Operative strategies for diverticular peritonitis: A decision analysis between primary resection and anastomosis versus Hartmann's procedures

Annals of Surgery

Volumn 245, Issue 1, 2007, Pages 94-103

  Constantinides, Vasilis A ^a   Heriot, Alexander ^a   Remzi, Feza ^b   Darzi, Ara ^a   Senapati, Asha ^c   Fazio, Victor W ^b   Tekkis, Paris P ^a,b  

^a ST MARY S HOSPITAL   (United Kingdom)

^b LERNER RESEARCH INSTITUTE   (United States)

^c QUEEN ALEXANDRA HOSPITAL   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; CALCULATION; CLINICAL FEATURE; CONTROLLED STUDY; DATA ANALYSIS; DATA BASE; DIVERTICULITIS; HARTMANN PROCEDURE; HUMAN; INTERMETHOD COMPARISON; INTESTINE ANASTOMOSIS; MAJOR CLINICAL STUDY; MORBIDITY; MORTALITY; PERITONITIS; POSTOPERATIVE COMPLICATION; PRIORITY JOURNAL; PROBABILITY; QUALITY ADJUSTED LIFE YEAR; RISK ASSESSMENT; SENSITIVITY ANALYSIS; STOMA; SURGICAL TECHNIQUE;

AGED; ANASTOMOSIS, SURGICAL; COLECTOMY; COLOSTOMY; DECISION SUPPORT TECHNIQUES; DIVERTICULITIS, COLONIC; HUMANS; INTESTINAL PERFORATION; PERITONITIS; QUALITY-ADJUSTED LIFE YEARS; STOMAS; TREATMENT OUTCOME;

EID: 33845977741     PISSN: 00034932     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.sla.0000225357.82218.ce     Document Type: Article

References (91)

1. Wong WD, Wexner SD, Lowry A, et al. Practice parameters for the treatment of sigmoid diverticulitis-supporting documentation: the Standards Task Force. The American Society of Colon and Rectal Surgeons. Dis Colon Rectum. 2000;43:290-297.
2. Makela J, Kiviniemi H, Laitinen S. Prevalence of perforated sigmoid diverticulitis is increasing. Dis Colon Rectum. 2002;45:955-961.
3. Zeitoun G, Laurent A, Rouffet F, et al. Multicentre, randomized clinical trial of primary versus secondary sigmoid resection in generalized peritonitis complicating sigmoid diverticulitis. Br J Surg. 2000;87:1366-1374.
4. Kronborg O. Treatment of perforated sigmoid diverticulitis: a prospective randomized trial. Br J Surg. 1993;80:505-507.
5. Rodkey GV, Welch CE. Changing patterns in the surgical treatment of diverticular disease. Ann Surg. 1984;200:466-478.
6. Nagorney DM, Adson MA, Pemberton JH. Sigmoid diverticulitis with perforation and generalized peritonitis. Dis Colon Rectum. 1985;28:71-75.
7. Wigmore SJ, Duthie GS, Young IE, et al. Restoration of intestinal continuity following Hartmann's procedure: the Lothian experience 1987-1992. Br J Surg. 1995;82:27-30.
8. Belmonte C, Klas JV, Perez JJ, et al. The Hartmann procedure: first choice or last resort in diverticular disease? Arch Surg. 1996;131:612-615; discussion 616-617.
9. Salem L, Flum DR. Primary anastomosis or Hartmann's procedure for patients with diverticular peritonitis? A systematic review Dis Colon Rectum. 2004;47:1953-1964.
10. Elliott TB, Yego S, Irvin TT. Five-year audit of the acute complications of diverticular disease. Br J Surg. 1997;84:535-539.
11. Schilling MK, Maurer CA, Kollmar O, et al. Primary vs. Secondary anastomosis after sigmoid colon resection for perforated diverticulitis (Hinchey Stage III and IV): a prospective outcome and cost analysis. Dis Colon Rectum. 2001;44:699-703; discussion 703-705.
12. Regenet N, Pessaux P, Hennekinne S, et al. Primary anastomosis after intraoperative colonic lavage vs. Hartmann's procedure in generalized peritonitis complicating diverticular disease of the colon. Int J Colorectal Dis. 2003;18:503-507.
13. Hold M, Denck H, Bull P. Surgical management of perforating diverticular disease in Austria. Int J Colorectal Dis. 1990;5:195-199.
14. Auguste LJ, Wise L. Surgical management of perforated diverticulitis. Am J Surg. 1981;141:122-127.
15. Salem L, Anaya DA, Roberts KE, et al. Hartmann's colectomy and reversal in diverticulitis: a population-level assessment. Dis Colon Rectum. 2005;48:988-995.
16. Gooszen AW, Gooszen HG, Veerman W, et al. Operative treatment of acute complications of diverticular disease: primary or secondary anastomosis after sigmoid resection. Eur J Surg. 2001;167:35-39.
17. Pettiti D. Meta-Analysis, Decision Analysis and Cost-Effectiveness Analysis: Methods of Quantitative Synthesis in Medicine. New York: Oxford University Press, 2000.
18. Richardson WS, Detsky AS. Users' guides to the medical literature. VII. How to use a clinical decision analysis. A. Are the results of the study valid? Evidence-Based Medicine Working Group. JAMA. 1995;273:1292-1295.
19. Hinchey EJ, Schaal PG, Richards GK. Treatment of perforated diverticular disease of the colon. Adv Surg. 1978;12:85-109.
20. Detsky AS, Naglie G, Krahn MD, et al. Primer on medical decision analysis: Part 1. Getting started. Med Decis Making. 1997;17:123-125.
21. Detsky AS, Naglie G, Krahn MD, et al. Primer on medical decision analysis: Part 2. Building a tree. Med Decis Making. 1997;17:126-135.
22. Naglie G, Krahn MD, Naimark D, et al. Primer on medical decision analysis: Part 3. Estimating probabilities and utilities. Med Decis Making. 1997;17:136-141.
23. Krahn MD, Naglie G, Naimark D, et al. Primer on medical decision analysis: Part 4. Analyzing the model and interpreting the results. Med Decis Making. 1997;17:142-151.
24. Naimark D, Krahn MD, Naglie G, et al. Primer on medical decision analysis: Part 5. Working with Markov processes. Med Decis Making. 1997;17:152-159.
25. Edelmann G. Surgical treatment of colonic diverticulitis: a report of 205 cases. Int Surg. 1981;66:119-124.
26. Sakai L, Daake J, Kaminski DL. Acute perforation of sigmoid diverticula. Am J Surg. 1981;142:712-716.
27. Killingback M. Management of perforative diverticulitis. Surg Clin North Am. 1983;63:97-115.
28. Underwood JW, Marks CG. The septic complications of sigmoid diverticular disease. Br J Surg. 1984;71:209-211.
29. Drumm J, Clain A. The management of acute colonic diverticulitis with suppurative peritonitis. Ann R Coll Surg Engl. 1984;66:90-91.
30. Auguste L, Borrero E, Wise L. Surgical management of perforated colonic diverticulitis. Arch Surg. 1985;120:450-452.
31. Shephard AA, Keighley MR. Audit on complicated diverticular disease. Ann R Coll Surg Engl. 1986;68:8-10.
32. Hulkko OA, Laitinen ST, Haukipuro KA, et al. The Hartmann procedure for the treatment of colorectal emergencies. Acta Chir Scand. 1986;152:531-535.
33. Finlay IG, Carter DC. A comparison of emergency resection and staged management in perforated diverticular disease. Dis Colon Rectum. 1987;30:929-933.
34. Marien B. The Hartmann procedure. Can J Surg. 1987;30:30-31.
35. Mealy K, Salman A, Arthur G. Definitive one-stage emergency large bowel surgery. Br J Surg. 1988;75:1216-1219.
36. Christie PM, Shaw JH. Diverticular disease in Auckland. Aust NZ J Surg. 1988;58:795-799.
37. Kourtesis GJ, Williams RA, Wilson SE. Surgical options in acute diverticulitis: value of sigmoid resection in dealing with the septic focus. Aust NZ J Surg. 1988;58:955-959.
38. Schein M, Decker G. The Hartmann procedure: extended indications in severe intra-abdominal infection. Dis Colon Rectum. 1988;31:126-129.
39. Berry AR, Turner WH, Mortensen NJ, et al. Emergency surgery for complicated diverticular disease: a five-year experience. Dis Colon Rectum. 1989;32:849-854.
40. Peoples JB, Vilk DR, Maguire JP, et al. Reassessment of primary resection of the perforated segment for severe colonic diverticulitis. Am J Surg. 1990;159:291-293; discussion 294.
41. Medina VA, Papanicolaou GK, Tadros RR, et al. Acute perforated diverticulitis: primary resection and anastomosis? Conn Med. 1991;55:258-261.
42. Smirniotis V, Tsoutsos D, Fotopoulos A, et al. Perforated diverticulitis: a surgical dilemma. Int Surg. 1992;77:44-47.
43. Sarin S, Boulos PB. Evaluation of current surgical management of acute inflammatory diverticular disease. Ann R Coll Surg Engl. 1991;73:278-282.
44. Binda GA, Saccomani G, Gramegna A. Emergency surgery of complicated colonic diverticulitis. Acta Chir Belg. 1993;93:253-257.
45. Nespoli A, Ravizzini C, Trivella M, et al. The choice of surgical procedure for peritonitis due to colonic perforation. Arch Surg. 1993;128:814-818.
46. Totte E, Creve U, Hubens A. The Hartmann procedure revisited. Acta Chir Belg. 1993;93:159-163.
47. Kriwanek S, Armbruster C, Beckerhinn P, et al. Prognostic factors for survival in colonic perforation. Int J Colorectal Dis. 1994;9:158-162.
48. Tudor RG, Farmakis N, Keighley MR. National audit of complicated diverticular disease: analysis of index cases. Br J Surg. 1994;81:730-732.
49. Kressner U, Antonsson J, Ejerblad S, et al. Intraoperative colonic lavage and primary anastomosis: an alternative to Hartmann procedure in emergency surgery of the left colon. Eur J Surg. 1994;160:287-292.
50. Desai DC, Brennan EJ Jr, Reilly JF, et al. The utility of the Hartmann procedure. Am J Surg. 1998;175:152-154.
51. Isbister WH, Prasad J. Emergency large bowel surgery: a 15-year audit. Int J Colorectal Dis. 1997;12:285-290.
52. Khan AL, Ah-See AK, Crofts TJ, et al. Surgical management of the septic complications of diverticular disease. Ann R Coll Surg Engl. 1995;77:16-20.
53. Tucci G, Torquati A, Grande M, et al. Major acute inflammatory complications of diverticular disease of the colon: planning of surgical management. Hepatogastroenterology. 1996;43:839-845.
54. Faltyn J, Jungwirth J. Surgical treatment of the perforated colon with peritonitis. Ann Ital Chir. 1996;67:211-213.
55. Wedell J, Banzhaf G, Chaoui R, et al. Surgical management of complicated colonic diverticulitis. Br J Surg. 1997;84:380-383.
56. Zorcolo L, Covotta L, Carlomagno N, et al. Safety of primary anastomosis in emergency colorectal surgery. Colorectal Dis. 2003;5:262-269.
57. Liebert CW Jr, DeWeese BM. Primary resection without anastomosis for perforation of acute diverticulitis. Surg Gynecol Obstet. 1981;152:30-32.
58. Bakker FC, Hoitsma HF, Den Otter G. The Hartmann procedure. Br J Surg. 1982;69:580-582.
59. Bell GA, Panton ON. Hartmann resection for perforated sigmoid diverticulitis: a retrospective study of the Vancouver General Hospital experience. Dis Colon Rectum. 1984;27:253-256.
60. Ling L, Aberg T. Hartmann procedure. Acta Chir Scand. 1984;150:413-417.
61. Hackford AW, Schoetz DJ Jr, Coller JA, et al. Surgical management of complicated diverticulitis: the Lahey Clinic experience, 1967 to 1982. Dis Colon Rectum. 1985;28:317-321.
62. Mallonga ET, Brummelkamp WH, Van Gulik TM, et al. The Hartmann procedure: its role in acute complicated diverticulitis. Neth J Surg. 1986;38:171-174.
63. Gregg RO. An ideal operation for diverticulitis of the colon. Am J Surg. 1987;153:285-290.
64. Sweeney JL, Hoffmann DC. Restoration of continuity after Hartmann's procedure for the complications of diverticular disease. Aust NZ J Surg. 1987;57:823-825.
65. Haas PA, Haas GP. A critical evaluation of the Hartmann's procedure. Am Surg. 1988;54:380-385.
66. Geoghegan JG, Rosenberg IL. Experience with early anastomosis after the Hartmann procedure. Ann R Coll Surg Engl. 1991;73:80-82.
67. Eisenstat TE, Rubin RJ, Salvati EP. Surgical management of diverticulitis: the role of the Hartmann procedure. Dis Colon Rectum. 1983;26:429-432.
68. Khan AL, Ah-See AK, Crofts TJ, et al. Reversal of Hartmann's colostomy. J R Coll Surg Edinb. 1994;39:239-242.
69. Aydin HN, Remzi FH, Tekkis PP, et al. Hartmann's reversal is associated with high postoperative adverse events. Dis Colon Rectum. 2005;48:2117-2126.
70. Farkouh E, Hellou G, Allard M, et al. Resection and primary anastomosis for diverticulitis with perforation and peritonitis. Can J Surg. 1982;25:314-316.
71. Trillo C, Paris MF, Brennan JT. Primary anastomosis in the treatment of acute disease of the unprepared left colon. Am Surg. 1998;64:821-824; discussion 824-825.
72. Umbach TW, Dorazio RA. Primary resection and anastomosis for perforated left colon lesions. Am Surg. 1999;65:931-933.
73. Hoemke M, Treckmann J, Schmitz R, et al. Complicated diverticulitis of the sigmoid: a prospective study concerning primary resection with secure primary anastomosis. Dig Surg. 1999;16:420-424.
74. Gooszen AW, Tollenaar RA, Geelkerken RH, et al. Prospective study of primary anastomosis following sigmoid resection for suspected acute complicated diverticular disease. Br J Surg. 2001;88:693-697.
75. Blair NP, Germann E. Surgical management of acute sigmoid diverticulitis. Am J Surg. 2002;183:525-528.
76. Thow GB. Emergency left colon resection with primary anastomosis. Dis Colon Rectum. 1980;23:17-24.
77. Biondo S, Jaurrieta E, Marti Rague J, et al. Role of resection and primary anastomosis of the left colon in the presence of peritonitis. Br J Surg. 2000;87:1580-1584.
78. Landen S, Nafteux P. Primary anastomosis and diverting colostomy in diffuse diverticular peritonitis. Acta Chir Belg. 2002;102:24-29.
79. Koruth NM, Hunter DC, Krukowski ZH, et al. Immediate resection in emergency large bowel surgery: a 7 year audit. Br J Surg. 1985;72:703-707.
80. Alanis A, Papanicolaou GK, Tadros RR, et al. Primary resection and anastomosis for treatment of acute diverticulitis. Dis Colon Rectum. 1989;32:933-939.
81. Saccomani GE, Santi F, Gramegna A. Primary resection with and without anastomosis for perforation of acute diverticulitis. Acta Chir Belg. 1993;93:169-172.
82. Schwesinger WH, Page CP, Gaskill III HV, et al. Operative management of diverticular emergencies: strategies and outcomes. Arch Surg. 2000;135:558-562; discussion 562-563.
83. Constantinides VA, Tekkis PP, Senapati A. Comparison of POSSUM scoring systems and the Surgical Risk Scale in patients undergoing surgery for complicated diverticular disease. Dis Colon Rectum. 2006. (Epub ahead of print).
84. Aydin HN, Remzi FH, Tekkis PP, et al. Evaluation of the surgical options for the treatment of diverticular disease: the Cleveland Clinic Diverticular Disease Propensity Score. Dis Colon Rectum. 2006;49:629-639.
85. Torrance GW. Measurement of health state utilities for economic appraisal. J Health Econ. 1986;5:1-30.
86. Kennedy ED, Urbach DR, Krahn MD, et al. Azathioprine or ileocolic resection for steroid-dependent terminal ileal Crohn's disease? A Markov analysis. Dis Colon Rectum. 2004;47:2120-2130.
87. Boyd NF, Sutherland HJ, Heasman KZ, et al. Whose utilities for decision analysis? Med Decis Making. 1990;10:58-67.
88. Miller AR, Cantor SB, Peoples GE, et al. Quality of life and cost effectiveness analysis of therapy for locally recurrent rectal cancer. Dis Colon Rectum. 2000;43:1695-1701; discussion 1701-1703.
89. Froberg DG, Kane RL. Methodology for measuring health-state preferences: I. Measurement strategies. J Clin Epidemiol. 1989;42:345-354.
90. Deleted in proof.
91. Tekkis PP, Prytherch DR, Kocher HM, et al. Development of a dedicated risk-adjustment scoring system for colorectal surgery (colorectal POSSUM). Br J Surg. 2004;91:1174-1182.