Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Acute colonic diverticulitis in the young

H Spivak1, S Weinrauch, J C Harvey

  • 1Department of Surgery, Beth Israel Medical Center, New York, New York, USA.

Diseases of the Colon and Rectum
|May 1, 1997
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Laparoscopic versus open emergent ventral hernia repair: utilization and outcomes analysis using the ACSNSQIP database.

Surgical endoscopy·2018
Same author

ON THE INDIVIDUAL CHARACTERISTICS OF ANIMAL AMYLASES IN RELATION TO ENZYME SOURCE.

The Journal of general physiology·2009
Same author

What pediatric primary care clinicians can do when confronting aggressive youth.

Bulletin of the New York Academy of Medicine·2009
Same author

Assessment of middle ear disease in the dog: a comparison of diagnostic imaging modalities.

The Journal of small animal practice·2007
Same author

The effect of a low-carbohydrate diet on the nonalcoholic fatty liver in morbidly obese patients before bariatric surgery.

Surgical endoscopy·2007
Same author

Can we make the leap from the lab to the operating room?

Surgical endoscopy·2004

Diverticulitis in young patients is not inherently aggressive. Many emergency surgeries for acute diverticulitis in the young are due to misdiagnosis, suggesting a need to reconsider routine resection after the first episode.

Area of Science:

  • Gastroenterology
  • Colorectal Surgery
  • Surgical Outcomes

Background:

  • Colonic diverticulitis in young individuals is often perceived as severe, leading to high complication rates and frequent surgical intervention.
  • Historically, elective resection of affected colonic segments after a single clinical episode has been standard practice for young patients.

Purpose of the Study:

  • To evaluate the clinical course and outcomes of acute diverticulitis in patients under 45 years of age.
  • To challenge the traditional view of aggressive diverticulitis in the young and assess the necessity of routine surgical resection.

Main Methods:

  • Retrospective review of 63 patients under 45 years treated for acute diverticulitis over nine years.
  • Analysis of clinical presentations, diagnostic imaging, operative findings, and pathological results.

Related Experiment Videos

Main Results:

  • The majority of patients (57) presented with contained pericolonic disease (Hinchey Stage I).
  • 65% of patients (41) were successfully managed non-operatively with antibiotics and bowel rest.
  • 35% of patients (22) required emergent surgery, with 12 cases (55% of surgeries) stemming from preoperative misdiagnoses, including appendicitis.

Conclusions:

  • Acute diverticulitis in young patients does not exhibit a distinct aggressive character.
  • A high rate of emergency operations is observed, but a significant portion results from incorrect preoperative diagnoses.
  • The established recommendation for routine elective resection after the initial diverticulitis episode in young patients warrants re-evaluation.