Management of Cecal Diverticulitis
Journal of the Korean Society of Coloproctology
;
: 251-256, 2004.
Artigo
em Coreano
| WPRIM
| ID: wpr-149580
ABSTRACT
PURPOSE:
Diverticular disease of the cecum and ascending colon is a relatively uncommon disease, and is often difficult to diagnose. The purpose of this study was to investigate the clinical features of patients who underwent surgical treatment for cecal diverticulitis.METHODS:
A retrospective review was conducted between January 1998 and December 2002 of 44 patients treated at the Department of Surgery, Soonchunghyang Gumi Hospital.RESULTS:
All patients presented with right lower quadrant pain and tenderness. Preoperatively, 34 patients were diagnosed with acute appendicitis. The surgical procedures for cecal diverticulitis were an appendectomy only (5 cases), a diverticulectomy with appendectomy (31 cases), and a right hemicolectomy (8 cases). Postoperative complications were found in 17 cases wound infection (13 cases), and partial intestinal obstruction (2 cases).CONCLUSIONS:
When cecal diverticulitis is found at the time of an operation, surgical management is a safe treatment with low morbidity and a low recurrence rate. A diverticulectomy with appendectomy is a safe and effective procedure for the treatment of cecal diverticulitis if there is no evidence of free perforation or abscess formation. If the diverticulitis is complicated, undistinguishable from a malignancy, a resection (ileocecal resection, right hemicolectomy) should be considered for the surgical treatment.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Apendicectomia
/
Apendicite
/
Complicações Pós-Operatórias
/
Recidiva
/
Infecção dos Ferimentos
/
Ceco
/
Estudos Retrospectivos
/
Colo Ascendente
/
Abscesso
/
Diverticulite
Tipo de estudo:
Estudo observacional
Limite:
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Society of Coloproctology
Ano de publicação:
2004
Tipo de documento:
Artigo
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