| Giant colonic diverticula. Review of diagnostic and therapeutic options. | |
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MedLine Citation:
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PMID: 14631129 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: A rare complication of diverticulosis of the colon is giant colonic diverticula (GCD). The condition was first described in English literature in 1953. METHODS: A Medline search was undertaken for English, French and German language articles on 'giant colonic diverticula'. RESULTS: A total of 135 patients were identified, presenting with a total of 155 GCD. With a complication rate of 28% and an operative mortality of 5%, GCD seems to have a high clinical significance. Radiological examination of choice seems to be plain abdominal X-ray and CT examination, barium enema carries the risk of perforation of the diverticulum, and should not be performed. CONCLUSIONS: There are different therapeutic options, in our opinion diverticulectomy alone is not the treatment of choice. Because of the possibility of recurrence and oncological reasons, colectomy seems to be the best treatment. The creation of a protecting colostomy depends on other operative findings. |
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Authors:
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P Steenvoorde; F J Vogelaar; J Oskam; R A E M Tollenaar |
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Publication Detail:
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Type: Journal Article; Review Date: 2003-11-19 |
Journal Detail:
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Title: Digestive surgery Volume: 21 ISSN: 0253-4886 ISO Abbreviation: Dig Surg Publication Date: 2004 |
Date Detail:
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Created Date: 2004-04-06 Completed Date: 2004-08-12 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8501808 Medline TA: Dig Surg Country: Switzerland |
Other Details:
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Languages: eng Pagination: 1-6; discussion 6 Citation Subset: IM |
Copyright Information:
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Copyright 2004 S. Karger AG, Basel |
Affiliation:
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Department of Surgery, Rijnland Hospital, Leiderdorp, The Netherlands. P.Steenvoorde@rijnland.nl |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Colectomy Colonoscopy Colostomy Diverticulum, Colon / diagnosis*, etiology, surgery* Humans Tomography, X-Ray Computed |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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