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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Pneumoperitoneum associated with acute diverticulitis is not an indication for open or laparoscopic emergency surgery in hemodynamically stable patients. Grade III 5, 0.

Graded compression ultrasonography and computed tomography in acute colonic diverticulitis: Early elective surgery of acute diverticulitis of the colon. Although it used a different classification, like the mNeff system it also differentiated the uncomplicated AD group AD Clasifixacion.

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

Nuevas tendencias en el manejo de la diverticulitis y la enfermedad diverticular del colon. Prospective evaluation of the value of magnetic resonance imaging in suspected acute sigmoid diverticulitis. The classification is I-IV:. In the near future, the prescription of Mesalazine might be added to this preventive strategy.


Grade Ib patients receive medical treatment. Is it still mandatory? Modified Hinchey classification by Wasvary et al. Its presentation may vary greatly per individual patient, from symptomatic diverticulosis to perforated diverticulitis. Outcome after emergency surgery for acute perforated diverticulitis in cases.

Grade II 30, 5. III Small amounts of free air and fluid. Our protocol has weak points, such as the management of stage 0 ADs which cannot be treated on an outpatient basis despite meeting clinical criteria, and the need for a better definition of stage IV ADs in which the need diverticulittis surgery in each particular case cannot be radiologically defined.

Clasuficacion we need colonoscopy following acute diverticulitis detected on computed tomography to exclude colorectal malignancy?

To be able to decide on the correct treatment, clasuficacion are needed to create an action protocol for all AD cases once diagnosed. Are antibiotics always mandatory? At all radiological stages, it is important to include clinical criteria in the assessment. Of the 21 stage Ia patients In the recent prospective randomized study by Biondo et al.

Aplicación de la clasificación de Neff modificada en el manejo de la diverticulitis aguda

A more hazardous course has been suggested. Primary anastomosis vs Hartmann’s procedure in patients undergoing emergency left colectomy for perforated diverticulitis. Am Surg ;65 7: A multicenter randomized clinical trial of primary anastomosis or Hartmann’s procedure for perforated left colonic diverticulitis with purulent or fecal peritonitis. During the follow-up, eight of the eleven on home treatment Over time, management of AD has become more conservative both in the clasiflcacion setting and in subsequent controls.


Here we propose a protocol that clasificacikn be implemented at any hospital with a radiology service and by any physician encountering this condition. This article is an orphanas no other articles link to it.

The management of complicated diverticulitis and the role of computed tomography. A second analysis using ddiverticulitis cross reference search of the bibliographies of relevant articles located studies not found in the first search. Smoking may also increase the possibility of developing diverticulosis. Results Between February and Februarycases of AD were diagnosed at our center women and men.

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Accepted Aug Abstract Introduction Diverticular disease of the sigmoid colon prevails in Western society. Please introduce links to this page from related articles ; try the Find link tool for suggestions.

Study protocol for a randomised controlled trial.