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Elective surgery sh...
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Sigurdardottir, JohannaUppsala universitet,Centrum för klinisk forskning, Västerås
(författare)
Elective surgery should be considered after successful conservative treatment of recurrent diverticular abscesses
- Artikel/kapitelEngelska2020
Förlag, utgivningsår, omfång ...
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2020-03-23
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TAYLOR & FRANCIS LTD,2020
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printrdacarrier
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LIBRIS-ID:oai:DiVA.org:uu-454130
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-454130URI
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https://doi.org/10.1080/00365521.2020.1740940DOI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
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Purpose: The purpose of this study was to evaluate the disease pattern and treatment of diverticular abscesses. Methods: Patients treated for diverticulitis (K57) in Vastmanland, Sweden were identified for this retrospective population-based study between January 2010 and December 2014. Patients with diverticular abscesses were included. The clinical and radiological data were extracted, and the computed tomography scans were reevaluated. Results: Of the 75 patients (45 women) with a median age of 62 years (range: 23-88 years), abscesses were localized pericolic in 42 patients (59%) and in the pelvis in 33 patients (41%). The median abscess size was 4.8 cm (range: 1.1-11.0 cm). Six patients (8%) required urgent surgical intervention during the index admission. The median follow-up time was 58 months (range: 0-95 months). During follow-up, 40 patients (58%) had disease recurrence and 35 of these patients (88%) presented with complicated diverticulitis. The median time until re-admission was 2 months (range: 3 days-94 months). Patients with pelvic abscesses developed fistulas more frequently, 3 versus 11 patients (p = .003). Twenty-three percent of patients with pericolic abscesses required surgery compared with 40% of patients with pelvic abscesses (p = .09). No patients had a recurrence of abscesses after a colonic resection. Conclusion: The majority of patients with diverticular abscesses had recurrences with repeated admissions regardless of abscess location. An unexpectedly high proportion of patients required surgical intervention during the follow-up period. A liberal approach regarding elective surgery for patients with recurrent diverticulitis abscesses who tolerate surgery seems justified.
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Biuppslag (personer, institutioner, konferenser, titlar ...)
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Chabok, Abbas,1964-Uppsala universitet,Centrum för klinisk forskning, Västerås(Swepub:uu)abbch956
(författare)
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Thorisson, ArnarUppsala universitet,Centrum för klinisk forskning, Västerås(Swepub:uu)arnth748
(författare)
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Smedh, KennetUppsala universitet,Centrum för klinisk forskning, Västerås(Swepub:uu)kensm722
(författare)
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Nikberg, Maziar,1975-Uppsala universitet,Centrum för klinisk forskning, Västerås(Swepub:uu)mazho292
(författare)
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Uppsala universitetCentrum för klinisk forskning, Västerås
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Scandinavian Journal of Gastroenterology: TAYLOR & FRANCIS LTD55:4, s. 454-4590036-55211502-7708
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