Complicated Colonic Diverticular Disease – Diagnostic and Therapeutic Difficulties
Diverticular disease is one of the most common problems encountered by general surgeons and gastroenterologists. The term refers to complications that occur from colonic diverticulosis. In diverticular colonic disease the sigmoid colon is usually the most commonly involved, while right acute colonic...
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| Formato: | Capítulo de libro |
| Lenguaje: | inglés |
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IntechOpen
2022
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| Acceso en línea: | https://www.intechopen.com/chapters/78713 |
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| _version_ | 1879164752146464768 |
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| author | Mesina, Cristian Dumitrescu, Theodor Viorel Ciorbagiu, Mihai Calin Obleaga, Cosmin Vasile Botoran, Mihaela-Iustina Mesina |
| author_browse | Botoran, Mihaela-Iustina Mesina Ciorbagiu, Mihai Calin Dumitrescu, Theodor Viorel Mesina, Cristian Obleaga, Cosmin Vasile |
| author_facet | Mesina, Cristian Dumitrescu, Theodor Viorel Ciorbagiu, Mihai Calin Obleaga, Cosmin Vasile Botoran, Mihaela-Iustina Mesina |
| author_sort | Mesina, Cristian |
| building | IntechOpen |
| collection | Acceso abierto |
| description | Diverticular disease is one of the most common problems encountered by general surgeons and gastroenterologists. The term refers to complications that occur from colonic diverticulosis. In diverticular colonic disease the sigmoid colon is usually the most commonly involved, while right acute colonic diverticulitis is rarer. In establishing the diagnosis of ALCD, objective clinical examination plays an important role in addition to biological paraclinical examinations (C-reactive protein - CRP and increased leukocyte count) and radiological paraclinical examinations: CT abdomen. CRP is a useful tool in predicting the clinical severity of acute diverticulitis. The treatment applied to patients with uncomplicated colonic diverticular disease can be represented by antibiotic therapy, water regime, hydro-electrolytic rebalancing. In patients with multiple comorbidities, hemodynamic instability, the Hartmann procedure is recommended for the treatment of acute peritonitis caused by perforated colonic diverticulitis and in hemodynamically stable patients without comorbidities, colonic resection with primary anastomosis with or without stoma is suggested. |
| doi_str_mv | 10.5772/intechopen.100277 |
| first_indexed | 2026-10-15T21:39:19Z |
| format | Book Chapter |
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<dc:title>Complicated Colonic Diverticular Disease – Diagnostic and Therapeutic Difficulties</dc:title>
<dc:creator>Cristian Mesina</dc:creator>
<dc:creator>Theodor Viorel Dumitrescu</dc:creator>
<dc:creator>Mihai Calin Ciorbagiu</dc:creator>
<dc:creator>Cosmin Vasile Obleaga</dc:creator>
<dc:creator>Mihaela-Iustina Mesina Botoran</dc:creator>
<dc:subject>Health Sciences</dc:subject>
<dc:description>Diverticular disease is one of the most common problems encountered by general surgeons and gastroenterologists. The term refers to complications that occur from colonic diverticulosis. In diverticular colonic disease the sigmoid colon is usually the most commonly involved, while right acute colonic diverticulitis is rarer. In establishing the diagnosis of ALCD, objective clinical examination plays an important role in addition to biological paraclinical examinations (C-reactive protein - CRP and increased leukocyte count) and radiological paraclinical examinations: CT abdomen. CRP is a useful tool in predicting the clinical severity of acute diverticulitis. The treatment applied to patients with uncomplicated colonic diverticular disease can be represented by antibiotic therapy, water regime, hydro-electrolytic rebalancing. In patients with multiple comorbidities, hemodynamic instability, the Hartmann procedure is recommended for the treatment of acute peritonitis caused by perforated colonic diverticulitis and in hemodynamically stable patients without comorbidities, colonic resection with primary anastomosis with or without stoma is suggested.</dc:description>
<dc:publisher>IntechOpen</dc:publisher>
<dc:date>2022-02-02</dc:date>
<dc:type>Chapter, Part Of Book</dc:type>
<dc:identifier>https://www.intechopen.com/chapters/78713</dc:identifier>
<dc:identifier>doi:10.5772/intechopen.100277</dc:identifier>
<dc:language>en</dc:language>
<dc:relation>ISBN:978-1-83968-578-1</dc:relation>
<dc:rights>https://creativecommons.org/licenses/by/3.0/</dc:rights>
<dc:source>https://www.intechopen.com/books/10719 ; Diverticular Disease of the Colon - Recent Knowledge of Physiopathology, Endoscopic Approaches, Clinical and Surgical Treatments</dc:source>
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| id | intech-78713 |
| institution | IntechOpen |
| isbn | 978-1-83968-578-1 |
| language | English |
| last_indexed | 2026-10-15T21:39:19Z |
| publishDate | 2022 |
| publishDateRange | 2022 |
| publishDateSort | 2022 |
| publisher | IntechOpen |
| publisherStr | IntechOpen |
| record_format | oai_dc |
| spelling | intech-787132022-02-02 Complicated Colonic Diverticular Disease – Diagnostic and Therapeutic Difficulties Cristian Mesina Theodor Viorel Dumitrescu Mihai Calin Ciorbagiu Cosmin Vasile Obleaga Mihaela-Iustina Mesina Botoran Health Sciences Diverticular disease is one of the most common problems encountered by general surgeons and gastroenterologists. The term refers to complications that occur from colonic diverticulosis. In diverticular colonic disease the sigmoid colon is usually the most commonly involved, while right acute colonic diverticulitis is rarer. In establishing the diagnosis of ALCD, objective clinical examination plays an important role in addition to biological paraclinical examinations (C-reactive protein - CRP and increased leukocyte count) and radiological paraclinical examinations: CT abdomen. CRP is a useful tool in predicting the clinical severity of acute diverticulitis. The treatment applied to patients with uncomplicated colonic diverticular disease can be represented by antibiotic therapy, water regime, hydro-electrolytic rebalancing. In patients with multiple comorbidities, hemodynamic instability, the Hartmann procedure is recommended for the treatment of acute peritonitis caused by perforated colonic diverticulitis and in hemodynamically stable patients without comorbidities, colonic resection with primary anastomosis with or without stoma is suggested. IntechOpen 2022-02-02 Chapter, Part Of Book https://www.intechopen.com/chapters/78713 doi:10.5772/intechopen.100277 en ISBN:978-1-83968-578-1 https://creativecommons.org/licenses/by/3.0/ https://www.intechopen.com/books/10719 ; Diverticular Disease of the Colon - Recent Knowledge of Physiopathology, Endoscopic Approaches, Clinical and Surgical Treatments |
| spellingShingle | Health Sciences Mesina, Cristian Dumitrescu, Theodor Viorel Ciorbagiu, Mihai Calin Obleaga, Cosmin Vasile Botoran, Mihaela-Iustina Mesina Complicated Colonic Diverticular Disease – Diagnostic and Therapeutic Difficulties |
| title | Complicated Colonic Diverticular Disease – Diagnostic and Therapeutic Difficulties |
| title_full | Complicated Colonic Diverticular Disease – Diagnostic and Therapeutic Difficulties |
| title_fullStr | Complicated Colonic Diverticular Disease – Diagnostic and Therapeutic Difficulties |
| title_full_unstemmed | Complicated Colonic Diverticular Disease – Diagnostic and Therapeutic Difficulties |
| title_short | Complicated Colonic Diverticular Disease – Diagnostic and Therapeutic Difficulties |
| title_sort | complicated colonic diverticular disease diagnostic and therapeutic difficulties |
| topic | Health Sciences |
| url | https://www.intechopen.com/chapters/78713 |
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