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EnglishObjective: To analyse the development of the medical and surgical treatment of acute diverticulitis to develop an appropriate decision-making algorithm. Methods: We analysed the demographic characteristics, radiological images, disease severity, treatments and surgical outcomes of all of the patients with a diagnosis of acute diverticulitis admitted to the Department of General and Emergency Surgery between 1 January 2009 and 30 June 2014. Results: During the 66-month study period, 219 patients with acute diverticulitis attended our department; 69% had simple diverticulitis (93% were treated conservatively and 7% surgically) and 31% had complicated diverticulitis (76% were treated surgically and 24% conservatively). Of the patients who were treated surgically, 62.5% underwent primary resection with anastomosis, 31.94% Hartmann's procedure, and 5.56% laparoscopic lavage and drainage. Conclusions: Our cases and a careful review of the literature allowed us to develop a decision-making algorithm for patients with acute diverticulitis.
Advances in management of patients with acute diverticulitis / S. Focchi, A. Carrara, E. Contessini Avesani. - In: JOURNAL OF ACUTE DISEASE. - ISSN 2221-6189. - 4:4(2015), pp. 280-286.
| Titolo: | Advances in management of patients with acute diverticulitis |
| Autori: | CARRARA, ALBERTO (Secondo) |
| Parole Chiave: | Diverticulitis; Emergency surgery; Damage control surgery; Laparoscopic lavage and drainage; Percutaneous drainage; Primary resection with anastomosis; Hartmann's procedure |
| Settore Scientifico Disciplinare: | Settore MED/18 - Chirurgia Generale |
| Data di pubblicazione: | 2015 |
| Rivista: | |
| Tipologia: | Article (author) |
| Digital Object Identifier (DOI): | http://dx.doi.org/10.1016/j.joad.2015.06.005 |
| Appare nelle tipologie: | 01 - Articolo su periodico |
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