[Does one have to be aggressive in the surgical management of diverticular disease of the colon (author's transl)]. / Faut-il être agressif dans le traitement chirurgical de la diverticulite colique?
Acta Chir Belg
; 78(6): 395-400, 1979.
Article
em Fr
| MEDLINE
| ID: mdl-93359
ABSTRACT
A series of 61 consecutive cases with diverticular disease and its complications is presented. Fourteen cases with uncomplicated diverticular disease and 3 with massive GI tract hemorrhage underwent an uneventful (segmental) resection. Of 6 cases operated for fistula formation 1 died. Surgical therapy for abscessformation, peritonitis and "pseudo-tumoral" obstruction (38 cases) carried a high mortality (26.3%). The application of a one-staged aggressive and curative surgical approach lowers the mortality considerably, especially in the complicated forms of the disease. In a group of 30 cases so treated only 1 death occurred (3.3%). This in contrast with a group of 31 patients treated with a two-staged and initially palliative procedure with a mortality of 10 (32.2%). The Hartmann procedure with total excision of the lesion and avoidance of an enteroenteric anastomosis gives excellent results in the treatment of the complicated forms of the disease.
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Base de dados:
MEDLINE
Assunto principal:
Doença Diverticular do Colo
Tipo de estudo:
Etiology_studies
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
Fr
Revista:
Acta Chir Belg
Ano de publicação:
1979
Tipo de documento:
Article