Description
Colonic diverticulitis remains among the most common surgical diseases encountered by general and colorectal surgeons. As the incidence of diverticulitis rises worldwide, so does our knowledge regarding its pathophysiology and treatment. Over the past several decades, there have been many new advancements and trends in the management of diverticulitis, with many more to come in the near future.
This text provides a comprehensive and state-of-the-art review of diverticulitis, serving as an invaluable resource for medical and surgical trainees, practicing surgeons, gastroenterologists, emergency medicine physicians, primary care physicians and researchers. Opening chapters address the changing epidemiology in diverticulitis, pathophysiology and diagnosis, and the many classification and scoring systems. The focus then shifts to the acute management of diverticulitis, with an emphasis on the most up-to-date scientific information and the ongoing debate surrounding antibiotic, with chapters outling the management of patients after a successfully treated episode of diverticulitis, including the evolving indications for elective surgery. The book concludes with special considerations in diverticulitis, such as the immunosuppressed patient and right-sided diverticulitis. Contributors for each chapter are experts in their respective fields, recognizing the differences in practice across continents while sticking to the principals of evidence-based medicine.
Diverticulitis combines unbiased and evidence-based information with the experience and wisdom of experts in the field. Given the many controversial topics in the management of diverticulitis, there is a strong need to amalgamate the information into one concise text.
Relevant anatomy and pathophysiology.- Epidemiology of diverticulitis.- Symptoms and diagnosis.- Endoscopic evaluation of diverticulitis.- Imaging modalities for diverticular disease.- Classification systems and definitions.- Treatment of uncomplicated diverticulitis: separating myth from science.- Nonoperative treatment of diverticular abscess.- Management of smouldering (chronic) diverticulitis.- Emergency surgery for diverticulitis: from primary anastomosis to damage control surgery.- The sick patient: feculent peritonitis.- Laparoscopic lavage: when how and should we?- Technical tips and tricks in the emergency setting.- Management after an acute episode of diverticulitis.- Risk factors for recurrent diverticuliti.- Symptomatic uncomplicated diverticular disease or irritable bowel syndrome: how can you tell?- Elective surgery for recurrent diverticulitis: when and why.- Elective surgery for complicated diverticulitis.- Elective surgery for diverticulitis: technical considerations.- Hartmann reversal.- Functional outcomes after diverticulitis surgery.- Management of the immunosuppressed patient.- Shared Decision-Making in Recurrent Diverticulitis.
Marylise Boutros, MD, Department of Colorectal Surgery, Cleveland Clinic, Weston, FL, USA
Richard Garfinkle, MD, Division of Colon and Rectal Surgery, Jewish General Hospital, McGill University, Montreal, QC, Canada
Sameh Emile, MBBCh, MSc, M.D, FACS, Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, FL, USA
Patricia Sylla, MD, Division of Colon and Rectal Surgery, Department of Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA
