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Surgical management of colonic diverticulitis and complicated diverticulosis.
Postgrad Med 1976; 60(6):122-5PM

Abstract

The aim of surgery in the management of diverticulitis and complicated diverticulosis is to remove the disease process as quickly as possible. This approach reduces the likelihood of complications and often avoids the necessity of multistage procedures. Indications for resection include failure of a first attack to subside, recurrent attacks, and free perforation with spreading peritonitis. Three-stage procedures should be reserved for extremely serious disease. Other complications requiring surgery are fistula, obstruction, and massive and uncontrolled bleeding. Massive bleeding is caused by diffuse colonic diverticulosis and is rarely associated with diverticulitis. Abdominal mass, obstruction, or recurrent episodes of slight bleeding should suggest the possibility of underlying tumor and are compelling indications for early resection.

Authors

No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

1087013

Citation

Stevens, L W.. "Surgical Management of Colonic Diverticulitis and Complicated Diverticulosis." Postgraduate Medicine, vol. 60, no. 6, 1976, pp. 122-5.
Stevens LW. Surgical management of colonic diverticulitis and complicated diverticulosis. Postgrad Med. 1976;60(6):122-5.
Stevens, L. W. (1976). Surgical management of colonic diverticulitis and complicated diverticulosis. Postgraduate Medicine, 60(6), pp. 122-5.
Stevens LW. Surgical Management of Colonic Diverticulitis and Complicated Diverticulosis. Postgrad Med. 1976;60(6):122-5. PubMed PMID: 1087013.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Surgical management of colonic diverticulitis and complicated diverticulosis. A1 - Stevens,L W, PY - 1976/12/1/pubmed PY - 1976/12/1/medline PY - 1976/12/1/entrez SP - 122 EP - 5 JF - Postgraduate medicine JO - Postgrad Med VL - 60 IS - 6 N2 - The aim of surgery in the management of diverticulitis and complicated diverticulosis is to remove the disease process as quickly as possible. This approach reduces the likelihood of complications and often avoids the necessity of multistage procedures. Indications for resection include failure of a first attack to subside, recurrent attacks, and free perforation with spreading peritonitis. Three-stage procedures should be reserved for extremely serious disease. Other complications requiring surgery are fistula, obstruction, and massive and uncontrolled bleeding. Massive bleeding is caused by diffuse colonic diverticulosis and is rarely associated with diverticulitis. Abdominal mass, obstruction, or recurrent episodes of slight bleeding should suggest the possibility of underlying tumor and are compelling indications for early resection. SN - 0032-5481 UR - https://www.unboundmedicine.com/medline/citation/1087013/Surgical_management_of_colonic_diverticulitis_and_complicated_diverticulosis_ L2 - http://www.tandfonline.com/doi/full/10.1080/00325481.1976.11708411 DB - PRIME DP - Unbound Medicine ER -