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Updates in Surgery
Erschienen in: Updates in Surgery 1/2016

16.04.2016 | Review Article

Management of sigmoid diverticulitis: an update

verfasst von: Patrick Ambrosetti, Pascal Gervaz

Erschienen in: Updates in Surgery | Ausgabe 1/2016

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Abstract

The role, indications and modalities of elective resection for sigmoid diverticulitis remain the cause of fierce debate. During the past two decades clinicians have increasingly recognized that: (1) young patients (<50) are no more at risk to develop more aggressive course of the disease; and (2) patients who present initially with a first uncomplicated attack are no more at risk for developing subsequent complicated diverticulitis requiring emergency surgery. Hence, the previously well-recognized indications (based upon age of the patients or the number of attacks) are no longer valid. Yet, the number of sigmoid resections performed for diverticulitis in industrialized countries is increasing, which seems to indicate that in many cases, uncomplicated sigmoid diverticulitis progressively evolves towards a chronic symptomatic condition, which significantly impacts upon the patients’ quality of life. The aims of this review are twofold: (1) to identify which disease presentation still represents good indications for elective laparoscopic sigmoid resection; and (2) to summarize the technical aspects of surgery for a benign condition, such as diverticular disease.
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Metadaten
Titel
Management of sigmoid diverticulitis: an update
verfasst von
Patrick Ambrosetti
Pascal Gervaz
Publikationsdatum
16.04.2016
Verlag
Springer Milan
Erschienen in
Updates in Surgery / Ausgabe 1/2016
Print ISSN: 2038-131X
Elektronische ISSN: 2038-3312
DOI
https://doi.org/10.1007/s13304-016-0365-0

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