Diverticular Disease: Colonic Epidemy of the 21st Century

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Series: Digestive Diseases – Research and Clinical Developments
BISAC: MED031000

Diverticular disease is one of the most common problems encountered by gastroenterologists, emergency physicians and surgeons, with a higher prevalence in elderly patients and a dramatic rising of incidences in young people, which involve an increase in health care costs, according to ambulatory visits and hospital admissions.

Acute diverticulitis, the most important complication of diverticular disease, has a broad spectrum of severity, which involves many treatment options, ranging from outpatient-based antibiotic treatment, or even isolated nonsteroidal anti-inflammatory drugs, to parenteral antibiotic regimen, percutaneous drainage or surgery (lavage and drainage, Hartmann procedure or resection with anastomosis with or without a diverting stoma).

The American Society of Colon and Rectal Surgeons recommended in their guidelines a routine follow-up colonoscopy after recovery from an acute episode to rule out malignancy, which is being re-evaluated in recent studies, including the alternative CT-colonography, especially in cases of incomplete colonoscopy or in high-risk patients. After an episode of acute diverticulitis, there is a significant risk of recurrence and a negative impact on quality of life. In order to decrease it, there are many treatments that are being evaluated such as fiber-rich diet, mesalazine, rifaximin, probiotics and elective colon resection, which should be decided individually.

The aim of this book is to revise the current evidence about the diverticular disease and acute diverticulitis.
(Imprint: Nova Medicine and Health)

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Table of Contents

Table of Contents

Preface

Chapter 1. Epidemiology and Pathogenesis of Colonic Diverticulosis
(Andrés García-Marín, Mercedes Pérez-López, María Pilar Sagredo-Rupérez and Juan Valiente-Carrillo, Department of General and Digestive Surgery, Hospital Hellín, Albacete, Spain, and others)

Chapter 2. Acute Diverticulitis: Epidemiology, Pathogenesis and Diagnosis
(Alejandro Zuñiga-Ruiz, MD, and Patrizia Aguilar-Calderón, MD, Department of General Surgery, Autonomous University of Nuevo Leon, Monterrey, Nuevo Leon, Mexico)

Chapter 3. Acute Uncomplicated Diverticulitis Treatment: Outpatient versus Inpatient
(Francisco Javier Ruescas-García and José Ruiz-Pardo, Department of General and Digestive Surgery, Hospital Hellín, Albacete, Spain)

Chapter 4. Acute Complicated Diverticulitis Management
(Jaime Ruiz-Tovar, MD, PhD, and Carolina Llavero, Department of Surgery, Garcilaso Clinic, Madrid, Spain)

Chapter 5. Routine Colonoscopy: Always Needed? Usefulness of CT-Colonography
(Andrés García-Marín, Mercedes Pérez-López, Marcelo Scortechini and Miguel Jurado-Román, Department of General and Digestive Surgery, Hospital Hellín, Albacete, Spain, and others)

Chapter 6. Prevention of Recurrent Diverticulitis: Medical Treatment and Elective Colon Resection
(Gilberto González-Ramírez, Department of Surgery and Bariatric Surgery, Centro Médico Puerta de Hierro, Guadalajara Jalisco, México, and others)

Chapter 7. Acute Diverticular Bleeding
(Jose Ruiz-Pardo and Francisco Javier Ruescas-García, Department of General and Digestive Surgery, Hospital Hellín, Albacete, Spain)

Chapter 8. Right Diverticular Disease
(Alfonso Solar Peche and Saul Espinoza Rivera, Guillermo Almenara Irigoyen Hospital, National University of San Marcos, Lima, Peru)

About the Editors

Index

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