Diverticulitis recurrence after percutaneous abscess drainage

Jalouta, Tarek; Jrebi, Nezar; Luchtefeld, Martin; Ogilvie, James W.

doi:10.1007/s00384-017-2825-5

Cited by 24 publications

(16 citation statements)

References 24 publications

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“…Reported rates of diverticulitis recurrence vary from 3 to 68 per cent, with an average of 28 per cent; recurrent disease consists mostly of uncomplicated or locally complicated diverticulitis. Although rates may vary between studies because of differences in median follow‐up or in definitions, the recurrence rates reported in the present study seem to be in line with earlier reports. In light of the long‐term surgery and recurrence rates in the present study, which were relatively low (and the recurrences mostly uncomplicated), it can be questioned whether elective surgery is indicated in conservatively managed patients, as surgery comes with an inherent risk of complication and most patients seem to fare well with conservative management alone.…”

Section: Discussionsupporting

confidence: 84%

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

Lambrichts

Bolkenstein

Does

et al. 2019

British Journal of Surgery

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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. Most do not need drainage

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Section: Discussionsupporting

confidence: 84%

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

Lambrichts

Bolkenstein

Does

et al. 2019

British Journal of Surgery

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“…Percutaneous drainage can transform emergency surgery into an elective operation, reducing the need for a two-stage procedure 159,160 . In carefully selected patients (those who are immunocompromised or those with severe cardiac or pulmonary disease), observation (with no surgery) after percutaneous drainage of colonic diverticular abscess might be attempted 186,187 .…”

Section: Ok?]mentioning

confidence: 99%

Colonic diverticular disease

Tursi

Scarpignato

Strate

et al. 2020

Nat Rev Dis Primers

161

172

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Queries are meant to draw your attention to edits, inconsistencies or issues that are unclear. If we just ask you to confirm edits are correct, a simple yes/ok between the brackets will do [Au: OK? Is this what you meant? Edits OK? yes]. If questions are asked, please rephrase/update the manuscript text when addressing queries, so that the message is conveyed to the reader (do NOT just type your answer to our query).] [Au: Throughout the manuscript, please use consistent terminology. For example, acute diverticulitis is diverticular disease and in several instances, they are mentioned separately. For clearer understanding, please use consistent terminology and define cleary what diverticular disease refers to. Similarly, there is a slight ambiguity between the terms diverticulosis and asymptomatic diverticulosis. My understanding is that diverticulosis is always asymptomatic. Please refer to them consistently if they are used to refer to the same condition. Is acute uncomplicated diverticulitis as in some instances, its refered to as uncomplicated acute diverticulitis? Please also use the abbreviation, AUD, if this terminology is widely accepted in the field. Just wanted to flag these here to make it easier for you to address.][Au: Important! As I am managing the references for this manuscript, it is essential that changes to references are noted to me in a comment rather than edited manually (as this will likely unlink the references and cause much confusion). If a reference needs to be added, include the full reference details (at a minimum, PMID or DOI are needed) and precise location to be cited. If a reference needs to be deleted, state which reference (author, year) and not just the reference number (as this will change with every change to the references).You can move text around, including the references associated with any given statement, but please don't edit the reference list at the end of the document.

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“…A systematic review shows a recurrence rate of 25.5% in 7653 patients with diverticular abscesses [109]. Other studies that are published later show mostly comparable rates of 25%-30% but ranging from 9% to 61% [50,110,[158][159][160][161][162]. Several studies included in the systematic review do not show an increased risk for complications in recurrent episodes; others [160] report a 63% complicated recurrence rate and the previously discussed large observational study [110] shows 43% of recurrences being complicated.…”

Section: What Is the Role Of Restoration Of Intestinal Continuity Witmentioning

confidence: 96%

European Society of Coloproctology: guidelines for the management of diverticular disease of the colon

Schultz

Azhar

Binda³

et al. 2020

Colorectal Disease

168

177

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Aim The goal of this European Society of Coloproctology (ESCP) guideline project is to give an overview of the existing evidence on the management of diverticular disease, primarily as a guidance to surgeons. Methods The guideline was developed during several working phases including three voting rounds and one consensus meeting. The two project leads (JKS and EA) appointed by the ESCP guideline committee together with one member of the guideline committee (WB) agreed on the methodology, decided on six themes for working groups (WGs) and drafted a list of research questions. Senior WG members, mostly colorectal surgeons within the ESCP, were invited based on publication records and geographical aspects. Other specialties were included in the WGs where relevant. In addition, one trainee or PhD fellow was invited in each WG. All six WGs revised the research questions if necessary, did a literature search, created evidence tables where feasible, and drafted supporting text to each research question and statement. The text and statement proposals from each WG were arranged as one document by the first and last authors before online voting by all authors in two rounds. For the second voting ESCP national representatives were also invited. More than 90% agreement was considered a consensus. The final phrasing of the statements with < 90% agreement was discussed in a consensus meeting at the ESCP annual meeting in Vienna in September 2019. Thereafter, the first and the last author drafted the final text of the guideline and circulated it for final approval and for a third and final online voting of rephrased statements. Results This guideline contains 38 evidence based consensus statements on the management of diverticular disease. Conclusion This international, multidisciplinary guideline provides an up to date summary of the current knowledge of the management of diverticular disease as a guidance for clinicians and patients.

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Diverticulitis recurrence after percutaneous abscess drainage

Abstract: A sizable number of patients successfully recover from complicated diverticulitis following PD. Subsequent non-operative management carries an acceptable risk for recurrent episodes and may be considered as a reasonable management option.

Cited by 24 publications

References 24 publications

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

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

Colonic diverticular disease

European Society of Coloproctology: guidelines for the management of diverticular disease of the colon

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