What is Hinchey classification of diverticulitis?
The universally accepted is the Hinchey classification[8], which descriptively characterises the various stages of diverticulitis and its acute complications. Type I and Type II refer to inflammatory phlegmon and paracolic abscesses while type III and IV refer to purulent and faeculent peritonitis respectively.
What is the management of diverticulitis?
The management of a patient presenting with diverticulitis and a localized 5 cm abscess should include: Antibiotics alone. Antibiotics, percutaneous CT-guided drainage, and nonoperative management. Antibiotics, percutaneous CT-guided drainage, and delayed elective colectomy.
Which is the most commonly used classification for diverticular disease?
The Hinchey classification has traditionally been used in international literature to distinguish four stages of perforated disease (see Table 1). This most widely used classification was actually based on an earlier clinical division of acute diverticulitis published by Hughes et al. (see Fig.
What is Hinchey classification used for?
Hinchey Classification is used to describe perforations of the colon due to diverticulitis. The classification was developed by Dr. E John Hinchey (1934–present), a general surgeon at the Montreal General Hospital and professor of surgery at McGill University.
What is Hinchey II diverticulitis?
C Hinchey II diverticulitis is characterized by the presence of a pelvic or inter-loop abscess, or by the presence of an abscess that is larger than 4 cm. D Hinchey III and E Hinchey IV diverticulitis are characterized by the presence of purulent peritonitis and feculent peritonitis, respectively.
What is end stage diverticulitis?
Stage IV: Rupture of diverticula into the peritoneal cavity with fecal contamination causing generalized fecal peritonitis. This means the abscesses have ruptured into the peritoneal cavity and the rupture has led to the presence of feces in the peritoneal cavity causing an infection.
At what point is surgery needed for diverticulitis?
If you’ve had two or three episodes of diverticulitis, your doctor may recommend an elective procedure called sigmoidectomy, in which the affected part of the colon—called the sigmoid colon—is removed to help prevent a recurrence. Before choosing elective surgery, you and your doctor discuss the benefits and risks.
What is the basis of the Hinchey classification staging system for perforated diverticulitis?
Clinical staging by Hinchey’s classification is based on computed tomography findings and directed toward selection of the proper surgical procedure when diverticulitis is complicated, as follows: Stage I disease: Phlegmon or localized pericolic or mesenteric abscess.
What is the life expectancy of someone who has diverticulitis?
Also, the mean age of patients with the first episode of diverticulitis is approximately 65 years, and such patients have an average life expectancy of 14 years.