Sökning: WFRF:(Chabok Abbas 1964 ) > Elective surgery sh...
Fältnamn | Indikatorer | Metadata |
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000 | 03756naa a2200385 4500 | |
001 | oai:DiVA.org:uu-454130 | |
003 | SwePub | |
008 | 210928s2020 | |||||||||||000 ||eng| | |
024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-4541302 URI |
024 | 7 | a https://doi.org/10.1080/00365521.2020.17409402 DOI |
040 | a (SwePub)uu | |
041 | a engb eng | |
042 | 9 SwePub | |
072 | 7 | a ref2 swepub-contenttype |
072 | 7 | a art2 swepub-publicationtype |
100 | 1 | a Sigurdardottir, Johannau Uppsala universitet,Centrum för klinisk forskning, Västerås4 aut0 (Swepub:uu)johsi121 |
245 | 1 0 | a Elective surgery should be considered after successful conservative treatment of recurrent diverticular abscesses |
264 | c 2020-03-23 | |
264 | 1 | b 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 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Gastroenterologi0 (SwePub)302132 hsv//swe |
650 | 7 | a 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 | |
700 | 1 | a Chabok, Abbas,d 1964-u Uppsala universitet,Centrum för klinisk forskning, Västerås4 aut0 (Swepub:uu)abbch956 |
700 | 1 | a Thorisson, Arnaru Uppsala universitet,Centrum för klinisk forskning, Västerås4 aut0 (Swepub:uu)arnth748 |
700 | 1 | a Smedh, Kennetu Uppsala universitet,Centrum för klinisk forskning, Västerås4 aut0 (Swepub:uu)kensm722 |
700 | 1 | a Nikberg, Maziar,d 1975-u Uppsala universitet,Centrum för klinisk forskning, Västerås4 aut0 (Swepub:uu)mazho292 |
710 | 2 | a Uppsala universitetb Centrum för klinisk forskning, Västerås4 org |
773 | 0 | t Scandinavian Journal of Gastroenterologyd : TAYLOR & FRANCIS LTDg 55:4, s. 454-459q 55:4<454-459x 0036-5521x 1502-7708 |
856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-454130 |
856 | 4 8 | u https://doi.org/10.1080/00365521.2020.1740940 |
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