Una patología frecuente que reclama atención | 01 JUL 13

¿Cuándo sospechar diverticulitis del colon izquierdo?

A partir de un caso clínico se revisan, paso a paso, los criterios de diagnóstico clínico, por imágenes y el tratamiento.
Autor/a: N de Korte, consultant surgeon1, W de Monyé, consultant radiologist BMJ 2013; 346 doi
INDICE:  1.  | 2. Referencias
Referencias

1 Toorenvliet BR, Bakker RF, Breslau PJ, Merkus JW, Hamming JF. Colonic diverticulitis: a prospective analysis of diagnostic accuracy and clinical decision making. Colorectal Dis 2010;12:179-86.

2 Laméris W, van Randen A, van Gulik TM, Busch OR, Winkelhagen J, Bossuyt PM, et al. A clinical decision rule to establish the diagnosis of acute diverticulitis at the emergency department. Dis Colon Rectum 2010;53:896-904.

3 Andeweg CS, Knobben L, Hendriks JC, Bleichrodt RP, van Goor H. How to diagnose acute left-sided colonic diverticulitis: proposal for a clinical scoring system. Ann Surg 2011;253:940-6.

4 Rafferty J, Shellito P, Hyman NH, Buie WD. Practice parameters for sigmoid diverticulitis. Dis Colon Rectum 2006;49:939-44.

5 Stollman NH, Raskin JB. Diagnosis and management of diverticular disease of the colon in adults. Ad hoc practice parameters committee of the American College of Gastroenterology. Am J Gastroenterol 1999;94:3110-21.

6 Kohler L, Sauerland S, Neugebauer E. Diagnosis and treatment of diverticular disease: results of a consensus development conference. The Scientific Committee of the European Association for Endoscopic Surgery. Surg Endosc 1999;13:430-6.

7 Laméris W, van Randen A, Bipat S, Bossuyt PM, Boermeester MA, Stoker J. Graded compression ultrasonography and computed tomography in acute colonic diverticulitis: meta-analysis of test accuracy. Eur Radiol 2008;18:2498-511.

8 Pradel JA, Adell JF, Taourel P, Djafari M, Monnin-Delhom E, et al. Acute colonic diverticulitis: prospective comparative evaluation with CT and US. Radiology 1997;205:503-12.

9 Tack D, Bohy P, Perlot I, De Maertelaer V, Alkeilani O, Sourtzis S, et al. Suspected acute colon diverticulitis: imaging with low-dose unenhanced multi-detector row CT. Radiology 2005;237:189-96.

10 Laméris W, van Randen A, van Es HW, van Heesewijk JP, van Ramshorst B, Bouma WH, et al. Imaging strategies for detection of urgent conditions in patients with acute abdominal pain: diagnostic accuracy study. BMJ 2009;338:b2431.

11 Van Randen A, Laméris W, van Es HW, van Heesewijk HP, van Ramshorst B, Ten Hove W, et al, for the OPTIMA Study Group. A comparison of the accuracy of ultrasound and computed tomography in common diagnoses causing acute abdominal pain. Eur Radiol 2011;21:1535-45.

12 Jacobs DO. Clinical practice. Diverticulitis. N Engl J Med 2007;357:2057-66.

13 Destigter KK, Keating DP. Imaging update: acute colonic diverticulitis. Clin Colon Rectal Surg 2009;22:147-55.

14 De Korte N, Unlü C, Boermeester MA, Cuesta MA, Vrouenreats BC, Stockmann HB. Use of antibiotics in uncomplicated diverticulitis. Br J Surg 2011;98:761-7.

15 De Korte N, Kuyvenhoven JP, van der Peet DL, Felt-Bersma RJ, Cuesta MA, Stockmann HB. Mild colonic diverticulitis can be treated without antibiotics. A case-controlled study. Colorectal Dis 2012;14:325-30.

16 Soumian S, Thomas S, Mohan PP, Khan N, Khan Z, Raju T. Management of Hinchey II diverticulitis. World J Gastroenterol 2008;14:7163-9.
 

 

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