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[Management of sigmoid diverticulitis].
P Gervaz1, P Charbonnet, P Morel
1Clinique de chirurgie viscérale, Département de chirurgie, HUG, 1211 Genève. pascal.gervaz@hcuge.ch
Revue Medicale Suisse
|September 1, 2009
Summary
Diverticular disease can lead to complications like diverticulitis. Treatment ranges from antibiotics for simple cases to surgery for severe infections, guided by the Hinchey classification.
Area of Science:
- Gastroenterology
- Surgical Gastroenterology
- Infectious Diseases
Context:
- Diverticular disease affects a significant portion of the population.
- Complications include diverticulitis and bleeding, impacting patient health.
- Current management strategies vary based on disease severity.
Purpose:
- To outline the management of diverticular disease complications.
- To explain the Hinchey classification system for infectious diverticulitis.
- To define indications for surgical intervention in recurrent or complicated diverticulitis.
Summary:
- Simple diverticulitis is treated with antibiotics.
- Complicated diverticulitis involves abscess, fistula, stenosis, or peritonitis.
- The Hinchey classification guides treatment, from antibiotics to emergent laparotomy.
Impact:
- Provides a clear framework for managing diverticulitis.
- Aids in decision-making for surgical versus non-surgical treatment.
- Improves patient outcomes by standardizing care for diverticular disease complications.
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