OBJECTIVE: This study aims to investigate the current opinion of gastroenterologists and surgeons on treatment strategies for patients, with recurrences or ongoing complaints of diverticulitis. BACKGROUND: Treatment of recurrences and ongoing complaints remains a point of debate. No randomized trials have been published yet and guidelines are not uniform in their advice. DESIGN: A web-based survey was conducted among gastroenterologists and GE-surgeons. Questions were aimed at the treatment options for recurrent diverticulitis and ongoing complaints. RESULTS: In total, 123 surveys were filled out. The number of patients with recurrent or ongoing diverticulitis who were seen at the outpatient clinic each year was 7 (0-30) and 5 (0-115) respectively. Surgeons see significantly more patients on an annual basis 20 vs. 15% (p = 0.00). Both surgeons and gastroenterologists preferred to treat patients in a conservative manner using pain medication and lifestyle advise (64.4 vs. 54.0, p = 0.27); however, gastroenterologists would treat patients with mesalazine medication, which is significantly more (28%, p = 0.04) than in the surgical group. Surgeons are inclined more towards surgery (31.5%, p = 0.02). CONCLUSIONS: Both surgeons and gastroenterologists prefer to treat recurrent diverticulitis and ongoing complaints in a conservative manner. Quality of life, the risk of complications and the viewpoint of the patient are considered important factors in the decision to resect the affected colon.
OBJECTIVE: This study aims to investigate the current opinion of gastroenterologists and surgeons on treatment strategies for patients, with recurrences or ongoing complaints of diverticulitis. BACKGROUND: Treatment of recurrences and ongoing complaints remains a point of debate. No randomized trials have been published yet and guidelines are not uniform in their advice. DESIGN: A web-based survey was conducted among gastroenterologists and GE-surgeons. Questions were aimed at the treatment options for recurrent diverticulitis and ongoing complaints. RESULTS: In total, 123 surveys were filled out. The number of patients with recurrent or ongoing diverticulitis who were seen at the outpatient clinic each year was 7 (0-30) and 5 (0-115) respectively. Surgeons see significantly more patients on an annual basis 20 vs. 15% (p = 0.00). Both surgeons and gastroenterologists preferred to treat patients in a conservative manner using pain medication and lifestyle advise (64.4 vs. 54.0, p = 0.27); however, gastroenterologists would treat patients with mesalazine medication, which is significantly more (28%, p = 0.04) than in the surgical group. Surgeons are inclined more towards surgery (31.5%, p = 0.02). CONCLUSIONS: Both surgeons and gastroenterologists prefer to treat recurrent diverticulitis and ongoing complaints in a conservative manner. Quality of life, the risk of complications and the viewpoint of the patient are considered important factors in the decision to resect the affected colon.
Authors: Peter S Yoo; Rohit Garg; Louis F Salamone; Martin H Floch; Ronnie Rosenthal; Walter E Longo Journal: Am J Surg Date: 2008-11 Impact factor: 2.565
Authors: Bryan J M van de Wall; Werner A Draaisma; Esther C J Consten; Yolanda van der Graaf; Marten H Otten; G Ardine de Wit; Henk F van Stel; Michael F Gerhards; Marinus J Wiezer; Huib A Cense; Hein B A C Stockmann; Jeroen W A Leijtens; David D E Zimmerman; Eric Belgers; Bart A van Wagensveld; Eric D J A Sonneveld; Hubert A Prins; Peter P L O Coene; Tom M Karsten; Joost M Klaase; Markwin G Statius Muller; Rogier M P H Crolla; Ivo A M J Broeders Journal: BMC Surg Date: 2010-08-06 Impact factor: 2.102
Authors: Nicolas A Rotholtz; Miguel Montero; Mariano Laporte; Maximiliano Bun; Sandra Lencinas; Norberto Mezzadri Journal: World J Surg Date: 2009-11 Impact factor: 3.352