Do All Patients Require Resection After Successful Drainage of Diverticular Abscesses?
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The surgical approach to sigmoid diverticulitis has undergone major changes over the past two decades. Many of the beliefs about the natural history of both complicated and uncomplicated diverticulitis have been reassessed. Acute diverticulitis is complicated by abscess formation in approximately 15–40% of patients. Small abscesses may be treated with antibiotics alone and larger collections generally require concomitant drainage. Percutaneous drainage of diverticular abscesses is a well-established modality, commonly converting a multistage approach requiring an intestinal stoma to a single-stage resection with anastomosis.
Traditionally, surgical resection has been advocated after resolution of a diverticular abscess with antibiotics and/or drainage. However, it is not clear that all patients who have complete clinical and radiologic resolution of an abscess need to undergo prophylactic surgery. Certainly, these patients do not want to go through this experience again (or worse), but...
KeywordsDiverticulitis Diverticular abscess Surgery
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Conflict of Interest
The authors declare that they have no conflict of interest.