The modified hinchey classification is based on ct scan findings and is used to categorize diverticulitis, as well as help to guide appropriate. Hinchey ib e ii aproximadamente 15% dos pacientes com da tem abscesso a tc. The most common symptom of diverticulitis is abdominal pain. Usually, the pain is severe and comes on suddenly, but it can also be mild and become worse over several days. This study was conducted to compare the benefits and disadvantages of different surgical treatments for hinchey iii or iv type of colon diverticulitis. Abstract colonic diverticular disease is a chronic disorder presenting with a variety of abdominal symptoms and recurrent episodes of acute diverticulitis. The sigmoid colon is the most common site to be involved. Trends in the surgical management of diverticulitis. Management of hinchey ii diverticulitis pubmed central pmc. The management of complicated diverticulitis and the role of computed tomography.
Cirocchi r1, trastulli s, desiderio j, listorti c, boselli c, parisi a, noya g, liu l. E john hinchey 1934present, a general surgeon at the montreal general hospital and professor of surgery at mcgill university. Any information contained in this pdf file is automatically generated from digital. The prevalence of colonic diverticulosis has gradually yet steadily increased in the western world and ranges from 30%50% of population over the age of 50 and more than two thirds over the age of 80. Stage 1b diverticulitis with pericolic or mesenteric abscess. These diverticulae are primarily pulsion type of pseudodiverticulae characterised by outpouching of mucosa.
Large abscesses c1 and perforated disease c4 are severe complications, but also massive diverticular c3 bleeding and total bowel obstruction c2 are entitled to acute interventions. Acute left sided colonic diverticulitis is one of the most common clinical conditions encountered by surgeons in acute setting. Trends in the surgical management of diverticulitis nicole wieghard, cristina b. The most common sign on examination is tenderness in the lower left side of the abdomen. A systematic search was conducted in medline, embase, cochrane central register of controlled trials, and the science citation index 1990. Hinchey classification is used to describe perforations of the colon due to diverticulitis.
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