Abscess management in left-sided diverticulitis

被引：1
|
作者：
Beresneva, Olga [1 ]
Donohue, Kristen [1 ]
Kuhnen, Angela H. [2 ,3 ]
机构：
[1] Lahey Hosp & Med Ctr, Colon & Rectal Surg, Burlington, MA USA
[2] Lahey Hosp & Med Ctr, Div Colon & Rectal Surg, 6W CRS,41 Mall Rd, Burlington, MA 01805 USA
[3] Tufts Univ, Sch Med, Medford, MA 02155 USA
来源：
SEMINARS IN COLON AND RECTAL SURGERY | 2021年 / 32卷 / 01期
关键词：
Diverticulitis; Diverticular abscess; Percutaneous drainage; Nonoperative management; Colonic fistula; Recurrence rate; ACUTE COLONIC DIVERTICULITIS; PERCUTANEOUS DRAINAGE; COMPLICATED DIVERTICULITIS; PRACTICE PARAMETERS; II DIVERTICULITIS; GUIDED DRAINAGE; GUIDELINES; RECURRENCE; MORTALITY; RESECTION;
D O I：
10.1016/j.scrs.2020.100798
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Despite the high success rate of initial nonoperative management in patients with a diverticulitis-related pericolonic abscess, about 20% of these patients will require urgent colectomy. While recurrence rates after successful medical management of diverticular abscesses are high, it is within the standard of care to consider both interval elective resection and long-term nonoperative management. In summary, a decision regarding elective resection after successful nonoperative management of diverticular abscess should balance the individual patient's risk of recurrence and the associated potential morbidity and mortality versus the risk of an elective surgery. (C) 2020 Elsevier Inc. All rights reserved.
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页数：4
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