Trends in the surgical management of diverticulitis

Nicole Wieghard, Cristina B. Geltzeiler, Vassiliki Tsikitis

    Research output: Contribution to journalArticle

    17 Scopus citations

    Abstract

    Sigmoid diverticulitis is an increasingly common Western disease associated with a high morbidity and cost of treatment. Improvement in the understanding of the disease process, along with advances in the diagnosis and medical management has led to recent changes in treatment recommendations. The natural history of diverticulitis is more benign than previously thought, and current trends favor more conservative, less invasive management. Despite current recommendations of more restrictive indications for surgery, practice trends indicate an increase in elective operations being performed for the treatment of diverticulitis. Due to diversity in disease presentation, in many cases, optimal surgical treatment of acute diverticulitis remains unclear with regard to patient selection, timing, and technical approach in both elective and urgent settings. As a result, data is limited to mostly retrospective and non-randomized studies. This review addresses the current treatment recommendations for surgical management of diverticulitis, highlighting technical aspects and patterns of care.

    Original languageEnglish (US)
    Pages (from-to)25-30
    Number of pages6
    JournalAnnals of Gastroenterology
    Volume28
    Issue number1
    Publication statusPublished - 2015

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    Keywords

    • Elective surgery for uncomplicated diverticulitis
    • Hinchey I-II
    • Hinchey III-IV
    • Laparoscopic versus open
    • Primary anastomosis versus Hartmann procedure

    ASJC Scopus subject areas

    • Gastroenterology

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