Sigmoid Diverticulitis: Our Experiences with 13 Patients
Objective: We aimed to present our treatment approach and results of the treatment in patients with the diagnosis of sigmoid diverticulitis. Material and Methods: In this study, we evaluated patients who presented to the emergency unit between March 2009 and February 2010 and have been diagnosed...
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| Format: | Article |
| Language: | English |
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Galenos Publishing House
2012-03-01
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| Series: | Haseki Tıp Bülteni |
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| Online Access: | http://www.hasekidergisi.com/article_4651/Sigmoid-Diverticulitis-Our-Experiences-With-13-Patients |
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| author | Ahmet Fikret Yücel, Ahmet Kocakuşak Elif Nisa Ünlü |
| author_facet | Ahmet Fikret Yücel, Ahmet Kocakuşak Elif Nisa Ünlü |
| author_sort | Ahmet Fikret Yücel, |
| collection | DOAJ |
| description | Objective: We aimed to present our treatment approach and results
of the treatment in patients with the diagnosis of sigmoid diverticulitis.
Material and Methods: In this study, we evaluated patients who
presented to the emergency unit between March 2009 and February
2010 and have been diagnosed with sigmoid diverticulitis. The data
were prospectively collected and retrospectively analyzed. Our
patients were classified and staged according to Hinchey’s
classification system. The results of the treatment, complication rates,
and duration of hospitalization were presented in the light of the
literature.
Results: Thirteen patients (9 males, 4 females) with a mean age
of 52 years and median age of 58 (35-58 years) were diagnosed
with sigmoid diverticulitis. Five patients underwent laparotomy
(Hinchey III-IV), while Hartmann’s procedure was carried out in 4
patients and resection and primer anastomosis was performed in
1 patient. Eight patients who were classified as Hinchey I-II
(diverticulitis-abscess) were followed up with medical treatment.
The mean duration of hospitalization was 8.6 (4-21 days) and 17.4
(10-27 days) days in Hinchey I-II and III-IV groups, respectively. All
patients in the laparotomy group developed at least one
complication.
Conclusion: Hinchey stage III-IV sigmoid diverticulitis requires
laparotomy. Complication rates are higher and duration of
hospitalization is longer in patients with Hinchey stage III-IV when
compared to those with Hinchey I-II. We conclude that Hinchey
stage I-II diverticulitis can be successfully managed with medical
treatment. (The Me di cal Bul le tin of Ha se ki 2012; 50: 21-4) |
| format | Article |
| id | doaj-art-1c6059cc4aac4e9eb60ae6f348fdd94b |
| institution | Kabale University |
| issn | 1302-0072 2147-2688 |
| language | English |
| publishDate | 2012-03-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Haseki Tıp Bülteni |
| spelling | doaj-art-1c6059cc4aac4e9eb60ae6f348fdd94b2025-08-20T03:54:51ZengGalenos Publishing HouseHaseki Tıp Bülteni1302-00722147-26882012-03-015012124Sigmoid Diverticulitis: Our Experiences with 13 PatientsAhmet Fikret Yücel,0Ahmet Kocakuşak1Elif Nisa Ünlü 2Rize Üniversitesi Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Rize, TürkiyeHaseki Eğitim ve Araştırma Hastanesi, Genel Cerrahi Kliniği, İstanbul, Türkiyeİntegra Tıbbi Görüntüleme Merkezi, Radyoloji Birimi, Ankara, TürkiyeObjective: We aimed to present our treatment approach and results of the treatment in patients with the diagnosis of sigmoid diverticulitis. Material and Methods: In this study, we evaluated patients who presented to the emergency unit between March 2009 and February 2010 and have been diagnosed with sigmoid diverticulitis. The data were prospectively collected and retrospectively analyzed. Our patients were classified and staged according to Hinchey’s classification system. The results of the treatment, complication rates, and duration of hospitalization were presented in the light of the literature. Results: Thirteen patients (9 males, 4 females) with a mean age of 52 years and median age of 58 (35-58 years) were diagnosed with sigmoid diverticulitis. Five patients underwent laparotomy (Hinchey III-IV), while Hartmann’s procedure was carried out in 4 patients and resection and primer anastomosis was performed in 1 patient. Eight patients who were classified as Hinchey I-II (diverticulitis-abscess) were followed up with medical treatment. The mean duration of hospitalization was 8.6 (4-21 days) and 17.4 (10-27 days) days in Hinchey I-II and III-IV groups, respectively. All patients in the laparotomy group developed at least one complication. Conclusion: Hinchey stage III-IV sigmoid diverticulitis requires laparotomy. Complication rates are higher and duration of hospitalization is longer in patients with Hinchey stage III-IV when compared to those with Hinchey I-II. We conclude that Hinchey stage I-II diverticulitis can be successfully managed with medical treatment. (The Me di cal Bul le tin of Ha se ki 2012; 50: 21-4)http://www.hasekidergisi.com/article_4651/Sigmoid-Diverticulitis-Our-Experiences-With-13-PatientsSigmoid diverticulitisHinchey’s classificationtreatmentcomplication |
| spellingShingle | Ahmet Fikret Yücel, Ahmet Kocakuşak Elif Nisa Ünlü Sigmoid Diverticulitis: Our Experiences with 13 Patients Haseki Tıp Bülteni Sigmoid diverticulitis Hinchey’s classification treatment complication |
| title | Sigmoid Diverticulitis: Our Experiences with 13 Patients |
| title_full | Sigmoid Diverticulitis: Our Experiences with 13 Patients |
| title_fullStr | Sigmoid Diverticulitis: Our Experiences with 13 Patients |
| title_full_unstemmed | Sigmoid Diverticulitis: Our Experiences with 13 Patients |
| title_short | Sigmoid Diverticulitis: Our Experiences with 13 Patients |
| title_sort | sigmoid diverticulitis our experiences with 13 patients |
| topic | Sigmoid diverticulitis Hinchey’s classification treatment complication |
| url | http://www.hasekidergisi.com/article_4651/Sigmoid-Diverticulitis-Our-Experiences-With-13-Patients |
| work_keys_str_mv | AT ahmetfikretyucel sigmoiddiverticulitisourexperienceswith13patients AT ahmetkocakusak sigmoiddiverticulitisourexperienceswith13patients AT elifnisaunlu sigmoiddiverticulitisourexperienceswith13patients |