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[Diverticulitis and indication for surgery--are there new data?].

Authors
  • Weimann, A
  • Hirsch, W D
  • Schiefke, I
Type
Published Article
Journal
Zentralblatt für Chirurgie
Publication Date
Dec 01, 2013
Volume
138 Suppl 2
Identifiers
DOI: 10.1055/s-0032-1327842
PMID: 23238835
Source
Medline
License
Unknown

Abstract

The treatment in acute diverticulitis has undergone a considerable shift from an offensive to a more restrictive and individual indication for surgery. This review of the very recent literature with special regard to long-term observation of conservatively treated patients clearly shows that surgery is not required in any case of a first episode of severe diverticulitis, but should be recommended in high-risk patients under immunosuppression or chronic renal failure. In all other groups of patients the indication for surgery should be weighed on an individual basis after each episode, again aiming for the laparoscopic procedure. A therapeutic algorithm is proposed according to the Hansen-Stock classification.

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