Multicentre study of non-surgical management of diverticulitis with abscess formation
British journal of surgery2019Vol. 106(4), pp. 458–466
Citations Over TimeTop 10% of 2019 papers
Daniël P. V. Lambrichts, Hendrike E. Bolkenstein, D C H E van der Does, D Dieleman, Rogier M. P. H. Crolla, Jan Willem T. Dekker, Peter van Duijvendijk, M.F. Gerhards, Simon W. Nienhuijs, Anand G. Menon, Eelco J. R. de Graaf, Esther C. J. Consten, Werner A. Draaisma, Ivo A. M. J. Broeders, Willem A. Bemelman, J.F. Lange
Abstract
This multicentre retrospective cohort study included 447 patients with Hinchey Ib and II diverticular abscesses, who were treated with antibiotics, with or without percutaneous drainage. Abscesses of 3 and 5 cm in size were at higher risk of short-term treatment failure and emergency surgery respectively. Initial non-surgical treatment of Hinchey Ib and II diverticular abscesses was comparable between patients treated with antibiotics only and those who underwent percutaneous drainage in combination with antibiotics, with regard to short- and long-term outcomes. Most do not need drainage.
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