Hinchey classification for diverticulitis: Difference between revisions
m (Rossdonaldson1 moved page Hinchey Classification For Diverticulitis to Hinchey classification for diverticulitis) |
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*[[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== | ==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 | ||
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**Stage 4 - diverticulitis with generalised faecal peritonitis | **Stage 4 - diverticulitis with generalised faecal peritonitis | ||
==Modified Hinchey Classification== | ==Modified Hinchey Classification<ref>Wasvary H, Turfah F, Kadro O, et al. Same hospitalization resection for acute diverticulitis. Am Surg. 1999;65:632–635.</ref>== | ||
*0 Mild clinical diverticulitis | *0 Mild clinical diverticulitis | ||
*Ia Confined pericolic inflammation or phlegmon | *Ia Confined pericolic inflammation or phlegmon | ||
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==References== | ==References== | ||
</references> | |||
[[Category:GI]] | [[Category:GI]] | ||
[[Category:Surg]] | [[Category:Surg]] | ||
Revision as of 15:08, 8 August 2015
Background
- Diverticulitis can present with range of severities and thus need for inpatient vs outpatient management
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
See Also
References
</references>