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Elective surgery after acute diverticulitis.

S Janes1, A Meagher, F A Frizelle

  • 1Colorectal Unit, Department of Surgery, Christchurch Hospital, Christchurch, New Zealand.

The British Journal of Surgery
|February 3, 2005
PubMed
Summary
This summary is machine-generated.

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Current guidelines suggest bowel resection after two diverticulitis attacks. However, this review finds no evidence supporting elective surgery, indicating a need for further trials on diverticular disease management.

Area of Science:

  • Gastroenterology
  • Surgical Gastroenterology
  • Evidence-Based Medicine

Background:

  • Diverticulitis is a prevalent condition affecting over 25% of the population, with incidence increasing with age.
  • Current practice guidelines often recommend bowel resection following two episodes of diverticulitis.
  • The evidence base for this surgical recommendation requires critical review.

Purpose of the Study:

  • To review the existing evidence regarding surgical intervention for diverticular disease.
  • To evaluate the recommendation for elective bowel resection after two episodes of diverticulitis.

Main Methods:

  • A comprehensive Medline literature search was conducted for English-language articles on surgery for diverticular disease.
  • Additional relevant articles were identified through the reference lists of initially reviewed literature.

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Main Results:

  • Diverticular disease affects a significant portion of the population, increasing with age.
  • Approximately one-third of patients experience recurrent symptoms after one diverticulitis episode, with another third after a second episode.
  • Surgery for diverticular disease carries a high complication rate, with 25% of patients experiencing persistent symptoms post-resection.

Conclusions:

  • The current review found no supporting evidence for elective surgery after two attacks of diverticulitis.
  • Further prospective clinical trials are necessary to establish optimal treatment guidelines for recurrent diverticulitis.