Author/Editor		Huber, FT
Title		Changing concepts in diverticular disease
Type		članek
Source		In: Repše S, editor. Zbornik simpozija Kirurgija širokega črevesa in danke; 1996; Ljubljana. Ljubljana: Klinični center, Kirurške klinika,
Publication year		1996
Volume		str. 64-75
Language		eng
Abstract		1. Early elective resection of acute phlegmonous diverticulitis is indicated after a short period of conservative treatment in: - two or more attacks of acute diverticulitis - first attack in patient younger than 50 years - first attack in immuncompromised patient - relevant stenosis with subileus - suspicion of carcinoma. 2. Early elective resection is indicated in walled off perforated diverticulitis (stage I and II) combined with interventional radiology and short term conservative treatment to avoid emergency surgery (8-10 days after the attack). 3. Primary resection and anastomosis can even be performed in perforated diverticulitis with peritonitis combined with intraoperative bowel wash-out and second-look of the anastomisis. 4. Hartmann operation in peritonitis should be reserved for cases where anastomosis does not seem feasible (bad general condition, intraoperative anaesthesiological problems, massive dilation of the bowel, marginal blood perfusion of the bowel due to sepsis). 5. Elective operation of late complictions (fistulas) and interventional radiology (CT-guided drainagel) of hepatic abscess.
Descriptors		DIVERTICULITIS, COLONIC TREATMENT OUTCOME