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[Surgical therapy of complicated diverticular disease].
Zentralbl Chir 1991; 116(17):999-1007ZC

Abstract

From 1975-1989 55 patients were operated on for complicated diverticular disease at our unit. Intraoperative we found the following complications: 21 walled of perforations, 22 stenosis of the sigmoid colon combined with obstruction of the small and/or large bowel, 8 free perforations with generalized, faecal peritonitis, 7 diverticular fistulae (5 colovesical, 1 colojejunal and 1 colocutaneous fistula) and diverticular bleedings. In 33 cases we performed a resection with primary anastomosis (8 times with protecting stoma). 17 times the Hartmann's procedure was carried out and 5 times a transverse colostomy and drainage was elected. Lethality was 20% and morbidity came to 25%. We consider the primary resection with primary anastomosis to be the procedure of choice for complicated diverticulitis except for free perforation with generalized and faecal peritonitis where we prefer the Hartmann's procedure.

Authors+Show Affiliations

II. Chirurgische Abteilung, AKh Linz.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

ger

PubMed ID

1746180

Citation

Huber, M A., et al. "[Surgical Therapy of Complicated Diverticular Disease]." Zentralblatt Fur Chirurgie, vol. 116, no. 17, 1991, pp. 999-1007.
Huber MA, Woisetschläger R, Sulzbacher H, et al. [Surgical therapy of complicated diverticular disease]. Zentralbl Chir. 1991;116(17):999-1007.
Huber, M. A., Woisetschläger, R., Sulzbacher, H., & Wayand, W. (1991). [Surgical therapy of complicated diverticular disease]. Zentralblatt Fur Chirurgie, 116(17), pp. 999-1007.
Huber MA, et al. [Surgical Therapy of Complicated Diverticular Disease]. Zentralbl Chir. 1991;116(17):999-1007. PubMed PMID: 1746180.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Surgical therapy of complicated diverticular disease]. AU - Huber,M A, AU - Woisetschläger,R, AU - Sulzbacher,H, AU - Wayand,W, PY - 1991/1/1/pubmed PY - 1991/1/1/medline PY - 1991/1/1/entrez SP - 999 EP - 1007 JF - Zentralblatt fur Chirurgie JO - Zentralbl Chir VL - 116 IS - 17 N2 - From 1975-1989 55 patients were operated on for complicated diverticular disease at our unit. Intraoperative we found the following complications: 21 walled of perforations, 22 stenosis of the sigmoid colon combined with obstruction of the small and/or large bowel, 8 free perforations with generalized, faecal peritonitis, 7 diverticular fistulae (5 colovesical, 1 colojejunal and 1 colocutaneous fistula) and diverticular bleedings. In 33 cases we performed a resection with primary anastomosis (8 times with protecting stoma). 17 times the Hartmann's procedure was carried out and 5 times a transverse colostomy and drainage was elected. Lethality was 20% and morbidity came to 25%. We consider the primary resection with primary anastomosis to be the procedure of choice for complicated diverticulitis except for free perforation with generalized and faecal peritonitis where we prefer the Hartmann's procedure. SN - 0044-409X UR - https://www.unboundmedicine.com/medline/citation/1746180/[Surgical_therapy_of_complicated_diverticular_disease]_ L2 - http://www.diseaseinfosearch.org/result/2310 DB - PRIME DP - Unbound Medicine ER -