Sigmoid Diverticulitis: Our Experiences with 13 Patients
Objective: We aimed to present our treatment approach and results of the treatment in patients with the diagnosis of sigmoid diverticulitis. Material and Methods: In this study, we evaluated patients who presented to the emergency unit between March 2009 and February 2010 and have been diagnosed...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Galenos Publishing House
2012-03-01
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| Series: | Haseki Tıp Bülteni |
| Subjects: | |
| Online Access: | http://www.hasekidergisi.com/article_4651/Sigmoid-Diverticulitis-Our-Experiences-With-13-Patients |
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| Summary: | Objective: We aimed to present our treatment approach and results
of the treatment in patients with the diagnosis of sigmoid diverticulitis.
Material and Methods: In this study, we evaluated patients who
presented to the emergency unit between March 2009 and February
2010 and have been diagnosed with sigmoid diverticulitis. The data
were prospectively collected and retrospectively analyzed. Our
patients were classified and staged according to Hinchey’s
classification system. The results of the treatment, complication rates,
and duration of hospitalization were presented in the light of the
literature.
Results: Thirteen patients (9 males, 4 females) with a mean age
of 52 years and median age of 58 (35-58 years) were diagnosed
with sigmoid diverticulitis. Five patients underwent laparotomy
(Hinchey III-IV), while Hartmann’s procedure was carried out in 4
patients and resection and primer anastomosis was performed in
1 patient. Eight patients who were classified as Hinchey I-II
(diverticulitis-abscess) were followed up with medical treatment.
The mean duration of hospitalization was 8.6 (4-21 days) and 17.4
(10-27 days) days in Hinchey I-II and III-IV groups, respectively. All
patients in the laparotomy group developed at least one
complication.
Conclusion: Hinchey stage III-IV sigmoid diverticulitis requires
laparotomy. Complication rates are higher and duration of
hospitalization is longer in patients with Hinchey stage III-IV when
compared to those with Hinchey I-II. We conclude that Hinchey
stage I-II diverticulitis can be successfully managed with medical
treatment. (The Me di cal Bul le tin of Ha se ki 2012; 50: 21-4) |
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| ISSN: | 1302-0072 2147-2688 |