INTRODUCTION: Cecal diverticulitis is a rare condition in the western population. The optimal management of this condition is still controversial, ranging from conservative antibiotic treatment to aggressive resection. We present our experience of the surgical management of eight cases of cecal diverticulitis over a 25-year period. PATIENTS AND METHODS: The mean age of the patients was 54.2 years. Five patients underwent diverticulectomy, 2 patients underwent ileocecal resection, and 1 patient underwent suture of the perforated diverticulum. RESULTS: The postoperative course of all patients was uneventful. At long-term follow-up (mean 14.6 years, range 1-25 years) none of the patients who underwent diverticulectomy, mentioned any symptom or complication. CONCLUSION: We conclude that diverticulectomy, if technically feasible, could be considered as adequate therapy for cecal diverticulitis. Aggressive resection should be considered in cases of extensive inflammatory changes.
INTRODUCTION: Cecal diverticulitis is a rare condition in the western population. The optimal management of this condition is still controversial, ranging from conservative antibiotic treatment to aggressive resection. We present our experience of the surgical management of eight cases of cecal diverticulitis over a 25-year period. PATIENTS AND METHODS: The mean age of the patients was 54.2 years. Five patients underwent diverticulectomy, 2 patients underwent ileocecal resection, and 1 patient underwent suture of the perforated diverticulum. RESULTS: The postoperative course of all patients was uneventful. At long-term follow-up (mean 14.6 years, range 1-25 years) none of the patients who underwent diverticulectomy, mentioned any symptom or complication. CONCLUSION: We conclude that diverticulectomy, if technically feasible, could be considered as adequate therapy for cecal diverticulitis. Aggressive resection should be considered in cases of extensive inflammatory changes.
Authors: Süleyman Kalcan; Fatih Başak; Mustafa Hasbahçeci; Ali Kılıç; Tolga Canbak; İlyas Kudaş; Gürhan Baş; Orhan Alimoğlu Journal: Ulus Cerrahi Derg Date: 2015-06-24
Authors: Dimitrios S Kyziridis; Styliani N Parpoudi; Nikolaos D Antoniou; Dimitrios Ch Konstantaras; Moysis G Moysidis; Emmanuel Ch Christoforidis; Konstantinos G Tsalis Journal: Am J Case Rep Date: 2015-04-08
Authors: Renol M Koshy; Abdelrahman Abusabeib; Saif Al-Mudares; Mohamed Khairat; Adriana Toro; Isidoro Di Carlo Journal: World J Emerg Surg Date: 2016-01-04 Impact factor: 5.469