Indicaciones resultados alejados del tratamiento quirúrgico electivo de la enfermedad diverticular del colon sigmoides / Indications and long term results of elective surgery for sigmoid diverticular disease
Rev. méd. Chile
;
133(9): 1037-1042, sept. 2005. tab
Article
Dans Espagnol
| LILACS
| ID: lil-429240
ABSTRACT
Background:
There are no clear guidelines for the indication of elective surgery in sigmoid diverticular disease.Aim:
To analyze the indications and long term results of elective surgery in sigmoid diverticular disease. Material andMethods:
Retrospective review of 100 patients (age range 25-86 years, 51 male) with sigmoid diverticular disease, operated in a lapse of 22 years. Sixty seven patients answered a survey about their disease at the end of follow up.Results:
Among patients aged more than 70 years, there was a higher proportion of women. The main indication for surgery was recurrent diverticulitis in 54 patients, followed by diverticular fistula in 19. A sigmoidectomy was performed in 91 patients. Stapled anastomosis was performed in half of these patients. No patient died or required reoperation in the immediate postoperative period. During a follow up ranging from 8 to 280 months, 28 patients died for causes not associated with diverticular disease and five were lost. Those patients that answered the survey were free of symptoms related to diverticular disease and did not require new operations.Conclusions:
In patients with sigmoid diverticular disease and recurrent diverticulitis or with fistulae, the long term results of surgery are satisfactory.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Maladies du sigmoïde
/
Interventions chirurgicales non urgentes
/
Diverticulite colique
Type d'étude:
Étude observationnelle
/
Étude pronostique
/
Recherche qualitative
/
Facteurs de risque
Limites du sujet:
Adulte
/
Adulte très âgé
/
Aged80
/
Femelle
/
Humains
/
Mâle
langue:
Espagnol
Texte intégral:
Rev. méd. Chile
Thème du journal:
Médicament
Année:
2005
Type:
Article
Pays d'affiliation:
Chili
Institution/Pays d'affiliation:
Universidad de Chile/CL
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