Tags

Type your tag names separated by a space and hit enter

[Surgical treatment of sigmoid diverticulitis].
Rev Prat. 2013 Jun; 63(6):827-30.RP

Abstract

Surgery for diverticulitis is usually discussed in two situations: in emergency to treat a diverticulitis related complication or electively to prevent the risk of diverticulitis recurrence (prophylactic colonic resection). Surgical treatment of complicated diverticulitis has gone to changes during the last decade thanks to advances in laparoscopic surgery and interventional radiology (drainage, embolization). Emergency surgery for diverticulitis is mainly indicated (90%) for infectious related complications and more rarely for bleeding or stenosis. Surgery is the standard treatment of peritonitis complicating diverticulitis (Hinchey 3 or 4) and is recommended in Hinchey 1 or 2 diverticulitis after failure of a well conducted medical treatment with or without radiological drainage (for abscesses >or= 5cm). Indications for prophylactic surgery after an episode of uncomplicated diverticulitis is not systematic and should be discussed case by case according to the baseline characteristics of patients. Prophylactic surgery consists in sigmoid resection including the sigmoido-rectal junction with colorectal anastomosis and should be performed under laparoscopy.

Authors+Show Affiliations

Service de chirurgie digestive et hépato-bilio-pancréatique, AP-HP, groupe hospitalier de La Pitié-Salpêtrière, institut universitaire de cancérologie (Paris-VI), université Pierre-et-Marie-Curie, Paris. mehdi.karoui@psl.aphp.frNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

fre

PubMed ID

23923763

Citation

Genser, Laurent, et al. "[Surgical Treatment of Sigmoid Diverticulitis]." La Revue Du Praticien, vol. 63, no. 6, 2013, pp. 827-30.
Genser L, Karoui M, Vaillant JC, et al. [Surgical treatment of sigmoid diverticulitis]. Rev Prat. 2013;63(6):827-30.
Genser, L., Karoui, M., Vaillant, J. C., & Hannoun, L. (2013). [Surgical treatment of sigmoid diverticulitis]. La Revue Du Praticien, 63(6), 827-30.
Genser L, et al. [Surgical Treatment of Sigmoid Diverticulitis]. Rev Prat. 2013;63(6):827-30. PubMed PMID: 23923763.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Surgical treatment of sigmoid diverticulitis]. AU - Genser,Laurent, AU - Karoui,Mehdi, AU - Vaillant,Jean-Christophe, AU - Hannoun,Laurent, PY - 2013/8/9/entrez PY - 2013/8/9/pubmed PY - 2014/1/1/medline SP - 827 EP - 30 JF - La Revue du praticien JO - Rev Prat VL - 63 IS - 6 N2 - Surgery for diverticulitis is usually discussed in two situations: in emergency to treat a diverticulitis related complication or electively to prevent the risk of diverticulitis recurrence (prophylactic colonic resection). Surgical treatment of complicated diverticulitis has gone to changes during the last decade thanks to advances in laparoscopic surgery and interventional radiology (drainage, embolization). Emergency surgery for diverticulitis is mainly indicated (90%) for infectious related complications and more rarely for bleeding or stenosis. Surgery is the standard treatment of peritonitis complicating diverticulitis (Hinchey 3 or 4) and is recommended in Hinchey 1 or 2 diverticulitis after failure of a well conducted medical treatment with or without radiological drainage (for abscesses >or= 5cm). Indications for prophylactic surgery after an episode of uncomplicated diverticulitis is not systematic and should be discussed case by case according to the baseline characteristics of patients. Prophylactic surgery consists in sigmoid resection including the sigmoido-rectal junction with colorectal anastomosis and should be performed under laparoscopy. SN - 0035-2640 UR - https://www.unboundmedicine.com/medline/citation/23923763/[Surgical_treatment_of_sigmoid_diverticulitis]_ L2 - http://www.diseaseinfosearch.org/result/9681 DB - PRIME DP - Unbound Medicine ER -