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.
Similar content being viewed by others
References
Sardi A, Gokli A, Singer JA (1987) Diverticular disease of the cecum and ascending colon. A review of 881 cases. Am Surg 53:41–45
El Nakadi B, Greuse M, el Nakadi I (1990) Solitary diverticulum of the cecum: apropos of 2 cases. Acta Chir Belg 90:231–233
Shetgiri P, Angel L, Lebenthal A, Divino CM (2001) Cecal diverticulitis: a case report and review of the current literature. Int Surg 86:191–194
Harada RN, Whelan TJ Jr (1993) Surgical management of cecal diverticulitis. Am J Surg 166:666–669
Fang JF, Chen RJ, Lin BC, Hsu YB, Kao JL, Chen MF (2003) Aggressive resection is indicated for cecal diverticulitis. Am J Surg 185:135–140
Lane JS, Sarkar R, Schmit PJ, Chandler CF, Thompson JE Jr (1999) Surgical approach to cecal diverticulitis. J Am Coll Surg 188:629–634
Adam C, Bottcher K (2000) Cecal diverticulitis. Zentralbl Chir 125:467–470
Keidar S, Pappo I, Shperber Y, Orda R (2000) Cecal diverticulitis: a diagnostic challenge. Dig Surg 17:508–512
Zago A, Tosi D, Vicenzi L, Carolo F, Brazzarola P, Piccinelli D, Rosa G (1997) Perforated diverticulum of the cecum: a difficult preoperative diagnosis. Ann Ital Chir 68:347–349
Schmit PJ, Bennion RS, Thompson JE Jr (1991) Cecal diverticulitis: a continuing diagnostic dilemma. World J Surg 15:367–371
Oudenhoven LFIJ, Koumans RKJ, Puylaert JBCM (1998) Right colonic diverticulitis: US and CT findings. New insights about frequency and natural history. Radiology 206:611–618
Jang HJ, Lim HK, Lee SJ, Lee WJ, Kim EY, Kim SH (2000) Acute diverticulitis of the cecum and ascending colon: the value of thin-section helical CT findings in excluding colonic carcinoma. Am J Roentgenol 174:1397–1402
Fluckiger R, Styger S, Huber A (1998) Diverticulitis of the cecum and ascending colon. Chirurg 69:174–179
Ngoi SS, Dhia J, Goh MY et al (1992) Surgical approach to cecal diverticulitis. Dis Colon Rectum 35:629–635
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Papaziogas, B., Makris, J., Koutelidakis, I. et al. Surgical management of cecal diverticulitis: is diverticulectomy enough?. Int J Colorectal Dis 20, 24–27 (2005). https://doi.org/10.1007/s00384-004-0630-4
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00384-004-0630-4