Related Experiment Video
Updated: Aug 19, 2025
08:49
Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
16.5K
Recurrence of diverticulitis after prophylactic sigmoidectomy: an underestimated problem?
Aubert Mathilde1, Diane Mege1, Marie Monsinjon1
1Department of Colorectal Surgery, Beaujon Hospital, Assistance Publique Hôpitaux de Paris, Clichy and Université de Paris, France.
Summary
Postoperative recurrence of diverticulitis after prophylactic sigmoidectomy is rare at 7%. However, younger patients or those with multiple prior episodes face a higher risk, potentially up to 18%.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Colorectal Surgery
Background:
- Diverticulitis recurrence risk after conservative treatment is well-documented.
- Limited research exists on postoperative recurrence of diverticulitis (PRD) following prophylactic sigmoidectomy (PS).
Purpose of the Study:
- To determine the rate of PRD after PS.
- To identify potential risk factors for PRD after surgery.
Main Methods:
- Retrospective analysis of consecutive patients undergoing elective laparoscopic PS for diverticulitis (2005-2019).
- Assessment of PRD incidence and associated patient characteristics.
Main Results:
- Seven percent (26/364) of patients experienced PRD.
- Younger age (<50 years) and >2 prior diverticulitis episodes were independent risk factors for PRD.
- Patients with both factors had an 18% recurrence rate.
Conclusions:
- PRD after PS is uncommon but significant in specific patient groups.
- Prophylactic surgery may be questionable for patients with multiple prior episodes or younger age due to elevated recurrence risk.
Related Concept Videos
01:21Inflammatory Bowel Disease V: Surgical Management
188
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
188
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
149
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
149
01:29Appendicitis-II: Diagnostic Studies and Management
115
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
115
01:30Inflammatory Bowel Disease II: Crohn's Disease
337
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
337
01:25Endoscopic Procedures II: Colonoscopy
168
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
168
01:17Chronic Bowel Disorders: Introduction
522
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
522