Trends in the surgical management of diverticulitis (EN)

Tsikitis, Vassiliki L.

Wieghard, Nicole

Geltzeiler, Cristina B.

Sigmoid diverticulitis is an increasingly common Western disease associated with a high morbidity and cost of treatment. Improvement in the understanding of the disease process, along with advances in the diagnosis and medical management has led to recent changes in treatment recommendations. The natural history of diverticulitis is more benign than previously thought, and current trends favor more conservative, less invasive management. Despite current recommendations of more restrictive indications for surgery, practice trends indicate an increase in elective operations being performed for the treatment of diverticulitis. Due to diversity in disease presentation, in many cases, optimal surgical treatment of acute diverticulitis remains unclear with regard to patient selection, timing, and technical approach in both elective and urgent settings. As a result, data is limited to mostly retrospective and non-randomized studies. This review addresses the current treatment recommendations for surgical management of diverticulitis, highlighting technical aspects and patterns of care.Keywords Elective surgery for uncomplicated diverticulitis, primary anastomosis versus Hartmann procedure, Hinchey I-II, Hinchey III-IV, laparoscopic versus openAnn Gastroenterol 2015; 28 (1): 25- (EN)

info:eu-repo/semantics/article

info:eu-repo/semantics/publishedVersion

Ελληνική Γαστροεντερολογική Εταιρία

Annals of Gastroenterology

Invited Reviews

Αγγλική γλώσσα

2014-12-23

http://www.annalsgastro.gr/index.php/annalsgastro/article/view/1816

Hellenic Society of Gastroenterology (EN)

1792-7463

1108-7471

Annals of Gastroenterology; Volume 28, No 1 (2015); 25 (EN)