Elective surgery for diverticular disease: an audit of surgical pathology and treatment

ANZ Journal of Surgery
Mark KillingbackOwen F Dent

Abstract

There is a need for a better classification of the surgical pathology of diverticular disease treated by elective resection. A prospective audit was conducted over a 25-year period, during which the surgeon studied the surgical pathology. The results of surgical treatment have been related to the pathology. Two hundred and six patients were managed by elective resection with a postoperative mortality of 1.0% and a total morbidity of 51.5%. The surgical pathology was classified as: non-inflammatory 25 (12.6%), localized diverticulitis 90 (43.7%) and extracolic diverticulitis 90 (44.2%). This classification is useful to relate the technical requirements of surgery and the outcome to the surgical pathology. Postoperative morbidity is associated with the presence and severity of inflammatory pathology and therefore the casemix of any series will have a significant impact on this aspect.

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Citations

Aug 4, 2006·Journal of Clinical Gastroenterology·Jared Frattini, Walter E Longo
Jul 24, 2008·AJR. American Journal of Roentgenology·Laura SheimanIgor Laufer
Jul 11, 2014·World Journal of Gastroenterology : WJG·Valérie BridouxJean-Jacques Tuech
Aug 21, 2008·World Journal of Surgery·D Collins, D C Winter
Apr 12, 2016·ANZ Journal of Surgery·Pamela BuchwaldFrank A Frizelle
Apr 18, 2016·Updates in Surgery·Patrick Ambrosetti, Pascal Gervaz
Mar 27, 2015·Journal of Clinical Gastroenterology·Danielle Collins, Des C Winter
Oct 14, 2016·United European Gastroenterology Journal·Jason M HaasNimish Vakil
May 11, 2012·Digestive Diseases·Asha Senapati
Dec 17, 2010·Diseases of the Colon and Rectum·Aisling Hogan, Des Winter

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