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[Sigmoid diverticulitis].
Tunis Med. 2013 Feb; 91(2):91-8.TM

Abstract

BACKGROUND

The sigmoid diverticulitis is the most common complication of diverticulosis of the colon. The remaining questions concern the current risk factors for recurrence after a first acute episode, radiological asking immediately upon suspicion of diverticulitis and therapeutic management including the indications of surgical treatment, what to conduct and its principles.

METHODS

Literature review.

RESULTS

Risk factors of recurrence are: persistent or recurrent diverticulitis, abscess, stenosis and / or fistula. Abdominal CT is recommended in all patients clinically suspected diverticulitis of the colon. Treatment of acute diverticulitis is medical. The emergency surgical treatment depends on the stage of Hinchey. Stage I: In case of failure of medical treatment, resection-anastomosis in an emergency time delay to be proposed. Stage II: a percutaneous drainage followed by resection-anastomosis in 1 time. Stage III: surgery in emergency sigmoid colectomy based on. Stage IV: Hartmann procedure is the procedure of reference. Prophylactic colectomy is proposed in the case of presence of risk factors of recurrence.

CONCLUSION

Comparison with other literature review were allowed to find that ultrasound made by an experienced radiologist could replace abdominal CT, and for stage III and IV Hinchey, laparoscopic resection can be performed with an immediate restoration of digestive continuity in well selected patients.

Authors+Show Affiliations

Hopital La Rabta, Tunis, Tunisie.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article
Review

Language

fre

PubMed ID

23526269

Citation

Makni, Amine, et al. "[Sigmoid Diverticulitis]." La Tunisie Medicale, vol. 91, no. 2, 2013, pp. 91-8.
Makni A, Jouini M, Kacem M, et al. [Sigmoid diverticulitis]. Tunis Med. 2013;91(2):91-8.
Makni, A., Jouini, M., Kacem, M., & Ben Safta, Z. (2013). [Sigmoid diverticulitis]. La Tunisie Medicale, 91(2), 91-8.
Makni A, et al. [Sigmoid Diverticulitis]. Tunis Med. 2013;91(2):91-8. PubMed PMID: 23526269.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Sigmoid diverticulitis]. AU - Makni,Amine, AU - Jouini,Mohamed, AU - Kacem,Montassar, AU - Ben Safta,Zoubeir, PY - 2013/3/26/entrez PY - 2013/3/26/pubmed PY - 2013/7/19/medline SP - 91 EP - 8 JF - La Tunisie medicale JO - Tunis Med VL - 91 IS - 2 N2 - BACKGROUND: The sigmoid diverticulitis is the most common complication of diverticulosis of the colon. The remaining questions concern the current risk factors for recurrence after a first acute episode, radiological asking immediately upon suspicion of diverticulitis and therapeutic management including the indications of surgical treatment, what to conduct and its principles. METHODS: Literature review. RESULTS: Risk factors of recurrence are: persistent or recurrent diverticulitis, abscess, stenosis and / or fistula. Abdominal CT is recommended in all patients clinically suspected diverticulitis of the colon. Treatment of acute diverticulitis is medical. The emergency surgical treatment depends on the stage of Hinchey. Stage I: In case of failure of medical treatment, resection-anastomosis in an emergency time delay to be proposed. Stage II: a percutaneous drainage followed by resection-anastomosis in 1 time. Stage III: surgery in emergency sigmoid colectomy based on. Stage IV: Hartmann procedure is the procedure of reference. Prophylactic colectomy is proposed in the case of presence of risk factors of recurrence. CONCLUSION: Comparison with other literature review were allowed to find that ultrasound made by an experienced radiologist could replace abdominal CT, and for stage III and IV Hinchey, laparoscopic resection can be performed with an immediate restoration of digestive continuity in well selected patients. SN - 0041-4131 UR - https://www.unboundmedicine.com/medline/citation/23526269/[Sigmoid_diverticulitis]_ L2 - http://www.diseaseinfosearch.org/result/9681 DB - PRIME DP - Unbound Medicine ER -
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