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New perspectives in the management of sigmoid diverticulitis.

Abstract

The sigmoid colon is the part of the large intestine, which most commonly involved in diverticular disease due to its anatomical properties. Diverticular disease of the colon is being seen with increasing frequency mostly in western countries. Diverticulitis results from inflammation and subsequent perforation of a colonic diverticulum. Mild forms of diverticulitis usually present with gradually increasing symptoms from the lower left quadrant of the abdomen, whereas acute complicated disease is characterised by dramatic onset of abdominal pain, followed by fever within a few hours. The standard treatment for uncomplicated diverticulitis is bowel rest, with liquid diet or intravenous fluids in combination with antibiotics. Prophylactic resection is not to be recommended for patients with diverticular disease, but a high-fibre diet may afford protection by preventing further complications. Patients not responding to conservative treatment within the first 24 hours require further evaluation by computed tomography or ultrasonography. Fistula formation and intestinal obstruction are indications for surgical intervention, although the frequent recurrent attacks, which commonly afflict these patients, are seldom associated with severe complications. Laparoscopic approach has been introduced in the diagnosis and definitive treatment of uncomplicated diverticulitis, with less morbidity and mortality rates, and hospitalisation of the patients and in these terms could be promising in the future.

Authors+Show Affiliations

,

Department of General Surgery, University Hospital of Herakleion, University Medical School of Herakleion, University of Crete, Crete, Greece.

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Source

Panminerva medica 43:4 2001 Dec pg 289-93

MeSH

Colon, Sigmoid
Colonoscopy
Diverticulitis, Colonic
Humans
Laparoscopy

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

11677425

Citation

Petrakis, I, et al. "New Perspectives in the Management of Sigmoid Diverticulitis." Panminerva Medica, vol. 43, no. 4, 2001, pp. 289-93.
Petrakis I, Sakellaris G, Kogerakis N, et al. New perspectives in the management of sigmoid diverticulitis. Panminerva Med. 2001;43(4):289-93.
Petrakis, I., Sakellaris, G., Kogerakis, N., Zacharioudakis, G., Kourtis, D., Xynos, E., & Chalkiadakis, G. (2001). New perspectives in the management of sigmoid diverticulitis. Panminerva Medica, 43(4), pp. 289-93.
Petrakis I, et al. New Perspectives in the Management of Sigmoid Diverticulitis. Panminerva Med. 2001;43(4):289-93. PubMed PMID: 11677425.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - New perspectives in the management of sigmoid diverticulitis. AU - Petrakis,I, AU - Sakellaris,G, AU - Kogerakis,N, AU - Zacharioudakis,G, AU - Kourtis,D, AU - Xynos,E, AU - Chalkiadakis,G, PY - 2001/10/26/pubmed PY - 2002/2/28/medline PY - 2001/10/26/entrez SP - 289 EP - 93 JF - Panminerva medica JO - Panminerva Med VL - 43 IS - 4 N2 - The sigmoid colon is the part of the large intestine, which most commonly involved in diverticular disease due to its anatomical properties. Diverticular disease of the colon is being seen with increasing frequency mostly in western countries. Diverticulitis results from inflammation and subsequent perforation of a colonic diverticulum. Mild forms of diverticulitis usually present with gradually increasing symptoms from the lower left quadrant of the abdomen, whereas acute complicated disease is characterised by dramatic onset of abdominal pain, followed by fever within a few hours. The standard treatment for uncomplicated diverticulitis is bowel rest, with liquid diet or intravenous fluids in combination with antibiotics. Prophylactic resection is not to be recommended for patients with diverticular disease, but a high-fibre diet may afford protection by preventing further complications. Patients not responding to conservative treatment within the first 24 hours require further evaluation by computed tomography or ultrasonography. Fistula formation and intestinal obstruction are indications for surgical intervention, although the frequent recurrent attacks, which commonly afflict these patients, are seldom associated with severe complications. Laparoscopic approach has been introduced in the diagnosis and definitive treatment of uncomplicated diverticulitis, with less morbidity and mortality rates, and hospitalisation of the patients and in these terms could be promising in the future. SN - 0031-0808 UR - https://www.unboundmedicine.com/medline/citation/11677425/full_citation L2 - http://www.diseaseinfosearch.org/result/9681 DB - PRIME DP - Unbound Medicine ER -