Diverticular disease of the colon: clinical manifestations and surgical management
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Brazilian Journal of Implantology and Health Sciences |
Texto Completo: | https://bjihs.emnuvens.com.br/bjihs/article/view/1104 |
Resumo: | Diverticular disease of the colon is a condition that affects the large intestine and can cause inflammation, infection or perforation. Treatment depends on the severity of symptoms and complications. In general, treatment includes antibiotics, painkillers, bowel rest and a low-residue diet. In more serious cases, surgery may be necessary to remove the affected part of the intestine. Surgery can be performed with primary intestinal resection or colostomy. Objective: to evaluate the clinical manifestations and surgical management of colonic diverticular disease, as well as the associated risk, prognosis and prevention factors. Methodology: followed the PRISMA checklist, the databases consulted were PubMed, Scielo, Web of Science, using the descriptors: diverticular disease, colon, clinical manifestations, surgical management and systematic review. Articles published in the last 10 years, in Portuguese or English, that addressed colon diverticular disease in adults were included. Articles that were not systematic reviews or meta-analyses, that dealt with other diseases of the large intestine or that did not present data on the clinical manifestations or surgical management of diverticular disease of the colon were excluded. Results: 15 studies were selected. The most common clinical manifestation of diverticular disease of the colon is abdominal pain in the left lower quadrant, which may be accompanied by fever, leukocytosis, changes in bowel habits and signs of peritoneal irritation. Surgery is indicated for cases refractory to conservative treatment, cases complicated by perforation, abscess, fistula or intestinal obstruction, or recurrent cases with disabling symptoms. Surgery can be performed open or laparoscopically, the latter being associated with lower morbidity and shorter hospital stays. The most commonly used surgical technique is primary intestinal resection with primary anastomosis, which consists of removing the affected part of the intestine and joining the remaining ends. In cases of diffuse peritonitis or hemodynamic instability, colostomy with deferred intestinal resection may be chosen. Conclusion: Diverticular disease of the colon is a common and potentially serious condition that requires an accurate diagnosis and appropriate treatment. Clinical manifestations range from mild symptoms to serious complications that can lead to death. Surgical management must be individualized according to the patient's clinical picture and conditions. Preventing diverticular disease of the colon involves adopting healthy lifestyle habits, such as a diet rich in fiber and practicing regular physical activity. |
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Diverticular disease of the colon: clinical manifestations and surgical managementDoença diverticular do cólon: manifestações clínicas e conduta cirúrgicadoença diverticular, cólon, manifestações clínicas, tratamento cirúrgico e revisão sistemática.diverticular disease, colon, clinical manifestations, surgical management and systematic reviewDiverticular disease of the colon is a condition that affects the large intestine and can cause inflammation, infection or perforation. Treatment depends on the severity of symptoms and complications. In general, treatment includes antibiotics, painkillers, bowel rest and a low-residue diet. In more serious cases, surgery may be necessary to remove the affected part of the intestine. Surgery can be performed with primary intestinal resection or colostomy. Objective: to evaluate the clinical manifestations and surgical management of colonic diverticular disease, as well as the associated risk, prognosis and prevention factors. Methodology: followed the PRISMA checklist, the databases consulted were PubMed, Scielo, Web of Science, using the descriptors: diverticular disease, colon, clinical manifestations, surgical management and systematic review. Articles published in the last 10 years, in Portuguese or English, that addressed colon diverticular disease in adults were included. Articles that were not systematic reviews or meta-analyses, that dealt with other diseases of the large intestine or that did not present data on the clinical manifestations or surgical management of diverticular disease of the colon were excluded. Results: 15 studies were selected. The most common clinical manifestation of diverticular disease of the colon is abdominal pain in the left lower quadrant, which may be accompanied by fever, leukocytosis, changes in bowel habits and signs of peritoneal irritation. Surgery is indicated for cases refractory to conservative treatment, cases complicated by perforation, abscess, fistula or intestinal obstruction, or recurrent cases with disabling symptoms. Surgery can be performed open or laparoscopically, the latter being associated with lower morbidity and shorter hospital stays. The most commonly used surgical technique is primary intestinal resection with primary anastomosis, which consists of removing the affected part of the intestine and joining the remaining ends. In cases of diffuse peritonitis or hemodynamic instability, colostomy with deferred intestinal resection may be chosen. Conclusion: Diverticular disease of the colon is a common and potentially serious condition that requires an accurate diagnosis and appropriate treatment. Clinical manifestations range from mild symptoms to serious complications that can lead to death. Surgical management must be individualized according to the patient's clinical picture and conditions. Preventing diverticular disease of the colon involves adopting healthy lifestyle habits, such as a diet rich in fiber and practicing regular physical activity.A doença diverticular do cólon é uma condição que afeta o intestino grosso e pode causar inflamação, infecção ou perfuração. O tratamento depende da gravidade dos sintomas e das complicações. Em geral, o tratamento inclui antibióticos, analgésicos, repouso intestinal e dieta com pouco resíduo. Em casos mais graves, pode ser necessária uma cirurgia para remover a parte afetada do intestino. A cirurgia pode ser feita com ressecção intestinal primária ou com colostomia. Objetivo: avaliar as manifestações clínicas e a conduta cirúrgica da doença diverticular do cólon, bem como os fatores de risco, prognóstico e prevenção associados. Metodologia: seguiu o checklist PRISMA, as bases de dados consultadas foram PubMed, Scielo, Web of Science, utilizando os descritores: diverticular disease, colon, clinical manifestations, surgical management and systematic review. Foram incluídos artigos publicados nos últimos 10 anos, em português ou inglês, que abordassem a doença diverticular do cólon em adultos. Foram excluídos artigos que não fossem revisões sistemáticas ou meta-análises, que tratassem de outras doenças do intestino grosso ou que não apresentassem dados sobre as manifestações clínicas ou a conduta cirúrgica da doença diverticular do cólon. Resultados: Foram selecionados 15 estudos. A manifestação clínica mais comum da doença diverticular do cólon é a dor abdominal no quadrante inferior esquerdo, que pode ser acompanhada de febre, leucocitose, alteração do hábito intestinal e sinais de irritação peritoneal. A cirurgia é indicada para casos refratários ao tratamento conservador, casos complicados com perfuração, abscesso, fístula ou obstrução intestinal, ou casos recorrentes com sintomas incapacitantes. A cirurgia pode ser realizada por via aberta ou laparoscópica, sendo esta última associada a menor morbidade e menor tempo de internação. A técnica cirúrgica mais utilizada é a ressecção intestinal primária com anastomose primária, que consiste na retirada da parte afetada do intestino e na união das extremidades remanescentes. Em casos de peritonite difusa ou instabilidade hemodinâmica, pode-se optar pela colostomia com ressecção intestinal diferida. Conclusão: a doença diverticular do cólon é uma condição frequente e potencialmente grave, que requer um diagnóstico preciso e um tratamento adequado. As manifestações clínicas variam desde sintomas leves até complicações graves que podem levar à morte. A conduta cirúrgica deve ser individualizada de acordo com o quadro clínico e as condições do paciente. A prevenção da doença diverticular do cólon envolve a adoção de hábitos de vida saudáveis, como uma dieta rica em fibras e a prática de atividade física regular.Specialized Dentistry Group2023-12-17info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://bjihs.emnuvens.com.br/bjihs/article/view/110410.36557/2674-8169.2023v5n5p5762-5775Brazilian Journal of Implantology and Health Sciences ; Vol. 5 No. 5 (2023): BJIHS QUALIS B3; 5762-5775Brazilian Journal of Implantology and Health Sciences ; Vol. 5 Núm. 5 (2023): BJIHS QUALIS B3; 5762-5775Brazilian Journal of Implantology and Health Sciences ; v. 5 n. 5 (2023): BJIHS QUALIS B3; 5762-57752674-8169reponame:Brazilian Journal of Implantology and Health Sciencesinstname:Grupo de Odontologia Especializada (GOE)instacron:GOEporhttps://bjihs.emnuvens.com.br/bjihs/article/view/1104/1259Copyright (c) 2023 Pedro Henrique Evangelista Umbelino dos Santos , Lucas Bassi Taranto Goulart , Luana Esteves Santos, Admilson Lemos da Costa Filho , Natan Terribele , Raissa de Kássia Aparecida Fernandes Godinho, Ana Cláudia Soares Junqueira , Pedro Meira Feitosa , Maria Eduarda Santana Carneiro , Letícia Leite dos Santos , Gabriela Vieira de Paula, Ana Laura Lopes Proençahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccess Santos , Pedro Henrique Evangelista Umbelino dosGoulart , Lucas Bassi TarantoSantos, Luana EstevesFilho , Admilson Lemos da CostaTerribele , NatanGodinho, Raissa de Kássia Aparecida FernandesJunqueira , Ana Cláudia SoaresFeitosa , Pedro Meira Carneiro , Maria Eduarda SantanaSantos , Letícia Leite dosPaula, Gabriela Vieira deProença, Ana Laura Lopes2023-12-17T19:44:23Zoai:ojs.bjihs.emnuvens.com.br:article/1104Revistahttps://bjihs.emnuvens.com.br/bjihsONGhttps://bjihs.emnuvens.com.br/bjihs/oaijournal.bjihs@periodicosbrasil.com.br2674-81692674-8169opendoar:2023-12-17T19:44:23Brazilian Journal of Implantology and Health Sciences - Grupo de Odontologia Especializada (GOE)false |
dc.title.none.fl_str_mv |
Diverticular disease of the colon: clinical manifestations and surgical management Doença diverticular do cólon: manifestações clínicas e conduta cirúrgica |
title |
Diverticular disease of the colon: clinical manifestations and surgical management |
spellingShingle |
Diverticular disease of the colon: clinical manifestations and surgical management Santos , Pedro Henrique Evangelista Umbelino dos doença diverticular, cólon, manifestações clínicas, tratamento cirúrgico e revisão sistemática. diverticular disease, colon, clinical manifestations, surgical management and systematic review |
title_short |
Diverticular disease of the colon: clinical manifestations and surgical management |
title_full |
Diverticular disease of the colon: clinical manifestations and surgical management |
title_fullStr |
Diverticular disease of the colon: clinical manifestations and surgical management |
title_full_unstemmed |
Diverticular disease of the colon: clinical manifestations and surgical management |
title_sort |
Diverticular disease of the colon: clinical manifestations and surgical management |
author |
Santos , Pedro Henrique Evangelista Umbelino dos |
author_facet |
Santos , Pedro Henrique Evangelista Umbelino dos Goulart , Lucas Bassi Taranto Santos, Luana Esteves Filho , Admilson Lemos da Costa Terribele , Natan Godinho, Raissa de Kássia Aparecida Fernandes Junqueira , Ana Cláudia Soares Feitosa , Pedro Meira Carneiro , Maria Eduarda Santana Santos , Letícia Leite dos Paula, Gabriela Vieira de Proença, Ana Laura Lopes |
author_role |
author |
author2 |
Goulart , Lucas Bassi Taranto Santos, Luana Esteves Filho , Admilson Lemos da Costa Terribele , Natan Godinho, Raissa de Kássia Aparecida Fernandes Junqueira , Ana Cláudia Soares Feitosa , Pedro Meira Carneiro , Maria Eduarda Santana Santos , Letícia Leite dos Paula, Gabriela Vieira de Proença, Ana Laura Lopes |
author2_role |
author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Santos , Pedro Henrique Evangelista Umbelino dos Goulart , Lucas Bassi Taranto Santos, Luana Esteves Filho , Admilson Lemos da Costa Terribele , Natan Godinho, Raissa de Kássia Aparecida Fernandes Junqueira , Ana Cláudia Soares Feitosa , Pedro Meira Carneiro , Maria Eduarda Santana Santos , Letícia Leite dos Paula, Gabriela Vieira de Proença, Ana Laura Lopes |
dc.subject.por.fl_str_mv |
doença diverticular, cólon, manifestações clínicas, tratamento cirúrgico e revisão sistemática. diverticular disease, colon, clinical manifestations, surgical management and systematic review |
topic |
doença diverticular, cólon, manifestações clínicas, tratamento cirúrgico e revisão sistemática. diverticular disease, colon, clinical manifestations, surgical management and systematic review |
description |
Diverticular disease of the colon is a condition that affects the large intestine and can cause inflammation, infection or perforation. Treatment depends on the severity of symptoms and complications. In general, treatment includes antibiotics, painkillers, bowel rest and a low-residue diet. In more serious cases, surgery may be necessary to remove the affected part of the intestine. Surgery can be performed with primary intestinal resection or colostomy. Objective: to evaluate the clinical manifestations and surgical management of colonic diverticular disease, as well as the associated risk, prognosis and prevention factors. Methodology: followed the PRISMA checklist, the databases consulted were PubMed, Scielo, Web of Science, using the descriptors: diverticular disease, colon, clinical manifestations, surgical management and systematic review. Articles published in the last 10 years, in Portuguese or English, that addressed colon diverticular disease in adults were included. Articles that were not systematic reviews or meta-analyses, that dealt with other diseases of the large intestine or that did not present data on the clinical manifestations or surgical management of diverticular disease of the colon were excluded. Results: 15 studies were selected. The most common clinical manifestation of diverticular disease of the colon is abdominal pain in the left lower quadrant, which may be accompanied by fever, leukocytosis, changes in bowel habits and signs of peritoneal irritation. Surgery is indicated for cases refractory to conservative treatment, cases complicated by perforation, abscess, fistula or intestinal obstruction, or recurrent cases with disabling symptoms. Surgery can be performed open or laparoscopically, the latter being associated with lower morbidity and shorter hospital stays. The most commonly used surgical technique is primary intestinal resection with primary anastomosis, which consists of removing the affected part of the intestine and joining the remaining ends. In cases of diffuse peritonitis or hemodynamic instability, colostomy with deferred intestinal resection may be chosen. Conclusion: Diverticular disease of the colon is a common and potentially serious condition that requires an accurate diagnosis and appropriate treatment. Clinical manifestations range from mild symptoms to serious complications that can lead to death. Surgical management must be individualized according to the patient's clinical picture and conditions. Preventing diverticular disease of the colon involves adopting healthy lifestyle habits, such as a diet rich in fiber and practicing regular physical activity. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-12-17 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://bjihs.emnuvens.com.br/bjihs/article/view/1104 10.36557/2674-8169.2023v5n5p5762-5775 |
url |
https://bjihs.emnuvens.com.br/bjihs/article/view/1104 |
identifier_str_mv |
10.36557/2674-8169.2023v5n5p5762-5775 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://bjihs.emnuvens.com.br/bjihs/article/view/1104/1259 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Specialized Dentistry Group |
publisher.none.fl_str_mv |
Specialized Dentistry Group |
dc.source.none.fl_str_mv |
Brazilian Journal of Implantology and Health Sciences ; Vol. 5 No. 5 (2023): BJIHS QUALIS B3; 5762-5775 Brazilian Journal of Implantology and Health Sciences ; Vol. 5 Núm. 5 (2023): BJIHS QUALIS B3; 5762-5775 Brazilian Journal of Implantology and Health Sciences ; v. 5 n. 5 (2023): BJIHS QUALIS B3; 5762-5775 2674-8169 reponame:Brazilian Journal of Implantology and Health Sciences instname:Grupo de Odontologia Especializada (GOE) instacron:GOE |
instname_str |
Grupo de Odontologia Especializada (GOE) |
instacron_str |
GOE |
institution |
GOE |
reponame_str |
Brazilian Journal of Implantology and Health Sciences |
collection |
Brazilian Journal of Implantology and Health Sciences |
repository.name.fl_str_mv |
Brazilian Journal of Implantology and Health Sciences - Grupo de Odontologia Especializada (GOE) |
repository.mail.fl_str_mv |
journal.bjihs@periodicosbrasil.com.br |
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1796798442296573952 |