ACPGBI position statement on elective resection for diverticulitis.
نویسندگان
چکیده
Diverticular disease is common, with a frequency that increases with age. Most patients with diverticulosis do not develop symptoms, though a number will develop inflammation or diverticulitis. This inflammation may develop into an abscess or free perforation. Whilst the prevalence of perforation has increased from 2.4 per 100 000 in 1986 to 3.8 per 100 000 in 2000 according to one study [1], the majority of patients with diverticulitis follow an indolent clinical course. There has been controversy, therefore, as to whether elective resection after acute diverticulitis is justified [2]. This position statement is presented in sections dealing with the pathology, symptomatology and investigation of diverticular disease and its consequences. It then examines the evidence and indications for surgical intervention and its timing. The issue of laparoscopic versus open resection is then considered. The evidence is briefly summarized under the heading ‘Findings’ and this is followed where relevant by ‘Recommendations’.
منابع مشابه
Elective surgery after acute diverticulitis.
BACKGROUND Diverticulitis is a common condition. Practice guidelines from many organizations recommend bowel resection after two attacks. The evidence for such a recommendation is reviewed. METHODS A Medline literature search was performed to locate English language articles on surgery for diverticular disease. Further articles were obtained from the references cited in the literature initial...
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OBJECTIVE To determine whether interval resection in asymptomatic patients after 1 or 2 episodes of acute diverticulitis (prophylactic resection) is justified as a means of preventing late inflammatory complications of diverticular disease. DESIGN A retrospective analysis. SETTING A university-affiliated tertiary care hospital. PATIENTS Those requiring hospitalization from 1987 to 1995 fo...
متن کاملTrends in diverticulitis management in the United States from 2002 to 2007.
OBJECTIVE To demonstrate the recent trends of admission and surgical management for diverticulitis in the United States. DESIGN Retrospective database analysis. SETTING The National Inpatient Sample database. PATIENTS Patients admitted to the hospital for diverticulitis from 2002 to 2007. MAIN OUTCOME MEASURES Patient characteristics, surgical approach, and mortality were evaluated for ...
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Colonic diverticulosis is a common condition in the Western world and its incidence increases substantially with age. It was estimated that in patients older than age 60 years, 50% have diverticulosis [1,2]. Surgeons’ interest for this disease is related to the treatment of the complications of diverticulitis (perforation, occlusion, bleeding). About 25% of patients hospitalized for diverticuli...
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عنوان ژورنال:
- Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland
دوره 13 Suppl 3 شماره
صفحات -
تاریخ انتشار 2011