{"id":4701,"date":"2010-11-20T02:37:58","date_gmt":"2010-11-20T07:37:58","guid":{"rendered":"http:\/\/insidesurgery.com\/?p=4701"},"modified":"2013-03-17T21:48:06","modified_gmt":"2013-03-18T01:48:06","slug":"hinchey-staging-system-diverticulitis","status":"publish","type":"post","link":"https:\/\/insidesurgery.com\/2010\/11\/hinchey-staging-system-diverticulitis\/","title":{"rendered":"Hinchey Staging System for Diverticulitis"},"content":{"rendered":"
The Hinchey staging system has been used to describe the severity of complicated diverticulitis. Stage 1 is colonic inflammation with presence of associated pericolic abscess. Stage 2 is colonic inflammation with a retroperitoneal or pelvic abscess. Stage 3 is colonic inflammation with purulent peritonitis. Stage 4 is colonic inflammation with fecal peritonitis<\/a>.<\/p>\n Hinchey staging system 3 and 4 disease require immediate laparotomy. Patients with contained abscesses as in Stage 1 and 2 usually have percutaneous drainage with antibiotics with strong consideration given to elective colectomy as the more severe the first case, the greater the likelihood of recurrent events.<\/p>\n","protected":false},"excerpt":{"rendered":" The Hinchey staging system has been used to describe the severity of complicated diverticulitis. Stage 1 is colonic inflammation with presence of associated pericolic abscess. Stage 2 is colonic inflammation with a retroperitoneal or pelvic abscess. Stage 3 is colonic inflammation with purulent peritonitis. Stage 4 is colonic inflammation with fecal peritonitis. Hinchey staging system […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"categories":[5126,13],"tags":[5522,5524,190,5526,5525,5523],"yoast_head":"\n