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[Discontinuity resection in therapy of complicated sigmoid diverticulitis].
Langenbecks Arch Chir Suppl Kongressbd. 1997; 114:1202-4.LA

Abstract

A total of 112 patients were operated on for severe complicated sigmoid diverticulitis, Hartmann's procedure was performed due to local or generalised peritonitis, 80% to them as emergency surgery. There was a mortality of 18.8% due to the sepsis or other complications. Sixty-two of the remaining 80 patients underwent a restorative procedure without any mortality and low morbidity (11 died after discharge not related to the colon disease). Resection and primary anastomsis is always the first choice, but in cases of severe peritonitis there is no discomfort or risk for the patient if Hartmann's procedure with restorative surgery is chosen.

Authors+Show Affiliations

Kästel M
Abteilung für Abdominal-, Thorax- und endokrine Chirurgie, Klinikum Nürnberg-Nord.
Schultheis KH
No affiliation info available
Haubenreisser F
No affiliation info available
Gebhardt C
No affiliation info available

MeSH

AdultAgedAged, 80 and overAnastomosis, SurgicalDiverticulitis, ColonicEmergenciesFemaleHumansIntestinal PerforationMaleMiddle AgedOutcome and Process Assessment, Health CarePeritonitisPostoperative ComplicationsSigmoid DiseasesSurvival Rate

Pub Type(s)

Comparative Study
Journal Article

Language

ger

PubMed ID

9574378

Citation

Kästel, M, et al. "[Discontinuity Resection in Therapy of Complicated Sigmoid Diverticulitis]." Langenbecks Archiv Fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft Fur Chirurgie. Kongress, vol. 114, 1997, pp. 1202-4.
Kästel M, Schultheis KH, Haubenreisser F, et al. [Discontinuity resection in therapy of complicated sigmoid diverticulitis]. Langenbecks Arch Chir Suppl Kongressbd. 1997;114:1202-4.
Kästel, M., Schultheis, K. H., Haubenreisser, F., & Gebhardt, C. (1997). [Discontinuity resection in therapy of complicated sigmoid diverticulitis]. Langenbecks Archiv Fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft Fur Chirurgie. Kongress, 114, 1202-4.
Kästel M, et al. [Discontinuity Resection in Therapy of Complicated Sigmoid Diverticulitis]. Langenbecks Arch Chir Suppl Kongressbd. 1997;114:1202-4. PubMed PMID: 9574378.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Discontinuity resection in therapy of complicated sigmoid diverticulitis]. AU - Kästel,M, AU - Schultheis,K H, AU - Haubenreisser,F, AU - Gebhardt,C, PY - 1997/1/1/pubmed PY - 1998/5/9/medline PY - 1997/1/1/entrez SP - 1202 EP - 4 JF - Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress JO - Langenbecks Arch Chir Suppl Kongressbd VL - 114 N2 - A total of 112 patients were operated on for severe complicated sigmoid diverticulitis, Hartmann's procedure was performed due to local or generalised peritonitis, 80% to them as emergency surgery. There was a mortality of 18.8% due to the sepsis or other complications. Sixty-two of the remaining 80 patients underwent a restorative procedure without any mortality and low morbidity (11 died after discharge not related to the colon disease). Resection and primary anastomsis is always the first choice, but in cases of severe peritonitis there is no discomfort or risk for the patient if Hartmann's procedure with restorative surgery is chosen. SN - 0942-2854 UR - https://www.unboundmedicine.com/medline/citation/9574378/[Discontinuity_resection_in_therapy_of_complicated_sigmoid_diverticulitis]_ DB - PRIME DP - Unbound Medicine ER -