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WFRF:(Chabok Abbas 1964 )
 

Sökning: WFRF:(Chabok Abbas 1964 ) > Elective surgery sh...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00003756naa a2200385 4500
001oai:DiVA.org:uu-454130
003SwePub
008210928s2020 | |||||||||||000 ||eng|
024a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-4541302 URI
024a https://doi.org/10.1080/00365521.2020.17409402 DOI
040 a (SwePub)uu
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Sigurdardottir, Johannau Uppsala universitet,Centrum för klinisk forskning, Västerås4 aut0 (Swepub:uu)johsi121
2451 0a Elective surgery should be considered after successful conservative treatment of recurrent diverticular abscesses
264 c 2020-03-23
264 1b TAYLOR & FRANCIS LTD,c 2020
338 a print2 rdacarrier
520 a 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.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Gastroenterologi0 (SwePub)302132 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Gastroenterology and Hepatology0 (SwePub)302132 hsv//eng
653 a Recurrent diverticulitis
653 a complication
653 a diverticular disease
653 a surgery
700a Chabok, Abbas,d 1964-u Uppsala universitet,Centrum för klinisk forskning, Västerås4 aut0 (Swepub:uu)abbch956
700a Thorisson, Arnaru Uppsala universitet,Centrum för klinisk forskning, Västerås4 aut0 (Swepub:uu)arnth748
700a Smedh, Kennetu Uppsala universitet,Centrum för klinisk forskning, Västerås4 aut0 (Swepub:uu)kensm722
700a Nikberg, Maziar,d 1975-u Uppsala universitet,Centrum för klinisk forskning, Västerås4 aut0 (Swepub:uu)mazho292
710a Uppsala universitetb Centrum för klinisk forskning, Västerås4 org
773t Scandinavian Journal of Gastroenterologyd : TAYLOR & FRANCIS LTDg 55:4, s. 454-459q 55:4<454-459x 0036-5521x 1502-7708
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-454130
8564 8u https://doi.org/10.1080/00365521.2020.1740940

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