International Journal of Colorectal Disease

, Volume 20, Issue 1, pp 24–27 | Cite as

Surgical management of cecal diverticulitis: is diverticulectomy enough?

  • B. Papaziogas
  • J. Makris
  • I. Koutelidakis
  • G.  Paraskevas
  • B. Oikonomou
  • E. Papadopoulos
  • K. Atmatzidis
Original Article

Abstract

Introduction

Cecal diverticulitis is a rare condition in the western population. The optimal management of this condition is still controversial, ranging from conservative antibiotic treatment to aggressive resection. We present our experience of the surgical management of eight cases of cecal diverticulitis over a 25-year period.

Patients and methods

The mean age of the patients was 54.2 years. Five patients underwent diverticulectomy, 2 patients underwent ileocecal resection, and 1 patient underwent suture of the perforated diverticulum.

Results

The postoperative course of all patients was uneventful. At long-term follow-up (mean 14.6 years, range 1–25 years) none of the patients who underwent diverticulectomy, mentioned any symptom or complication.

Conclusion

We conclude that diverticulectomy, if technically feasible, could be considered as adequate therapy for cecal diverticulitis. Aggressive resection should be considered in cases of extensive inflammatory changes.

Keywords

Cecal diverticule Diverticulitis Diverticulectomy 

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Copyright information

© Springer-Verlag 2004

Authors and Affiliations

  • B. Papaziogas
    • 1
  • J. Makris
    • 1
  • I. Koutelidakis
    • 1
  • G.  Paraskevas
    • 1
  • B. Oikonomou
    • 1
  • E. Papadopoulos
    • 1
  • K. Atmatzidis
    • 1
  1. 1.Second Surgical Clinic of the Aristotle University of ThessalonikiThessalonikiGreece

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