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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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
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author 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.
author_facet 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.
author_sort Lambrichts, D. P. V.
collection PubMed
description 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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spelling pubmed-65937572019-07-10 Multicentre study of non‐surgical management of diverticulitis with abscess formation 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. Br J Surg Original Articles 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 John Wiley & Sons, Ltd. 2019-02-27 2019-03 /pmc/articles/PMC6593757/ /pubmed/30811050 http://dx.doi.org/10.1002/bjs.11129 Text en © 2019 The Authors. BJS published by John Wiley & Sons Ltd on behalf of BJS Society Ltd. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Original Articles
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.
Multicentre study of non‐surgical management of diverticulitis with abscess formation
title Multicentre study of non‐surgical management of diverticulitis with abscess formation
title_full Multicentre study of non‐surgical management of diverticulitis with abscess formation
title_fullStr Multicentre study of non‐surgical management of diverticulitis with abscess formation
title_full_unstemmed Multicentre study of non‐surgical management of diverticulitis with abscess formation
title_short Multicentre study of non‐surgical management of diverticulitis with abscess formation
title_sort multicentre study of non‐surgical management of diverticulitis with abscess formation
topic Original Articles
url 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
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