Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Sigmoid diverticulitis with perforation and generalized peritonitis.

D M Nagorney, M A Adson, J H Pemberton

    Diseases of the Colon and Rectum
    |February 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Combined APRI/ALBI score to predict mortality after hepatic resection.

    BJS open·2021
    Same author

    Pouch excision: indications and outcomes.

    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland·2017
    Same author

    Safety, feasibility, and short-term outcomes in 588 patients undergoing minimally invasive ileal pouch-anal anastomosis: a single-institution experience.

    Techniques in coloproctology·2016
    Same author

    What is the likelihood of colorectal cancer when surgery for ulcerative-colitis-associated dysplasia is deferred?

    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland·2016
    Same author

    Systematic review with meta-analysis: faecal diversion for management of perianal Crohn's disease.

    Alimentary pharmacology & therapeutics·2015
    Same author

    The American Society of Surgical Oncology travel grant.

    European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·2015

    Perforating sigmoid diverticulitis requires prompt surgical intervention. Resection or exteriorization with colostomy significantly reduces mortality compared to colostomy with drainage alone.

    Area of Science:

    • Gastroenterology
    • Surgical Oncology
    • Clinical Medicine

    Background:

    • Sigmoid diverticulitis with perforation and generalized peritonitis is a severe complication of diverticular disease.
    • Prompt surgical management is crucial for patient outcomes.

    Purpose of the Study:

    • To compare the efficacy of two surgical approaches for perforating sigmoid diverticulitis: proximal colostomy with drainage versus proximal colostomy with resection or exteriorization.
    • To identify factors predicting mortality in patients with this condition.

    Main Methods:

    • A retrospective analysis of 121 consecutive patients with perforating sigmoid diverticulitis was conducted.
    • Patients were divided into two groups based on surgical approach: colostomy with drainage (n=31) and colostomy with resection or exteriorization (n=90).

    Related Experiment Videos

  • Clinical and pathological features were assessed, and mortality rates were compared.

    • Main Results:

    • Overall mortality for emergency surgery was 12%.
    • Mortality was significantly higher in the colostomy and drainage group (26%) compared to the colostomy with resection or exteriorization group (7%) (P < 0.05).
    • Persistent postoperative sepsis, fecal peritonitis, preoperative hypotension, and prolonged symptom duration were predictive of mortality.

    Conclusions:

    • Proximal colostomy with resection or exteriorization is associated with significantly lower mortality rates for perforating sigmoid diverticulitis compared to colostomy with drainage.
    • Identifying high-risk patients through predictive factors can guide surgical strategy towards more definitive procedures for improved survival.