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Elective surgery after acute diverticulitis.
Br J Surg. 2005 Feb; 92(2):133-42.BJ

Abstract

BACKGROUND

Diverticulitis is a common condition. Practice guidelines from many organizations recommend bowel resection after two attacks. The evidence for such a recommendation is reviewed.

METHODS

A Medline literature search was performed to locate English language articles on surgery for diverticular disease. Further articles were obtained from the references cited in the literature initially reviewed.

RESULTS

Most people with diverticulosis are asymptomatic. Diverticular disease occurs in over 25 per cent of the population, increasing with age. After one episode of diverticulitis one-third of patients have recurrent symptoms; after a second episode a further third have a subsequent episode. Perforation is commonest during the first episode of acute diverticulitis. After recovering from an episode of diverticulitis the risk of an individual requiring an urgent Hartmann's procedure is one in 2000 patient-years of follow-up. Surgery for diverticular disease has a high complication rate and 25 per cent of patients have ongoing symptoms after bowel resection.

CONCLUSION

There is no evidence to support the idea that elective surgery should follow two attacks of diverticulitis. Further prospective trials are required.

Authors+Show Affiliations

Colorectal Unit, Department of Surgery, Christchurch Hospital, Christchurch, New Zealand.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

15685694

Citation

Janes, S, et al. "Elective Surgery After Acute Diverticulitis." The British Journal of Surgery, vol. 92, no. 2, 2005, pp. 133-42.
Janes S, Meagher A, Frizelle FA. Elective surgery after acute diverticulitis. Br J Surg. 2005;92(2):133-42.
Janes, S., Meagher, A., & Frizelle, F. A. (2005). Elective surgery after acute diverticulitis. The British Journal of Surgery, 92(2), 133-42.
Janes S, Meagher A, Frizelle FA. Elective Surgery After Acute Diverticulitis. Br J Surg. 2005;92(2):133-42. PubMed PMID: 15685694.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Elective surgery after acute diverticulitis. AU - Janes,S, AU - Meagher,A, AU - Frizelle,F A, PY - 2005/2/3/pubmed PY - 2005/3/23/medline PY - 2005/2/3/entrez SP - 133 EP - 42 JF - The British journal of surgery JO - Br J Surg VL - 92 IS - 2 N2 - BACKGROUND: Diverticulitis is a common condition. Practice guidelines from many organizations recommend bowel resection after two attacks. The evidence for such a recommendation is reviewed. METHODS: A Medline literature search was performed to locate English language articles on surgery for diverticular disease. Further articles were obtained from the references cited in the literature initially reviewed. RESULTS: Most people with diverticulosis are asymptomatic. Diverticular disease occurs in over 25 per cent of the population, increasing with age. After one episode of diverticulitis one-third of patients have recurrent symptoms; after a second episode a further third have a subsequent episode. Perforation is commonest during the first episode of acute diverticulitis. After recovering from an episode of diverticulitis the risk of an individual requiring an urgent Hartmann's procedure is one in 2000 patient-years of follow-up. Surgery for diverticular disease has a high complication rate and 25 per cent of patients have ongoing symptoms after bowel resection. CONCLUSION: There is no evidence to support the idea that elective surgery should follow two attacks of diverticulitis. Further prospective trials are required. SN - 0007-1323 UR - https://www.unboundmedicine.com/medline/citation/15685694/Elective_surgery_after_acute_diverticulitis_ L2 - https://academic.oup.com/bjs/article-lookup/doi/10.1002/bjs.4873 DB - PRIME DP - Unbound Medicine ER -