Hinchey classification for diverticulitis: Difference between revisions
Ostermayer (talk | contribs) (Text replacement - "Category:Surg" to "Category:Surgery") |
No edit summary |
||
| Line 2: | Line 2: | ||
*[[Diverticulitis]] can present with range of severities and thus need for inpatient vs outpatient management | *[[Diverticulitis]] can present with range of severities and thus need for inpatient vs outpatient management | ||
==Hinchey Classification<ref>Hinchey EJ, Schaal PG, Richards GK. Treatment of perforated diverticular disease of the colon. Adv Surg. 1979;12: 85-109.</ref>== | ==Classifications== | ||
===Hinchey Classification<ref>Hinchey EJ, Schaal PG, Richards GK. Treatment of perforated diverticular disease of the colon. Adv Surg. 1979;12: 85-109.</ref>=== | |||
*Based on radiographic features | *Based on radiographic features | ||
**Stage 1a- phlegmon | **Stage 1a- phlegmon | ||
| Line 10: | Line 11: | ||
**Stage 4 - diverticulitis with generalised faecal peritonitis | **Stage 4 - diverticulitis with generalised faecal peritonitis | ||
{{Modified Hinchey}} | |||
==See Also== | ==See Also== | ||
Revision as of 20:02, 19 January 2017
Background
- Diverticulitis can present with range of severities and thus need for inpatient vs outpatient management
Classifications
Hinchey Classification[1]
- Based on radiographic features
- Stage 1a- phlegmon
- Stage 1b- diverticulitis with pericolic or mesenteric abscess
- Stage 2 - diverticulitis with walled off pelvic abscess
- Stage 3 - diverticulitis with generalised purulent peritonitis
- Stage 4 - diverticulitis with generalised faecal peritonitis
Modified Hinchey Classification[2]
- 0 Mild clinical diverticulitis
- Ia Confined pericolic inflammation or phlegmon
- Ib Pericolic or mesocolic abscess
- II Pelvic, distant intraabdominal, or retroperitoneal abscess
- III Generalized purulent peritonitis
- IV Generalized fecal peritonitis