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[Management of sigmoid diverticulitis].
Rev Med Suisse. 2009 Jun 24; 5(209):1416-20.RM

Abstract

While a majority of patients with diverticular disease remain asymptomatic, a subset will develop complications such as diverticulitis or bleeding. Simple diverticulitis is successfully managed with oral or intravenous antibiotics. Complicated diverticulitis is defined by the presence of abscess, fistula, stenosis or peritonitis. The severity of infectious complications is assessed by the Hinchey classification. Hinchey I stage is a small (<4 cm) pericolic abscess and is treated with intravenous antibiotics. Hinchey II stage is a larger (<4 cm) pelvic abscess, which usually requires percutaneous CT scan-guided drainage in addition to antibiotics. Hinchey III stage refers to purulent peritonitis and Hinchey IV to fecal peritonitis. Both stages require an emergent laparotomy. Indications for an elective sigmoidectomy are: a) two or more previous episodes of simple diverticulitis; and b) one episode of complicated diverticulitis.

Authors+Show Affiliations

Clinique de chirurgie viscérale, Département de chirurgie, HUG, 1211 Genève. pascal.gervaz@hcuge.chNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

fre

PubMed ID

19715018

Citation

Gervaz, P, et al. "[Management of Sigmoid Diverticulitis]." Revue Medicale Suisse, vol. 5, no. 209, 2009, pp. 1416-20.
Gervaz P, Charbonnet P, Morel P. [Management of sigmoid diverticulitis]. Rev Med Suisse. 2009;5(209):1416-20.
Gervaz, P., Charbonnet, P., & Morel, P. (2009). [Management of sigmoid diverticulitis]. Revue Medicale Suisse, 5(209), 1416-20.
Gervaz P, Charbonnet P, Morel P. [Management of Sigmoid Diverticulitis]. Rev Med Suisse. 2009 Jun 24;5(209):1416-20. PubMed PMID: 19715018.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Management of sigmoid diverticulitis]. AU - Gervaz,P, AU - Charbonnet,P, AU - Morel,P, PY - 2009/9/1/entrez PY - 2009/9/1/pubmed PY - 2009/10/30/medline SP - 1416 EP - 20 JF - Revue medicale suisse JO - Rev Med Suisse VL - 5 IS - 209 N2 - While a majority of patients with diverticular disease remain asymptomatic, a subset will develop complications such as diverticulitis or bleeding. Simple diverticulitis is successfully managed with oral or intravenous antibiotics. Complicated diverticulitis is defined by the presence of abscess, fistula, stenosis or peritonitis. The severity of infectious complications is assessed by the Hinchey classification. Hinchey I stage is a small (<4 cm) pericolic abscess and is treated with intravenous antibiotics. Hinchey II stage is a larger (<4 cm) pelvic abscess, which usually requires percutaneous CT scan-guided drainage in addition to antibiotics. Hinchey III stage refers to purulent peritonitis and Hinchey IV to fecal peritonitis. Both stages require an emergent laparotomy. Indications for an elective sigmoidectomy are: a) two or more previous episodes of simple diverticulitis; and b) one episode of complicated diverticulitis. SN - 1660-9379 UR - https://www.unboundmedicine.com/medline/citation/19715018/[Management_of_sigmoid_diverticulitis]_ L2 - http://www.diseaseinfosearch.org/result/9681 DB - PRIME DP - Unbound Medicine ER -
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