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Journal of Gastrointestinal Surgery
Published in: Journal of Gastrointestinal Surgery 10/2017

01-10-2017 | Evidence Based Current Surgical Practice

Management of Diverticulitis in 2017

Authors: Sarah E. Deery, Richard A. Hodin

Published in: Journal of Gastrointestinal Surgery | Issue 10/2017

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Abstract

Diverticulitis has become increasingly more common in the 20th century and is now one of the most frequent indications for gastrointestinal tract-related hospitalizations. The spectrum of clinical presentation can vary widely from mild, uncomplicated disease that can be managed as an outpatient, to complicated diverticulitis with peritonitis and sepsis. Historically, all patients with diverticulitis were managed with, at a minimum, a course of antibiotics, with many patients undergoing urgent or emergent surgery with a sigmoid colectomy, end colostomy, and oversewn rectosigmoid “Hartmann’s” stump. However, the treatment paradigm has shifted away from more aggressive surgical management over the years, with recent literature supporting the notion that nonoperative management may lead to equivalent or even superior outcomes in many circumstances. Therefore, the purpose of this review is to summarize and interpret the existing literature on the management of uncomplicated and complicated left-sided diverticulitis in 2017.
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Metadata
Title
Management of Diverticulitis in 2017
Authors
Sarah E. Deery
Richard A. Hodin
Publication date
01-10-2017
Publisher
Springer US
Published in
Journal of Gastrointestinal Surgery / Issue 10/2017
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI
https://doi.org/10.1007/s11605-017-3404-3

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