Partial colectomy for diverticular disease - Revision history

Michael at 14:01, 15 October 2024

2024-10-15T14:01:42Z

← Older revision		Revision as of 14:01, 15 October 2024
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	*Diverticula (3-5 blocks).		*Diverticula (3-5 blocks).
	*Interdiverticular mucosa (2 blocks).		*Interdiverticular mucosa (2 blocks).
	*Lymph nodes (2 blocks).		*Lymph nodes (1 or 2 blocks). ‡

	===Protocol notes===		===Protocol notes===
			‡ The Royal College of Pathologists (UK) recommends submitting lymph nodes in benign resection.<ref>URL: [https://www.rcpath.org/static/4593f557-d75c-4ca6-9307a9d688e02a2d/g085-tp-giandp-jan16.pdf https://www.rcpath.org/static/4593f557-d75c-4ca6-9307a9d688e02a2d/g085-tp-giandp-jan16.pdf]. Accessed on: 2024 Oct 15.</ref>

	===Alternate approaches===		===Alternate approaches===

Michael at 23:18, 9 October 2016

2016-10-09T23:18:45Z

← Older revision		Revision as of 23:18, 9 October 2016
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	[[Image:Sigmoid diverticulum (diagram).jpg\|thumb\|right\|Drawing showing sigmoid diverticula.]]		[[Image:Sigmoid diverticulum (diagram).jpg\|thumb\|right\|Drawing showing sigmoid diverticula. (WC/Anpol42)]]
	'''Partial colectomy for [[diverticular disease]]''' is a very common procedure. The sigmoid colon is typically afflicited; in that case it can more precisely be labeled '''sigmoidectomy for diverticular disease'''.		'''Partial colectomy for [[diverticular disease]]''' is a very common procedure. The sigmoid colon is typically afflicited; in that case it can more precisely be labeled '''sigmoidectomy for diverticular disease'''.

Michael at 23:18, 9 October 2016

2016-10-09T23:18:07Z

← Older revision		Revision as of 23:18, 9 October 2016
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			[[Image:Sigmoid diverticulum (diagram).jpg\|thumb\|right\|Drawing showing sigmoid diverticula.]]
	'''Partial colectomy for [[diverticular disease]]''' is a very common procedure. The sigmoid colon is typically afflicited; in that case it can more precisely be labeled '''sigmoidectomy for diverticular disease'''.		'''Partial colectomy for [[diverticular disease]]''' is a very common procedure. The sigmoid colon is typically afflicited; in that case it can more precisely be labeled '''sigmoidectomy for diverticular disease'''.

Michael: /* Introduction */

2016-10-09T22:41:08Z

Introduction

← Older revision		Revision as of 22:41, 9 October 2016
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	==Introduction==		==Introduction==
	This is a relatively ~~quite~~ common specimen. [[Diverticulitis]] (inflammation of diverticula) and it complications are usually diagnosed by computed tomography (CT).<ref name=pmid27622365>{{Cite journal \| last1 = Schultz \| first1 = JK. \| last2 = Yaqub \| first2 = S. \| last3 = Øresland \| first3 = T. \| title = Management of Diverticular Disease in Scandinavia. \| journal = J Clin Gastroenterol \| volume = 50 Suppl 1 \| issue = \| pages = S50-2 \| month = Oct \| year = 2016 \| doi = 10.1097/MCG.0000000000000642 \| PMID = 27622365 }}</ref>		This is a relatively common specimen. [[Diverticulitis]] (inflammation of diverticula) and it complications are usually diagnosed by computed tomography (CT).<ref name=pmid27622365>{{Cite journal \| last1 = Schultz \| first1 = JK. \| last2 = Yaqub \| first2 = S. \| last3 = Øresland \| first3 = T. \| title = Management of Diverticular Disease in Scandinavia. \| journal = J Clin Gastroenterol \| volume = 50 Suppl 1 \| issue = \| pages = S50-2 \| month = Oct \| year = 2016 \| doi = 10.1097/MCG.0000000000000642 \| PMID = 27622365 }}</ref>

	If the individual has a peritonitis, a (temporary) [[stoma]] is ~~generally~~ created.		If the individual has a peritonitis, a (temporary) [[stoma]] is created in a surgery known as a ''Hartmann's procedure''.<ref name=pmid27622365/>

	The pathologist's main tasks in this specimen is:		The pathologist's main tasks in this specimen is:

Michael: /* Introduction */

2016-10-09T22:38:33Z

Introduction

← Older revision		Revision as of 22:38, 9 October 2016
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	==Introduction==		==Introduction==
	This is quite common. [[Diverticulitis]] (inflammation of diverticula) and it complications are usually diagnosed by ~~medical imaging~~.		This is a relatively quite common specimen. [[Diverticulitis]] (inflammation of diverticula) and it complications are usually diagnosed by computed tomography (CT).<ref name=pmid27622365>{{Cite journal \| last1 = Schultz \| first1 = JK. \| last2 = Yaqub \| first2 = S. \| last3 = Øresland \| first3 = T. \| title = Management of Diverticular Disease in Scandinavia. \| journal = J Clin Gastroenterol \| volume = 50 Suppl 1 \| issue = \| pages = S50-2 \| month = Oct \| year = 2016 \| doi = 10.1097/MCG.0000000000000642 \| PMID = 27622365 }}</ref>

	If the individual has a peritonitis, a (temporary) [[stoma]] is generally created.		If the individual has a peritonitis, a (temporary) [[stoma]] is generally created.
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	The pathologist's main tasks in this specimen is:		The pathologist's main tasks in this specimen is:
	#Confirming and documenting extent of the disease.		#Confirming and documenting extent of the disease.
	#Excluding malignancy.		#Excluding malignancy.

	==Protocol==		==Protocol==
	Specimen:		Specimen:

Michael at 22:10, 27 July 2014

2014-07-27T22:10:46Z

← Older revision		Revision as of 22:10, 27 July 2014
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	'''Partial colectomy for [[diverticular disease]]''' is a very common procedure. The sigmoid colon is typically afflicited; in that case it can more precisely be labeled '''sigmoidectomy for diverticular disease'''.		'''Partial colectomy for [[diverticular disease]]''' is a very common procedure. The sigmoid colon is typically afflicited; in that case it can more precisely be labeled '''sigmoidectomy for diverticular disease'''.

	~~The pathologist's main tasks in this specimen is:~~
	~~#Confirming and documenting extent of the disease.~~
	~~#Excluding malignancy.~~

	==Introduction==		==Introduction==
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	If the individual has a peritonitis, a (temporary) [[stoma]] is generally created.		If the individual has a peritonitis, a (temporary) [[stoma]] is generally created.

			The pathologist's main tasks in this specimen is:
			#Confirming and documenting extent of the disease.
			#Excluding malignancy.
	==Protocol==		==Protocol==
	Specimen:		Specimen:

Michael: /* Protocol */

2014-07-27T21:38:03Z

Protocol

← Older revision		Revision as of 21:38, 27 July 2014
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	*Distal mucosal margin.		*Distal mucosal margin.
	*Diverticula (3-5 blocks).		*Diverticula (3-5 blocks).
	*Interdiverticular mucosa (2		*Interdiverticular mucosa (2 blocks).
	*Lymph nodes (~~at least~~ 2 blocks).		*Lymph nodes (2 blocks).

	===Protocol notes===		===Protocol notes===

Michael: create

2014-07-27T21:34:18Z

create

New page

'''Partial colectomy for [[diverticular disease]]''' is a very common procedure. The sigmoid colon is typically afflicited; in that case it can more precisely be labeled '''sigmoidectomy for diverticular disease'''.

The pathologist's main tasks in this specimen is:
#Confirming and documenting extent of the disease.
#Excluding malignancy.

==Introduction==
This is quite common. [[Diverticulitis]] (inflammation of diverticula) and it complications are usually diagnosed by medical imaging.

If the individual has a peritonitis, a (temporary) [[stoma]] is generally created.

==Protocol==
Specimen:
*Length __ cm.
*Circumference (proximal/one end) __ cm.
*Circumference (distal/other end) __ cm.
*Mesentry (maximal): __ cm.

Appearance:
*Serosal surface: [shiny/hemorrhagic/dull/exudate/adhesions].
*Mucosa: [unremarkable/granular].
**Polyps: [none/number - size __ cm, location (to nearest resection margin): __ cm].
*Number of diverticula (count up to 6, then estimate): [number of diverticula].
*Wall: [unremarkable/thickened].

Other:
*Perforation: [not identified/present - location of perforation (to nearest mucosal margin): __ cm, size of performation __ cm].

Representative sections submitted:
*Proximal mucosal margin.
*Distal mucosal margin.
*Diverticula (3-5 blocks).
*Interdiverticular mucosa (2
*Lymph nodes (at least 2 blocks).

===Protocol notes===
===Alternate approaches===

==Pathology==
<gallery>
Image:Diverticula,_sigmoid_colon.jpg|Diverticular disease.
</gallery>

==See also==
===Related protocols===
*[[Lower anterior resection for cancer]].

==References==
{{Reflist|1}}

[[Category:Gross pathology]]
[[Category:Gastrointestinal pathology]]