork W2999550406 @default.
• W2001377364 hasRelatedWork W3006273065 @default.
• W2001377364 hasRelatedWork W4306391571 @default.
• W2001377364 hasRelatedWork W3021681351 @default.
• W2001377364 hasVolume "18" @default.
• W2001377364 isParatext "false" @default.
• W2001377364 isRetracted "false" @default.
• W2001377364 magId "2001377364" @default.
• W2001377364 workType "article" @default.