Colonic diverticula. Surgical management.

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Surgical management of colonic inertia.

Fourteen patients with chronic constipation due to colonic inertia were treated with total abdominal colectomy and ileorectal anastomosis at the Cleveland Clinic Foundation from 1981 to 1986. All patients were white women ranging in age from 28 to 64 years (mean 41 years). The duration of symptoms averaged 21 years (range six to 47 years) and the average time between bowel movements was ten day...

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Surgical Management of Epiphrenic Diverticula in the Minimally Invasive Era

BACKGROUND Epiphrenic diverticula are rare outpouchings of the distal esophagus that infrequently require surgical intervention for the treatment of symptoms. In cases where surgical therapy is indicated, the traditional approach is through a thoracotomy. Advances in minimally invasive techniques have led to thoracoscopic and more recently laparoscopic management of epiphrenic diverticula. The ...

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Surgical Management of Two Simultaneously Occurring Epiphrenic Esophageal Diverticula

Among all diverticula of the esophagus, epiphrenic diverticula occur less frequently than those in the pharyngo-esophageal segment. Two simultaneously occurring diverticula in the epiphrenic esophagus are very rarely reported in the English literature. A 52-year-old woman had a 3-year history of troublesome dysphagia, heartburn, chest pain and cough. Initial investigation included a physical ex...

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Urgent surgery for complicated colonic diverticula.

UNLABELLED The AIM of this retrospective study was to evaluate the emergency surgical treatment of life-threatening complications of colonic diverticula. MATERIAL AND METHOD In the last 11 years, 22 of 101 patients with colonic diverticula (22.1%) underwent urgent surgery for acute complications: perforated gangrenous diverticulitis with generalized peritonitis (n=8) or pericolic abscess (n=8...

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CLINICAL PRACTICE Colonic Diverticula Pathology and Natural History

sacs are bounded by the hypertrophied circular and longitudinal fibres and their contents remain almost shut off. These pouches are the result of constipation, muscular fibres become hypertrophied, but their effort to propel onward their contents lead to these minute hernial protrusions." W. H. Cripps described vesicocolic fistula due to inflammatory changes in the colon in 1888,3 and in 1903 R...

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ژورنال

عنوان ژورنال: BMJ

سال: 1970

ISSN: 0959-8138,1468-5833

DOI: 10.1136/bmj.3.5722.570