Klinik Araştırma
BibTex RIS Kaynak Göster
Yıl 2024, Cilt: 7 Sayı: 2, 81 - 84, 30.06.2024
https://doi.org/10.36516/jocass.1448514

Öz

Kaynakça

  • 1. Lin M, Raman SR. Evaluation of quality of life and surgical outcomes for treatment of diverticular disease. Clin Colon Rectal Surg. 2018;31(4):251-257.
  • 2. Neale JA. Surgical management of diverticular disease in the elective setting. Clin Colon Rectal Surg. 2018;31(4):236-242.
  • 3. Zaborowski AM, Winter DC. Evidence-based treatment strategies for acute diverticulitis. Int J Colorectal Dis. 2021;36:467-475.
  • 4. Nally DM, Kavanagh DO. Current controversies in the management of diverticulitis: a review. Dig Surg. 2019;36(3):195-205.
  • 5. Germer CT, Buhr HJ. Sigmoid diverticulitis. Surgical indications and timing. Chirurg. 2002;73:681-689.
  • 6. Hall J, Hardiman K, Lee S, Lightner A, Stocchi L, Paquette IM, et al. The American society of colon and rectal surgeons clinical practice guidelines for the treatment of left-sided colonic diverticulitis. Dis Colon Rectum. 2020;63:728-747.
  • 7. Galetin T, Galetin A, Vestweber KH, Rink AD. Systematic review and comparison of national and international guidelines on diverticular disease. Int J Colorectal Dis. 2018;33:261-272.
  • 8. Leifeld L, Germer CT, Böhm S, Dumoulin FL, Frieling T, Kreis M, et al. S3-Leitlinie Divertikelkrankheit/Divertikulitis – gemeinsame Leitlinie der Deutschen Gesellschaft für Gastroenterologie, Verdauungs- und Stoffwechselkrankheiten (DGVS) und der Deutschen Gesellschaft für Allgemein- und Viszeralchirurgie (DGAV). Z Gastroenterol. 2022;60:613-688.
  • 9. Stocchi L. Current indications and role of surgery in the management of sigmoid diverticulitis. World J Gastroenterol. 2010;16(7):804-817.
  • 10. Simianu VV, Strate LL, Billingham RP, Fichera A, Steele SR, Thirlby RC, et al. The impact of elective colon resection on rates of emergency surgery for diverticulitis. Ann Surg. 2016;263(1):123-129.
  • 11. Hinchey EJ, Schaal PG, Richards GK. Treatment of perforated diverticular disease of the colon. Adv Surg. 1978;12:85-109.
  • 12. Feingold D, Steele SR, Lee S, Kaiser A, Boushey R, Buie WD, et al. Practice parameters for the treatment of sigmoid diverticulitis. Dis Colon Rectum. 2014;57(3):284-294.
  • 13. Lué A, Laredo V, Lanas A. Medical treatment of diverticular disease: antibiotics. J Clin Gastroenterol. 2016;50(Suppl 1):S57-S59.
  • 14. Vennix S, Musters GD, Mulder IM, Swank HA, Consten EC, Belgers EH, et al. Laparoscopic peritoneal lavage or sigmoidectomy for perforated diverticulitis with purulent peritonitis: a multicentre, parallel-group, randomised, open-label trial. Lancet. 2015;386(10000):1269-1277.

Diverticulitis Surgery Outcomes: Insights from Our Clinical Practice

Yıl 2024, Cilt: 7 Sayı: 2, 81 - 84, 30.06.2024
https://doi.org/10.36516/jocass.1448514

Öz

Aim: To assess outcomes of diverticulitis surgery, focusing on various patient phases at a tertiary center and incorporating literature insights.

Materials and Method: Analysis included diverticular disease surgeries at *** University's General Surgery Clinic over five years, examining demographics, disease specifics, surgical details, stoma aspects, and complications. Patients were categorized into emergency and elective groups for comparison based on Hinchey scores and stoma status.

Results: Of the patients, 72% were male, with an average age of 58.46. The sigmoid colon was predominantly affected (84%). Percutaneous drainage was used preoperatively in 44%, and 56% required a stoma, primarily Hartmann colostomies (36%). The median stoma closure time was 5 months, with 10 patients unable to have their stoma closed. Emergency surgeries were associated with higher Hinchey stages (III-IV) and an increased need for stoma creation (81% vs. 16% in elective surgeries).

Conclusion: The study indicates a median 5-month duration for stoma reversal, with sigmoid colon being the common site regardless of gender. Emergency surgeries showed a higher rate of stoma creation, suggesting elective surgeries could reduce stoma necessity. Further investigation is needed for broader applicability.

Kaynakça

  • 1. Lin M, Raman SR. Evaluation of quality of life and surgical outcomes for treatment of diverticular disease. Clin Colon Rectal Surg. 2018;31(4):251-257.
  • 2. Neale JA. Surgical management of diverticular disease in the elective setting. Clin Colon Rectal Surg. 2018;31(4):236-242.
  • 3. Zaborowski AM, Winter DC. Evidence-based treatment strategies for acute diverticulitis. Int J Colorectal Dis. 2021;36:467-475.
  • 4. Nally DM, Kavanagh DO. Current controversies in the management of diverticulitis: a review. Dig Surg. 2019;36(3):195-205.
  • 5. Germer CT, Buhr HJ. Sigmoid diverticulitis. Surgical indications and timing. Chirurg. 2002;73:681-689.
  • 6. Hall J, Hardiman K, Lee S, Lightner A, Stocchi L, Paquette IM, et al. The American society of colon and rectal surgeons clinical practice guidelines for the treatment of left-sided colonic diverticulitis. Dis Colon Rectum. 2020;63:728-747.
  • 7. Galetin T, Galetin A, Vestweber KH, Rink AD. Systematic review and comparison of national and international guidelines on diverticular disease. Int J Colorectal Dis. 2018;33:261-272.
  • 8. Leifeld L, Germer CT, Böhm S, Dumoulin FL, Frieling T, Kreis M, et al. S3-Leitlinie Divertikelkrankheit/Divertikulitis – gemeinsame Leitlinie der Deutschen Gesellschaft für Gastroenterologie, Verdauungs- und Stoffwechselkrankheiten (DGVS) und der Deutschen Gesellschaft für Allgemein- und Viszeralchirurgie (DGAV). Z Gastroenterol. 2022;60:613-688.
  • 9. Stocchi L. Current indications and role of surgery in the management of sigmoid diverticulitis. World J Gastroenterol. 2010;16(7):804-817.
  • 10. Simianu VV, Strate LL, Billingham RP, Fichera A, Steele SR, Thirlby RC, et al. The impact of elective colon resection on rates of emergency surgery for diverticulitis. Ann Surg. 2016;263(1):123-129.
  • 11. Hinchey EJ, Schaal PG, Richards GK. Treatment of perforated diverticular disease of the colon. Adv Surg. 1978;12:85-109.
  • 12. Feingold D, Steele SR, Lee S, Kaiser A, Boushey R, Buie WD, et al. Practice parameters for the treatment of sigmoid diverticulitis. Dis Colon Rectum. 2014;57(3):284-294.
  • 13. Lué A, Laredo V, Lanas A. Medical treatment of diverticular disease: antibiotics. J Clin Gastroenterol. 2016;50(Suppl 1):S57-S59.
  • 14. Vennix S, Musters GD, Mulder IM, Swank HA, Consten EC, Belgers EH, et al. Laparoscopic peritoneal lavage or sigmoidectomy for perforated diverticulitis with purulent peritonitis: a multicentre, parallel-group, randomised, open-label trial. Lancet. 2015;386(10000):1269-1277.
Toplam 14 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Genel Cerrahi
Bölüm Makaleler
Yazarlar

Uğur Topal 0000-0003-1305-2056

Yunus Kaycı 0000-0001-8502-4367

Burak Yavuz 0000-0002-5262-0346

İshak Aydın 0000-0002-6366-2461

Kubilay Dalcı 0000-0002-3156-4269

Orçun Yalav 0000-0001-9239-4163

İsmail Cem Eray 0000-0002-1560-7740

Yayımlanma Tarihi 30 Haziran 2024
Gönderilme Tarihi 7 Mart 2024
Kabul Tarihi 28 Nisan 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 7 Sayı: 2

Kaynak Göster

APA Topal, U., Kaycı, Y., Yavuz, B., Aydın, İ., vd. (2024). Diverticulitis Surgery Outcomes: Insights from Our Clinical Practice. Journal of Cukurova Anesthesia and Surgical Sciences, 7(2), 81-84. https://doi.org/10.36516/jocass.1448514
https://dergipark.org.tr/tr/download/journal-file/11303