Original Paper

Presentation, Management and Outcome of Acute Sigmoid Diverticulitis Requiring Hospitalization
Jose A. Alvarez, Ricardo F. Baldonedo, Isabel G. Bear, Jorge Otero, Gerardo Pire, Paloma Alvarez, Jose I. Jorge

Service of General Surgery, Hospital San Agustín, Avilés, Spain

Address of Corresponding Author

Dig Surg 2007;24:471-476 (DOI: 10.1159/000111823)

  Key Words

• Diverticular disease
• Colonic diverticulitis
• Fistula

  Abstract

Aim: This study was conducted to assess the presentation, management, and outcomes of patients with acute sigmoid diverticulitis requiring hospitalization. Methods: From 1986 to 2005, the medical records of 265 patients treated for acute sigmoid diverticulitis requiring hospitalization were retrospectively analyzed. Data were collected with regard to patient's demographics, clinical characteristics, presentations of acute diverticulitis, treatment, morbidity, and mortality. Results: Only 47 patients (17.7%) had a previous diverticulitis episode. Of the 265 patients, 166 (62.6%) were managed without operation, and 99 (37.4%) underwent surgery. Overall and major morbidity in the whole series were 30.2 (80/265) and 15.5% (40/265), respectively; whereas among the patients with surgical management, were 72.7 (72/99), and 35.3% (35/99), respectively. Overall and postoperative mortality rates were 2.6 (7/265) and 6.1% (6/99), respectively. Older age, steroid use, perforation, and co-morbidities were significantly associated with unfavorable outcomes. Conclusions: It was concluded that surgery for acute sigmoid diverticulitis requiring hospitalization carries important morbidity and mortality. To achieve improvements in outcome, a selective therapeutic approach should be considered, choosing the best surgical procedure for each complication of diverticular disease.

Copyright © 2007 S. Karger AG, Basel

  Author Contacts

Dr. José Antonio Alvarez
Camino de Heros, 4
ES-33400 Avilés (Spain)
Tel. +34 985 123 000, Fax +34 985 123 052, E-Mail josealvar@telecable.es

  Article Information

Received: May 7, 2007
Accepted: July 14, 2007
Published online: November 29, 2007
Number of Print Pages : 6
Number of Figures : 0, Number of Tables : 3, Number of References : 22