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Surgical management of acute sigmoid diverticulitis.
Am J Surg. 2002 May; 183(5):525-8.AJ

Abstract

PURPOSE

To determine the frequency of use of resection and primary anastomosis in the management of acute sigmoid diverticulitis at Royal Columbian Hospital.

METHODS

A retrospective chart review of all patients undergoing emergency surgery for acute sigmoid diverticulitis between 1989 and 2000 at the Royal Columbian Hospital, New Westminster, BC, was carried out in order to determine the frequency of resection and primary anastomosis. Patients who underwent bowel preparation were excluded.

RESULTS

Ninety-seven cases met the criteria. There were 33 cases of resection and primary anastomosis (34%). Five of these cases were protected with a proximal diverting stoma giving an incidence of 85% unprotected primary anastomosis in a group of patients undergoing emergency surgery for acute sigmoid diverticulitis. There was 1 anastomotic leak, 7 wound infections, and 3 deaths with an average length of stay of 9 days.

CONCLUSIONS

The practice of resection and primary anastomosis for acute sigmoid diverticulitis at the Royal Columbian Hospital has an acceptable morbidity and mortality.

Authors+Show Affiliations

Division of General Surgery, Royal Columbian Hospital, 210-245 E. Columbia Street, New Westminster, British Columbia, Canada V3L 3W4.No affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

12034385

Citation

Blair, N P., and E Germann. "Surgical Management of Acute Sigmoid Diverticulitis." American Journal of Surgery, vol. 183, no. 5, 2002, pp. 525-8.
Blair NP, Germann E. Surgical management of acute sigmoid diverticulitis. Am J Surg. 2002;183(5):525-8.
Blair, N. P., & Germann, E. (2002). Surgical management of acute sigmoid diverticulitis. American Journal of Surgery, 183(5), 525-8.
Blair NP, Germann E. Surgical Management of Acute Sigmoid Diverticulitis. Am J Surg. 2002;183(5):525-8. PubMed PMID: 12034385.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Surgical management of acute sigmoid diverticulitis. AU - Blair,N P, AU - Germann,E, PY - 2002/5/30/pubmed PY - 2002/6/27/medline PY - 2002/5/30/entrez SP - 525 EP - 8 JF - American journal of surgery JO - Am J Surg VL - 183 IS - 5 N2 - PURPOSE: To determine the frequency of use of resection and primary anastomosis in the management of acute sigmoid diverticulitis at Royal Columbian Hospital. METHODS: A retrospective chart review of all patients undergoing emergency surgery for acute sigmoid diverticulitis between 1989 and 2000 at the Royal Columbian Hospital, New Westminster, BC, was carried out in order to determine the frequency of resection and primary anastomosis. Patients who underwent bowel preparation were excluded. RESULTS: Ninety-seven cases met the criteria. There were 33 cases of resection and primary anastomosis (34%). Five of these cases were protected with a proximal diverting stoma giving an incidence of 85% unprotected primary anastomosis in a group of patients undergoing emergency surgery for acute sigmoid diverticulitis. There was 1 anastomotic leak, 7 wound infections, and 3 deaths with an average length of stay of 9 days. CONCLUSIONS: The practice of resection and primary anastomosis for acute sigmoid diverticulitis at the Royal Columbian Hospital has an acceptable morbidity and mortality. SN - 0002-9610 UR - https://www.unboundmedicine.com/medline/citation/12034385/Surgical_management_of_acute_sigmoid_diverticulitis_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002961002008309 DB - PRIME DP - Unbound Medicine ER -