Edward John Hinchey et al. 3 proposed a classification for acute diverticulitis, (anywhere along the bowel, not just the colon) that has been variously adapted, and is useful not only in academia but also in outlining successive stages of severity.
Classification
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stage Ia: phlegmon
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stage Ib: diverticulitis with pericolic or mesenteric abscess
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stage II: diverticulitis with walled off pelvic abscess
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stage III: diverticulitis with generalized purulent peritonitis
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stage IV: diverticulitis with generalized fecal peritonitis
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- 1. Bordeianou Liliana and Richard Hodin. “Controversies in the Surgical Management of Sigmoid Diverticulitis.” Journal of Gastrointestinal Surgery 11, no. 4 (April 2007): 542–548. doi:10.1007/s11605-007-0126-y.
- 2. Hussain Abdulzahra, Hind Mahmood, Gokulakkrishna Subhas and Shamsi EL-Hasani. “Complicated diverticular disease of the colon, do we need to change the classical approach, a retrospective study of 110 patients in southeast England.” World journal of emergency surgery : WJES 3 (2008): 5. doi:10.1186/1749-7922-3-5.
- 3. Hinchey EJ, Schaal PG, Richards GK. Treatment of perforated diverticular disease of the colon. Adv Surg. 1979;12: 85-109. Pubmed citation
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