Nonoperative management of perforated diverticulitis with extraluminal air is safe and effective in selected patients

Diseases of the Colon and Rectum

Volumn 57, Issue 7, 2014, Pages 875-881

  Sallinen, Ville J ^a   Mentula, Panu J ^a   Leppäniemi, Ari K ^a  

^a HELSINKI UNIVERSITY CENTRAL HOSPITAL   (Finland)

Author keywords

Antibiotics; CT; Diverticular disease; Free air; Laparoscopic lavage; Percutaneous drainage

Indexed keywords

ANTIBIOTIC AGENT; CORTICOSTEROID; ANTIINFECTIVE AGENT; CEFUROXIME; METRONIDAZOLE;

ABSCESS; AGED; AIR; ARTICLE; COLON DIVERTICULOSIS; COLON PERFORATION; COMPUTER ASSISTED TOMOGRAPHY; CONSERVATIVE TREATMENT; DIVERTICULITIS; FEMALE; HUMAN; IMMUNOSUPPRESSIVE TREATMENT; LIQUID; MAJOR CLINICAL STUDY; MALE; MEDICAL RECORD REVIEW; MORTALITY; PATIENT SELECTION; PERCUTANEOUS DRAINAGE; PERITONITIS; RETROSPECTIVE STUDY; RISK FACTOR; SAFETY; SECONDARY HEALTH CARE; TREATMENT RESPONSE; ACUTE DISEASE; ADULT; DRUG COMBINATION; EVALUATION STUDY; FOLLOW UP; INTESTINE PERFORATION; INTRAVENOUS ADMINISTRATION; MIDDLE AGED; MULTIMODALITY CANCER THERAPY; RADIOGRAPHY; STATISTICAL MODEL; VERY ELDERLY; WOUND DRAINAGE;

ACUTE DISEASE; ADMINISTRATION, INTRAVENOUS; ADULT; AGED; AGED, 80 AND OVER; ANTI-BACTERIAL AGENTS; CEFUROXIME; COMBINED MODALITY THERAPY; DIVERTICULITIS, COLONIC; DRAINAGE; DRUG THERAPY, COMBINATION; FEMALE; FOLLOW-UP STUDIES; HUMANS; INTESTINAL PERFORATION; LOGISTIC MODELS; MALE; METRONIDAZOLE; MIDDLE AGED; PATIENT SELECTION; RETROSPECTIVE STUDIES; TOMOGRAPHY, X-RAY COMPUTED;

EID: 84904544601     PISSN: 00123706     EISSN: 15300358     Source Type: Journal    
DOI: 10.1097/DCR.0000000000000083     Document Type: Article

References (21)

1. Moore FAF, Moore EEE, Burlew CCC, et al. Western Trauma Association Critical Decisions in Trauma: management of complicated diverticulitis. J Trauma Acute Care Surg. 2012;73:1363-1369.
2. Abbas S. Resection and primary anastomosis in acute complicated diverticulitis, a systematic review of the literature. Int J Colorectal Dis. 2007;22:351-357.
3. Myers E, Hurley M, O'Sullivan GC, Kavanagh D, Wilson I, Winter DC. Laparoscopic peritoneal lavage for generalized peritonitis due to perforated diverticulitis. Br J Surg. 2008;95:97-101.
4. Afshar S, Kurer MA. Laparoscopic peritoneal lavage for perforated sigmoid diverticulitis. Colorectal Dis. 2012;14:135-142.
5. Rogers AC, Collins D, O'Sullivan GC, Winter DC. Laparoscopic lavage for perforated diverticulitis. Dis Colon Rectum. 2012;55:932-938.
6. Swank HA, Vermeulen J, Lange JF, et al. The ladies trial: laparoscopic peritoneal lavage or resection for purulent peritonitisA and Hartmann's procedure or resection with primary anastomosis for purulent or faecal peritonitisB in perforated diverticulitis (NTR2037). BMC Surg. 2010;10:29.
7. Thornell A, Angenete E, Gonzales E, et al.; Scandinavian Surgical Outcomes Research Group, SSORG. Treatment of acute diverticulitis laparoscopic lavage vs. resection (DILALA ): Study protocol for a randomised controlled trial. Trials. 2011;12:186.
8. Dharmarajan S, Hunt SR, Birnbaum EH, Fleshman JW, Mutch MG. The efficacy of nonoperative management of acute complicated diverticulitis. Dis Colon Rectum. 2011;54:663-671.
9. Costi R, Cauchy F, Le Bian A, Honart JF, Creuze N, Smadja C. Challenging a classic myth: pneumoperitoneum associated with acute diverticulitis is not an indication for open or laparoscopic emergency surgery in hemodynamically stable patients-a 10- year experience with a nonoperative treatment. Surg Endosc. 2012;26:2061-2071.
10. Andersen JC, Bundgaard L, Elbrønd H, Laurberg S, Walker LR, Støvring J; Danish Surgical Society. Danish national guidelines for treatment of diverticular disease. Dan Med J. 2012;59:C4453.
11. Wasvary H, Turfah F, Kadro O, Beauregard W. Same hospitalization resection for acute diverticulitis. Am Surg. 1999;65:632-636.
12. Shaikh S, Krukowski ZH. Outcome of a conservative policy for managing acute sigmoid diverticulitis. Br J Surg. 2007;94:876-879.
13. Kaiser AM, Jiang JK, Lake JP, et al. The management of complicated diverticulitis and the role of computed tomography. Am J Gastroenterol. 2005;100:910-917.
14. O 'Sullivan GC, Murphy D, O'Brien MG, Ireland A. Laparoscopic management of generalized peritonitis due to perforated colonic diverticula. Am J Surg. 1996;171:432-434.
15. Karoui M, Champault A, Pautrat K, Valleur P, Cherqui D, Champault G. Laparoscopic peritoneal lavage or primary anastomosis with defunctioning stoma for Hinchey 3 complicated diverticulitis. Dis Colon Rectum. 2009;52:609-615.
16. White SI, Frenkiel B, Martin PJ. A ten-year audit of perforated sigmoid diverticulitis: highlighting the outcomes of laparoscopic lavage. Dis Colon Rectum. 2010;53:1537-1541.
17. Mutter D, Bouras G, Forgione A, Vix M, Leroy J, Marescaux J. Two-stage totally minimally invasive approach for acute complicated diverticulitis. Colorectal Dis. 2006;8:501-505.
18. Franklin ME Jr, Portillo G, Treviño JM, Gonzalez JJ, Glass JL. Long-term experience with the laparoscopic approach to perforated diverticulitis plus generalized peritonitis. World J Surg. 2008;32:1507-1511.
19. Favuzza J, Friel JC, Kelly JJ, Perugini R, Counihan TC. Benefits of laparoscopic peritoneal lavage for complicated sigmoid diverticulitis. Int J Colorectal Dis. 2009;24:797-801.
20. Bretagnol F, Pautrat K, Mor C, Benchellal Z, Huten N, de Calan L. Emergency laparoscopic management of perforated sigmoid diverticulitis: A promising alternative to more radical procedures. J Am Coll Surg. 2008;206:654-657.
21. Binda GA, Karas JR, Serventi A, et al.; Study Group on Diverticulitis. Primary anastomosis vs nonrestorative resection for perforated diverticulitis with peritonitis: A prematurely terminated randomized controlled trial. Colorectal Dis. 2012;14:1403-1410.