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Persistent symptoms after elective sigmoid resection for diverticulitis.
Dis Colon Rectum. 2008 Jul; 51(7):1044-8.DC

Abstract

PURPOSE

Despite technically successful surgery for diverticular disease, a significant group of patients who experience persistent or recurrent symptoms remains. This study was designed to determine the incidence and pattern of persistent symptoms and their association with peroperative parameters.

METHODS

Follow-up (33 (range, 4-72) months) through structured interviews with patients who had surgery for diverticulitis in our department from December 1999 to November 2004 was conducted. Of 162 patients, 124 (76.5 percent) were available for follow-up. Nonparametric tests were used for comparison of patients who had undergone elective (n = 68) or emergency (n = 56) procedures.

RESULTS

Of patients who had elective surgery, 25 percent suffered persistent symptoms, including painful constipation, painful abdominal distension, abdominal cramps, and frequent painful diarrhea. Neither the stage of disease (complicated or uncomplicated) nor the surgical technique (laparotomy or laparoscopy) were significantly related to the occurrence of symptoms. Recurrent diverticulitis was not observed. Similar results were obtained from comparisons with emergency patients.

CONCLUSIONS

The prevalence of persistent symptoms after successful surgery for diverticular disease may be an additional reason to carefully discuss the indication for prophylactic surgery. In any case, preoperative counseling and informed consent regarding the possibility of persistent symptoms after prophylactic elective surgery is essential.

Authors+Show Affiliations

Department of Visceral and Transplantation Surgery, University of Bern, Bern, Switzerland. bernhard-egger@bluewin.chNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

18449609

Citation

Egger, Bernhard, et al. "Persistent Symptoms After Elective Sigmoid Resection for Diverticulitis." Diseases of the Colon and Rectum, vol. 51, no. 7, 2008, pp. 1044-8.
Egger B, Peter MK, Candinas D. Persistent symptoms after elective sigmoid resection for diverticulitis. Dis Colon Rectum. 2008;51(7):1044-8.
Egger, B., Peter, M. K., & Candinas, D. (2008). Persistent symptoms after elective sigmoid resection for diverticulitis. Diseases of the Colon and Rectum, 51(7), 1044-8. https://doi.org/10.1007/s10350-008-9234-3
Egger B, Peter MK, Candinas D. Persistent Symptoms After Elective Sigmoid Resection for Diverticulitis. Dis Colon Rectum. 2008;51(7):1044-8. PubMed PMID: 18449609.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Persistent symptoms after elective sigmoid resection for diverticulitis. AU - Egger,Bernhard, AU - Peter,Matthias K, AU - Candinas,Daniel, Y1 - 2008/05/01/ PY - 2007/03/24/received PY - 2007/11/11/accepted PY - 2007/10/03/revised PY - 2008/5/2/pubmed PY - 2008/7/18/medline PY - 2008/5/2/entrez SP - 1044 EP - 8 JF - Diseases of the colon and rectum JO - Dis Colon Rectum VL - 51 IS - 7 N2 - PURPOSE: Despite technically successful surgery for diverticular disease, a significant group of patients who experience persistent or recurrent symptoms remains. This study was designed to determine the incidence and pattern of persistent symptoms and their association with peroperative parameters. METHODS: Follow-up (33 (range, 4-72) months) through structured interviews with patients who had surgery for diverticulitis in our department from December 1999 to November 2004 was conducted. Of 162 patients, 124 (76.5 percent) were available for follow-up. Nonparametric tests were used for comparison of patients who had undergone elective (n = 68) or emergency (n = 56) procedures. RESULTS: Of patients who had elective surgery, 25 percent suffered persistent symptoms, including painful constipation, painful abdominal distension, abdominal cramps, and frequent painful diarrhea. Neither the stage of disease (complicated or uncomplicated) nor the surgical technique (laparotomy or laparoscopy) were significantly related to the occurrence of symptoms. Recurrent diverticulitis was not observed. Similar results were obtained from comparisons with emergency patients. CONCLUSIONS: The prevalence of persistent symptoms after successful surgery for diverticular disease may be an additional reason to carefully discuss the indication for prophylactic surgery. In any case, preoperative counseling and informed consent regarding the possibility of persistent symptoms after prophylactic elective surgery is essential. SN - 1530-0358 UR - https://www.unboundmedicine.com/medline/citation/18449609/Persistent_symptoms_after_elective_sigmoid_resection_for_diverticulitis_ L2 - http://link.springer.com/article/10.1007/s10350-008-9234-3 DB - PRIME DP - Unbound Medicine ER -