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Short article: Outcome of medical and surgical management for perforated jejunal diverticulitis

Alvaro Garcia-Granero1,2, Brenda G Argüelles1, Carmen Muniesa Gallardo1

  • 1Colorectal Unit.

European Journal of Gastroenterology & Hepatology
|September 14, 2018
PubMed

Insights

Selected patients with perforated jejunal diverticulitis (PJD) can be successfully treated non-surgically. This approach, based on clinical and CT scan findings, offers a viable alternative to surgery for PJD.

Area of Science:

  • Gastroenterology
  • Surgical Innovation
  • Emergency Medicine

Background:

  • Perforated jejunal diverticulitis (PJD) is a rare condition with significant mortality.
  • The optimal management strategy for PJD, particularly non-surgical options, remains debated.

Purpose of the Study:

  • To evaluate the outcomes of both medical and surgical management for perforated jejunal diverticulitis.

Main Methods:

  • A single-center study analyzed emergency patients diagnosed with PJD between 2010 and 2016.
  • Diagnosis was primarily confirmed via computed tomography (CT) scans.
  • Treatment approaches included initial medical management and surgical intervention.

Main Results:

  • Of 11 PJD patients, 5 initially received medical treatment; 80% were discharged without surgery.
  • Seven patients ultimately required surgery, with procedures including segmental bowel resection and primary anastomosis or simple closure.
  • No perioperative deaths occurred, though complications like anastomotic leak and evisceration necessitated further interventions.

Conclusions:

  • Conservative, non-surgical management is a successful option for selected PJD patients.
  • Clinical and CT findings are crucial for identifying suitable candidates for medical treatment.
Abstract

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