Gastrointestinal quality of life after laparoscopic-assisted sigmoidectomy for diverticular disease

Pasternak, Itai; Wiedemann, Nicole; Basilicata, Giacinto; Melcher, Gian A.

doi:10.1007/s00384-011-1386-2

Cited by 35 publications

(51 citation statements)

References 25 publications

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“…Both studies found a substantial improvement of gastrointestinal symptoms on the Gastro-Intestinal Quality of Life Index (GIQLI) after elective resection for diverticular disease. Pasternak et al [14] reported an overall success rate of 96% in gastrointestinal symptoms, which corresponds well with the success rates found in this study. Notably, a major difference between the abovementioned studies and this study is the instrument for measuring QoL and symptoms.…”

Section: Discussionsupporting

confidence: 81%

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Elective Resection for Ongoing Diverticular Disease Significantly Improves Quality of Life

et al. 2013

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Background: Although the risks of elective resection for diverticular disease are well studied, studies on subjective improvement are scarce. This study aims to investigate subjective improvement. Methods: All patients who underwent elective resection for recurring or persisting complaints after an episode of diverticulitis were identified from an in-hospital database. Patients with at least 1 year of follow-up were sent visual analogue scales (VAS) to grade their quality of life (QoL) and the degree of discomfort caused by abdominal pain, abnormal defecation and fatigue before and after resection. Results: One hundred and five patients responded to the questionnaire (response rate 76.6%). The median follow-up was 33 (15-53) months. Elective resection improved general QoL (median VAS improvement 40) and reduced discomfort caused by abdominal pain (median VAS improvement 60) in up to 89.3 and 87.5% of patients, respectively. The effects of elective resection are less profound for discomfort caused by abnormal defecation (77.1%, median VAS improvement 33) and fatigue (75.2%, median VAS improvement 30). Conclusion: Elective resection of the sigmoid for persisting or recurring symptoms after an episode of diverticulitis improves general QoL and discomfort caused by abdominal pain, abnormal defecation and fatigue in the vast majority of patients.

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Section: Discussionsupporting

confidence: 81%

“…Comparable studies with similar study populations were performed by Forgione et al [2 ]in 2009 and more recently by Pasternak et al [14]. Both studies found a substantial improvement of gastrointestinal symptoms on the Gastro-Intestinal Quality of Life Index (GIQLI) after elective resection for diverticular disease.…”

Section: Discussionmentioning

confidence: 73%

Elective Resection for Ongoing Diverticular Disease Significantly Improves Quality of Life

et al. 2013

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“…Furthermore, surgery for diverticulitis does not seem to fully protect against the risk of recurrence since the incidence of recurrent attacks is between 5.8 and 15 % [111,115,127], and risk of further surgery is up to 3 % [112,115,128,129].…”

Section: Elective Surgery For Diverticular Diseasementioning

confidence: 99%

Practice parameters for the treatment of colonic diverticular disease: Italian Society of Colon and Rectal Surgery (SICCR) guidelines

et al. 2015

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The mission of the Italian Society of Colorectal Surgery (SICCR) is to optimize patient care. Providing evidence-based practice guidelines is therefore of key importance. About the present report it concernes the SICCR practice guidelines for the diagnosis and treatment of diverticular disease of the colon. The guidelines are not intended to define the sole standard of care but to provide evidence-based recommendations regarding the available therapeutic options.

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“…Consequently, current guidelines are not uniform in their suggestions [10,11,12,13,14,15]. In 2000, the standard task force of the American Society of Colon and Rectal surgeons recommended that a sigmoidectomy be performed after a second episode of diverticulitis [10].…”

Section: Introductionmentioning

confidence: 99%

“…The Dutch guidelines advise that patient-bound factors should be taken into account when making a decision to perform sigmoidectomy in patients with ongoing complaints and recurrent disease, rather than the number of episodes alone [11]. Improvement of quality of life (QoL) and discomfort caused by abdominal symptoms may very well outweigh the procedure-related risks and, therefore, form the most compelling reason for offering elective resection [13]. Many surgeons are reluctant to perform elective resections due to the risk of procedure-related complications [2].…”

Section: Introductionmentioning

confidence: 99%

Recurrences and Ongoing Complaints of Diverticulitis; Results of a Survey among Gastroenterologists and Surgeons

Stam¹,

Draaisma²,

Consten³

et al. 2016

Hum Hered

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Objective: This study aims to investigate the current opinion of gastroenterologists and surgeons on treatment strategies for patients, with recurrences or ongoing complaints of diverticulitis. Background: Treatment of recurrences and ongoing complaints remains a point of debate. No randomized trials have been published yet and guidelines are not uniform in their advice. Design: A web-based survey was conducted among gastroenterologists and GE-surgeons. Questions were aimed at the treatment options for recurrent diverticulitis and ongoing complaints. Results: In total, 123 surveys were filled out. The number of patients with recurrent or ongoing diverticulitis who were seen at the outpatient clinic each year was 7 (0-30) and 5 (0-115) respectively. Surgeons see significantly more patients on an annual basis 20 vs. 15% (p = 0.00). Both surgeons and gastroenterologists preferred to treat patients in a conservative manner using pain medication and lifestyle advise (64.4 vs. 54.0, p = 0.27); however, gastroenterologists would treat patients with mesalazine medication, which is significantly more (28%, p = 0.04) than in the surgical group. Surgeons are inclined more towards surgery (31.5%, p = 0.02). Conclusions: Both surgeons and gastroenterologists prefer to treat recurrent diverticulitis and ongoing complaints in a conservative manner. Quality of life, the risk of complications and the viewpoint of the patient are considered important factors in the decision to resect the affected colon.

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Gastrointestinal quality of life after laparoscopic-assisted sigmoidectomy for diverticular disease

Abstract: The results in this study population show that in a majority of patients who underwent elective laparoscopic-assisted sigmoidectomy for recurrent diverticulitis gastrointestinal quality of life improved with the operation.

Cited by 35 publications

References 25 publications

Elective Resection for Ongoing Diverticular Disease Significantly Improves Quality of Life

Elective Resection for Ongoing Diverticular Disease Significantly Improves Quality of Life

Practice parameters for the treatment of colonic diverticular disease: Italian Society of Colon and Rectal Surgery (SICCR) guidelines

Recurrences and Ongoing Complaints of Diverticulitis; Results of a Survey among Gastroenterologists and Surgeons

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