Changing paradigms in the management of diverticulitis

被引：20

作者：

Horesh, Nir ^{[1
]}

Wasserberg, Nir ^{[2
,3
]}

Zbar, Andrew P. ^{[1
]}

Gravetz, Aviad ^{[1
]}

Berger, Yaniv ^{[1
]}

Gutman, Mordechai ^{[1
]}

Rosin, Danny ^{[1
]}

Zmora, Oded ^{[1
]}

机构：

[1] Tel Aviv Univ, Fac Med, Chaim Sheba Med Ctr, Dept Surg & Transplantat, Ramat Gan, Israel

[2] Rabin Med Ctr, Dept Surg B, IL-49100 Petah Tiqwa, Israel

[3] Tel Aviv Univ, Sackler Fac Med, IL-69978 Tel Aviv, Israel

来源：

INTERNATIONAL JOURNAL OF SURGERY | 2016年 / 33卷

关键词：

Diverticulitis; Emergency surgery; Elective surgery; RANDOMIZED-CLINICAL-TRIAL; PERFORATED SIGMOID DIVERTICULITIS; LAPAROSCOPIC PERITONEAL-LAVAGE; UNCOMPLICATED ACUTE DIVERTICULITIS; ACUTE COMPLICATED DIVERTICULITIS; SIDED COLONIC DIVERTICULITIS; HARTMANNS PROCEDURE; PRIMARY ANASTOMOSIS; OUTPATIENT TREATMENT; PRACTICE PARAMETERS;

D O I：

10.1016/j.ijsu.2016.07.072

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

The management of diverticular disease has evolved in the last few decades from a structured therapeutic approach including operative management in almost all cases to a variety of medical and surgical approaches leading to a more individualized strategy. There is an ongoing debate among surgeons about the surgical management of diverticular disease, questioning not only the surgical procedure of choice, but also about who should be operated and the timing of surgery, both in complicated and uncomplicated diverticular disease. This article reviews the current treatment of diverticulitis, with a focus on the indications and methods of surgery in both the emergency and elective settings. Further investigation with good clinical data is needed for the establishment of clear guidelines. (C) 2016 IJS Publishing Group Ltd. Published by Elsevier Ltd. All rights reserved.

引用

页码：146 / 150

页数：5

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