Cargando…
Avoiding or Reversing Hartmann’s Procedure Provides Improved Quality of Life After Perforated Diverticulitis
INTRODUCTION: The existing literature regarding acute perforated diverticulitis only reports about short-term outcome; long-term following outcomes have not been assessed before. The aim of this study was to assess long-term quality of life (QOL) after emergency surgery for perforated diverticulitis...
Autores principales: | , , , |
---|---|
Formato: | Texto |
Lenguaje: | English |
Publicado: |
Springer-Verlag
2010
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2836251/ https://www.ncbi.nlm.nih.gov/pubmed/20127201 http://dx.doi.org/10.1007/s11605-010-1155-5 |
_version_ | 1782178696555134976 |
---|---|
author | Vermeulen, Jefrey Gosselink, Martijn P. Busschbach, Jan J. V. Lange, Johan F. |
author_facet | Vermeulen, Jefrey Gosselink, Martijn P. Busschbach, Jan J. V. Lange, Johan F. |
author_sort | Vermeulen, Jefrey |
collection | PubMed |
description | INTRODUCTION: The existing literature regarding acute perforated diverticulitis only reports about short-term outcome; long-term following outcomes have not been assessed before. The aim of this study was to assess long-term quality of life (QOL) after emergency surgery for perforated diverticulitis. PATIENTS AND METHODS: Validated QOL questionnaires (EQ-VAS, EQ-5D index, QLQ-C30, and QLQ-CR38) were sent to all eligible patients who had undergone emergency surgery for perforated diverticulitis in five teaching hospitals between 1990 and 2005. Differences were compared between patients that had undergone Hartmann’s procedure (HP) or resection with primary anastomosis (PA) and also compared to a sex- and age-matched sample of healthy subjects. RESULTS: Of a total of 340 patients, only 150 patients (44%) were found still alive in July 2007 (median follow-up 71 months). The response rate was 87%. In patients with PA, QOL was similar to the general population, whereas QOL after HP was significantly lower. The presence of a stoma was found to be an independent factor related to worse QOL. The deterioration in QOL was mainly due to problems in physical function and body image. CONCLUSIONS: Survivors after perforated diverticulitis had a worse QOL than the general population, which was mainly due to the presence of an end colostomy. QOL may improve if these stomas are reversed or not be performed in the first place. |
format | Text |
id | pubmed-2836251 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2010 |
publisher | Springer-Verlag |
record_format | MEDLINE/PubMed |
spelling | pubmed-28362512010-03-18 Avoiding or Reversing Hartmann’s Procedure Provides Improved Quality of Life After Perforated Diverticulitis Vermeulen, Jefrey Gosselink, Martijn P. Busschbach, Jan J. V. Lange, Johan F. J Gastrointest Surg Original Article INTRODUCTION: The existing literature regarding acute perforated diverticulitis only reports about short-term outcome; long-term following outcomes have not been assessed before. The aim of this study was to assess long-term quality of life (QOL) after emergency surgery for perforated diverticulitis. PATIENTS AND METHODS: Validated QOL questionnaires (EQ-VAS, EQ-5D index, QLQ-C30, and QLQ-CR38) were sent to all eligible patients who had undergone emergency surgery for perforated diverticulitis in five teaching hospitals between 1990 and 2005. Differences were compared between patients that had undergone Hartmann’s procedure (HP) or resection with primary anastomosis (PA) and also compared to a sex- and age-matched sample of healthy subjects. RESULTS: Of a total of 340 patients, only 150 patients (44%) were found still alive in July 2007 (median follow-up 71 months). The response rate was 87%. In patients with PA, QOL was similar to the general population, whereas QOL after HP was significantly lower. The presence of a stoma was found to be an independent factor related to worse QOL. The deterioration in QOL was mainly due to problems in physical function and body image. CONCLUSIONS: Survivors after perforated diverticulitis had a worse QOL than the general population, which was mainly due to the presence of an end colostomy. QOL may improve if these stomas are reversed or not be performed in the first place. Springer-Verlag 2010-02-02 2010 /pmc/articles/PMC2836251/ /pubmed/20127201 http://dx.doi.org/10.1007/s11605-010-1155-5 Text en © The Author(s) 2010 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. |
spellingShingle | Original Article Vermeulen, Jefrey Gosselink, Martijn P. Busschbach, Jan J. V. Lange, Johan F. Avoiding or Reversing Hartmann’s Procedure Provides Improved Quality of Life After Perforated Diverticulitis |
title | Avoiding or Reversing Hartmann’s Procedure Provides Improved Quality of Life After Perforated Diverticulitis |
title_full | Avoiding or Reversing Hartmann’s Procedure Provides Improved Quality of Life After Perforated Diverticulitis |
title_fullStr | Avoiding or Reversing Hartmann’s Procedure Provides Improved Quality of Life After Perforated Diverticulitis |
title_full_unstemmed | Avoiding or Reversing Hartmann’s Procedure Provides Improved Quality of Life After Perforated Diverticulitis |
title_short | Avoiding or Reversing Hartmann’s Procedure Provides Improved Quality of Life After Perforated Diverticulitis |
title_sort | avoiding or reversing hartmann’s procedure provides improved quality of life after perforated diverticulitis |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2836251/ https://www.ncbi.nlm.nih.gov/pubmed/20127201 http://dx.doi.org/10.1007/s11605-010-1155-5 |
work_keys_str_mv | AT vermeulenjefrey avoidingorreversinghartmannsprocedureprovidesimprovedqualityoflifeafterperforateddiverticulitis AT gosselinkmartijnp avoidingorreversinghartmannsprocedureprovidesimprovedqualityoflifeafterperforateddiverticulitis AT busschbachjanjv avoidingorreversinghartmannsprocedureprovidesimprovedqualityoflifeafterperforateddiverticulitis AT langejohanf avoidingorreversinghartmannsprocedureprovidesimprovedqualityoflifeafterperforateddiverticulitis |