Perforated Sigmoid Diverticular Disease: a Management Protocol
نویسندگان
چکیده
BACKGROUND To develop an evidence-based protocol for the management of perforated sigmoid diverticular disease. METHODS A search of the literature was undertaken. All publications pertaining to perforated sigmoid diverticular disease were analyzed and then categorized according to their level of evidence. Recommendations were then made on the basis of this. RESULTS Multiple case reports suggest that primary closure of perforation of sigmoid diverticula is safe in the absence of peritoneal contamination. CONCLUSIONS A 2-stage laparoscopic approach incorporating the principles of damage limitation surgery may be a safe strategy in the management of perforated diverticular disease.
منابع مشابه
Diverticular Disease
The prevalence of perforated sigmoid diverticular disease in developed countries increased from 2.4/100,000 in 1986, to 3.8/100,000 in 2000. [2] Approximately 50% of all people have diverticula by the time they are 50 years of age, and nearly 70% of all people have diverticula by the time they are 80 years of age. [3] Approximately 75% of people with diverticula have asymptomatic diverticulosis...
متن کاملDiverticular Disease
The prevalence of perforated sigmoid diverticular disease in developed countries increased from 2.4/100,000 in 1986, to 3.8/100,000 in 2000. [2] Approximately 50% of all people have diverticula by the time they are 50 years of age, and nearly 70% of all people have diverticula by the time they are 80 years of age. [3] Approximately 75% of people with diverticula have asymptomatic diverticulosis...
متن کاملDiverticular Disease
The prevalence of perforated sigmoid diverticular disease in developed countries increased from 2.4/100,000 in 1986, to 3.8/100,000 in 2000. [2] Approximately 50% of all people have diverticula by the time they are 50 years of age, and nearly 70% of all people have diverticula by the time they are 80 years of age. [3] Approximately 75% of people with diverticula have asymptomatic diverticulosis...
متن کاملDiverticular Disease
The prevalence of perforated sigmoid diverticular disease in developed countries increased from 2.4/100,000 in 1986, to 3.8/100,000 in 2000. [2] Approximately 50% of all people have diverticula by the time they are 50 years of age, and nearly 70% of all people have diverticula by the time they are 80 years of age. [3] Approximately 75% of people with diverticula have asymptomatic diverticulosis...
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INTRODUCTION Jejunal diverticular (JD) disease is an uncommon occurrence that frequently present as a diagnostic dilemma. The correct diagnosis from complications of JD is typically made at laparotomy. Most JD are asymptomatic. Of clinically significant small bowel diverticula, only 15% present with surgical problems including obstruction, gastrointestinal bleed, and perforation. PRESENTATION...
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