id:"swepub:oai:DiVA.org:uu-356629"
Search: id:"swepub:oai:DiVA.org:uu-356629" > Non-operativemanage...
- 1 of 1
- Previous record
- Next record
- To hitlist
- Thorisson, ArnarUppsala universitet,Centrum för klinisk forskning, Västerås,Västmanlands Hospital (author)
Non-operativemanagement of perforated diverticulitis with extraluminal or free air
- Article/chapterEnglish
Publisher, publication year, extent ...
- printrdacarrier
Numbers
- LIBRIS-ID:oai:DiVA.org:uu-356629
- https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-356629URI
Supplementary language notes
- Language:English
- Summary in:English
Part of subdatabase
- SwePubSwePub
Classification
Notes
- Objectives The aim of this study was to describe characteristics and results of non-operative management for patients presenting with computed tomography (CT) verified perforated diverticulitis. Methods All patients treated for diverticulitis (ICD-10: K-57) during 2010–2014 were identified and medical records were reviewed. Re-evaluations of CT examinations for all patients with complicated disease according to medical records were performed. All patients diagnosed with perforated diverticulitis on re-evaluation were included and characteristics of patients having immediate surgery and those whom non-operative management was attempted are described.Results Of 141 patients with perforated diverticulitis according to medical records, 136 were confirmed on CT re-evaluation. Emergency surgical intervention within 24 hours was performed in 29 (21%). Non-operative management with iv antibiotics was attempted for 107 patients and was successful in 101 (94%). The 30-day mortality rate was 2%. Non-operative management was more likely to fail in patients with a simultaneous abscess (67% compared to 16%, p = 0.013). More than one third of patients (34%) with free air were successfully managed conservatively. Patients that were operated within 24 hours from admission were more commonly on immunosuppressive therapy, had more commonly free intraperitoneal air and free fluid in the peritoneal cavity.Conclusions Non-operative management is successful in the majority of patients with CT-verified perforated diverticulitis with extraluminal air, and also in one-third of those with free air in the peritoneal cavity.
Subject headings and genre
- Radiology
- Radiologi
- Kirurgi
- Surgery
Added entries (persons, corporate bodies, meetings, titles ...)
- Nikberg, Maziar,1975-Uppsala universitet,Centrum för klinisk forskning, Västerås,Västmanlands Hospital(Swepub:uu)mazho292 (author)
- Andreasson, KarlUppsala universitet,Centrum för klinisk forskning, Västerås,Västmanlands Hospital(Swepub:uu)karan870 (author)
- Smedh, KennetUppsala universitet,Centrum för klinisk forskning, Västerås,Västmanlands Hospital(Swepub:uu)kensm722 (author)
- Chabok, Abbas,1964-Uppsala universitet,Centrum för klinisk forskning, Västerås,Västmanlands Hospital(Swepub:uu)abbch956 (author)
- Uppsala universitetCentrum för klinisk forskning, Västerås (creator_code:org_t)
Related titles
- In:Scandinavian Journal of Gastroenterology0036-55211502-7708
Internet link
Find in a library
- Scandinavian Journal of Gastroenterology (Search for host publication in LIBRIS)
To the university's database
- 1 of 1
- Previous record
- Next record
- To hitlist
Find more in SwePub
- By the author/editor
- Thorisson, Arnar
- Nikberg, Maziar, ...
- Andreasson, Karl
- Smedh, Kennet
- Chabok, Abbas, 1 ...
- Articles in the publication
- Scandinavian Jou ...
- By the university
- Uppsala University
Search outside SwePub
- Extend your search to:
- Google Book Search
- Google Scholar
Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.
- Copyright © LIBRIS - National Library Systems
- LIBRIS.kb.se
