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Related Experiment Videos

Complicated sigmoid diverticulosis

K P Balsara1, C Dubash

  • 1Department of Surgery, Parsee General Hospital, Mumbai.

Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology
|May 1, 1998
PubMed
Summary
This summary is machine-generated.

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Complicated sigmoid diverticular disease has high risks, especially with emergency surgery. Planned sigmoid resection after recovery offers better outcomes for patients with acute complications.

Area of Science:

  • Gastroenterology
  • Surgical Gastroenterology
  • Colorectal Surgery

Background:

  • Sigmoid diverticular disease is a common condition.
  • Complications of sigmoid diverticular disease can lead to significant morbidity and mortality.
  • Treatment outcomes for complicated sigmoid diverticular disease require evaluation.

Purpose of the Study:

  • To evaluate the treatment outcomes for patients experiencing complications of sigmoid diverticular disease.
  • To assess the impact of emergency versus planned surgical intervention on patient outcomes.
  • To determine the optimal management strategy for complicated sigmoid diverticular disease.

Main Methods:

  • A retrospective review of 15 patients treated for sigmoid diverticular disease complications over a 6-year period.

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  • Patients presented with perforation, peritonitis, fistulas (colovesical, colovaginal), recurrent phlegmon, or bleeding.
  • Treatment strategies included emergency surgery, planned sigmoid resection, and conservative management.

    • Main Results:

    • One patient with colovesical fistula and hematuria died from septicemia.
    • Emergency surgery for perforation and peritonitis had a high morbidity, including wound sepsis and prolonged hospitalization for some survivors.
    • Planned sigmoid resection resulted in uneventful recovery for all patients, and conservative management was successful for bleeding complications.

    Conclusions:

    • Complicated sigmoid diverticular disease is associated with high morbidity and mortality, particularly when emergency surgery is required.
    • Prompt surgical intervention in acute settings increases risks.
    • Interval sigmoid resection following recovery from acute complications is recommended for improved patient outcomes.