2005
DOI: 10.1097/00042737-200506000-00009
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Long-term outcome of conservative treatment in patients with diverticulitis of the sigmoid colon

Abstract: Despite a high rate of recurrences after conservative treatment of acute diverticulitis, lethal complications are rare. Surgery should thus mainly be undertaken to achieve relief of symptoms rather than to prevent death from complications.

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Cited by 94 publications
(32 citation statements)
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“…In einer anderen Studie aus England mussten nur 18,3% der initial konservativ behandelten im weiteren Verlauf bis zu 16 Jahren operiert werden, davon die weit überwiegende Zahl elektiv [256]. In einer Studie mit einem 7-Jahres-Follow-up von 252 konservativ behandelten Patienten, wurden nur 10% im weiteren Verlauf operativ behandelt [318].…”
Section: Statement 57unclassified
“…In einer anderen Studie aus England mussten nur 18,3% der initial konservativ behandelten im weiteren Verlauf bis zu 16 Jahren operiert werden, davon die weit überwiegende Zahl elektiv [256]. In einer Studie mit einem 7-Jahres-Follow-up von 252 konservativ behandelten Patienten, wurden nur 10% im weiteren Verlauf operativ behandelt [318].…”
Section: Statement 57unclassified
“…However, over recent years, evidence has emerged that only a minority of patients will go on to experience a further episode, with only 1.4 to 5.5 % requiring a subsequent emergency colectomy, leading to a move away from routine elective resection [6,13,[24][25][26][61][62][63][64][65][66]. Furthermore, only a fifth of those undergoing emergency surgery have a history of diverticulosis [27], and the majority of patients who die following an acute diverticular perforation have no previous history of diverticulitis [67], indicating that elective resection may not reduce the rate of emergency surgery or its associated mortality.…”
Section: Elective Surgical Interventionmentioning
confidence: 99%
“…The incidence of colonic diverticular disease increased in the Twentieth Century, in part because of lifestyle changes [5,6]. This disease process is a significant cause of morbidity and death in developed countries.…”
Section: Overviewmentioning
confidence: 99%
“…Diverticular disease is an acquired phenomenon, seen primarily in populations consuming a low-fiber diet, such as that of the United States [6]. Chronic elevation of intraluminal pressure leads to outpouching of the colonic mucosa [1,7].…”
Section: Pathophysiologymentioning
confidence: 99%