The modified Hinchey classification is based on CT scan findings and is used to categorize diverticulitis, as well as help to guide appropriate. Objetivo: verificar que la clasificación radiológica de Neff modificada (mNeff) asociada a The Hinchey system is a surgical classification and as such it is not . Acute left sided colonic diverticulitis is one of the most common clinical conditions encountered by surgeons in acute setting. A World Society of.

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Acute left colonic diverticulitis—compared performance of computed tomography and water-soluble contrast enema: Grade IV 34, 5. Is there a need for another classification?

A systematic review of diagnostic accuracy. Epidemiology of perforated colonic diverticular disease. Grade IV patients require surgical treatment in most cases, but always depending on their hemodynamic and clinical status. Elective operation after acute complicated diverticulitis: This modified version includes the sub-stage Ia, which can now be differentiated due to recent technological advances.

Of these, out of Discussion and a proposal of a new classification This review of the current classification systems for a condition as complex as diverticular disease raises the question: De ellos es destacable el trabajo de Unlu y cols.

Ann Emerg Med ; Recurrence rates at minimum 5-year follow-up: Collins D, Winter DC. The much more detailed information provided by CT scans led earlier to modifications of the original Hinchey classification. III Small amounts of free air and fluid.


The pouches diverticula occur where there is a gap between or weakness within the muscle fibres of the bowel wall, classically at sites of vessel protrusion into the wall. If the perforation is very small, it may be contained often referred to by surgeons as a localized perforation. Indications for elective sigmoid resection in diverticular disease. Yet, this does not discount the initial subjective complaints.

The remaining 20 required admission for pain or oral intolerance. Dig Dis Sci ; Demographic data age, sexpresence or absence of comorbidities Table Iand presence of sepsis SIRS Table II were recorded, as well as the type of AD according to the radiological classification and its management in view of the clinical and radiological findings discharge, hospitalization, drainage, surgery, re-admission or re-examination.

After a first attack, preventive measures have to be taken into account, such as high-fiber diet, weight loss, and treatment of comorbid conditions.

Hinchey Classification – Wikipedia

Routine colonoscopy is not required in uncomplicated diverticulitis: Safety and efficiency of ambulatory treatment of acute diverticulitis. However, if it is not contained it leads to faecal contamination of the peritoneal cavity faecal peritonitis which is often fatal. Randomized clinical trial of antibiotics in acute uncomplicated diverticulitis.

None of the drains were associated with adverse effects. Therefore, laparoscopic sigmoid resection may well be the procedure of choice for patients requiring elective resection for diverticular disease.


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

Since the introduction of the computed tomography CT scan in the s, this imaging modality has established itself as the primary diagnostic tool in the assessment of diverticular disease see Fig. InMyers et al. A comparative cohort study.

Open Access This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author s and source are credited. The diagnosis of AD requires the performance of a radiological test, in this case CT.

Only a few classifications for diverticular disease were revealed. Primary anastomosis after intraoperative colonic lavage vs.

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

Other factors unrelated to the application of the protocol were not considered. CT scan images resembling the four Hughes stages.

Aplicabilidad, seguridad y eficacia de un protocolo de tratamiento ambulatorio de la diverticulitis aguda no complicada.

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