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Murine Distal Colostomy, A Novel Model of Diversion Colitis in C57BL/6 Mice

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Perforated midgut diverticulitis: revisited.

Milan Spasojevic¹, Jens Marius Naesgaard, Dejan Ignjatovic

¹Department of Gastrointestinal Surgery, Vestfold Hospital, 3103 Tonsberg, Norway.

World Journal of Gastroenterology

|September 25, 2012

Summary

Perforated midgut diverticulitis management evolved, with conservative treatment showing satisfactory results for contained perforations. Laparoscopy with lavage and drainage can be considered as a treatment option.

Keywords:

Conservative treatment Diverticulitis Ileum Intestinal Jejunum Perforation Small bowel

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Murine Ileocolic Bowel Resection with Primary Anastomosis

Murine Ileocolic Bowel Resection with Primary Anastomosis

Published on: October 29, 2014

Area of Science:

Gastroenterology
Surgical Procedures
Medical Outcomes

Background:

Perforated midgut diverticulitis presents a significant clinical challenge.
Understanding treatment evolution and patient outcomes is crucial for improving care.

Purpose of the Study:

To analyze the evolution of medical procedures for perforated midgut diverticulitis.
To provide data on patient outcomes associated with various treatment modalities.

Main Methods:

Literature review of case reports published after 1995.
Inclusion of patient data from Vestfold Hospital and the Norwegian patient registry.
Collection of data on symptoms, diagnostics, treatment, complications, and outcomes.

Main Results:

Computed tomography (CT) significantly improved diagnostic accuracy compared to plain radiography.
While surgery was common, conservative treatment showed similar hospital stays for contained perforations.
Mortality rates were higher in cases with diffuse peritonitis and in Group III (historical controls).

Conclusions:

Contained perforations of midgut diverticulitis can be managed successfully with conservative treatment.
Laparoscopy with lavage and drainage offers a viable alternative, potentially followed by conservative management.
Further research into optimal surgical timing and techniques is warranted.