Multicentre study of non‐surgical management of diverticulitis with abscess formation

This multicentre retrospective cohort study included 447 patients with Hinchey Ib and II diverticular abscesses, who were treated with antibiotics, with or without percutaneous drainage. Abscesses of 3 and 5 cm in size were at higher risk of short‐term treatment failure and emergency surgery respect...

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Detalles Bibliográficos
Autores principales: Lambrichts, D. P. V., Bolkenstein, H. E., van der Does, D. C. H. E., Dieleman, D., Crolla, R. M. P. H., Dekker, J. W. T., van Duijvendijk, P., Gerhards, M. F., Nienhuijs, S. W., Menon, A. G., de Graaf, E. J. R., Consten, E. C. J., Draaisma, W. A., Broeders, I. A. M. J., Bemelman, W. A., Lange, J. F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons, Ltd. 2019
Materias:
Original Articles
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6593757/
https://www.ncbi.nlm.nih.gov/pubmed/30811050
http://dx.doi.org/10.1002/bjs.11129
Descripción
Sumario:This multicentre retrospective cohort study included 447 patients with Hinchey Ib and II diverticular abscesses, who were treated with antibiotics, with or without percutaneous drainage. Abscesses of 3 and 5 cm in size were at higher risk of short‐term treatment failure and emergency surgery respectively. Initial non‐surgical treatment of Hinchey Ib and II diverticular abscesses was comparable between patients treated with antibiotics only and those who underwent percutaneous drainage in combination with antibiotics, with regard to short‐ and long‐term outcomes. [Image: see text] Most do not need drainage

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