Document Detail


Acute colonic diverticulitis in patients under 50 years of age.
MedLine Citation:
PMID:  12190679     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: There is ongoing controversy concerning the virulence and management of diverticulitis in young patients. This study reports on the management of acute diverticulitis with reference to the virulence and outcome of the disease with respect to age. METHODS: Between January 1994 and June 1999, 327 patients were treated for acute left colonic diverticulitis. Patients were divided in two groups: those aged 50 years or less (group 1, 72 patients) and those older than 50 years (group 2, 255 patients). The diagnosis was confirmed histologically or radiologically in all patients. RESULTS: There were differences in gender distribution related to age (P < 0.001). During the first hospital stay, 226 patients (69.1 per cent) had successful conservative treatment, 78 (23.9 per cent) needed emergency surgery and 23 (7.0 per cent) had a semielective operation (P = 0.47). The recurrence rate was 25.5 per cent in group 1 and 22.3 per cent in group 2 (P = 0.93). The type of surgical procedure and grade of peritonitis in emergency patients were similar in the two groups. Overall the mortality rate in patients who underwent an operation was 16.3 per cent. The mortality rate was zero in group 1 and 2.2 per cent in group 2 after elective or semielective operation (P = 1.0), and zero in group 1 and 34.9 per cent in group 2 after emergency operation (P < 0.001). CONCLUSION: Diverticulitis in young patients does not have a particularly aggressive course and the risk of recurrence is similar to that of older patients.
Authors:
S Biondo; D Parés; J Martí Ragué; E Kreisler; D Fraccalvieri; E Jaurrieta
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The British journal of surgery     Volume:  89     ISSN:  0007-1323     ISO Abbreviation:  Br J Surg     Publication Date:  2002 Sep 
Date Detail:
Created Date:  2002-08-22     Completed Date:  2002-09-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372553     Medline TA:  Br J Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  1137-41     Citation Subset:  AIM; IM    
Affiliation:
Department of Surgery, Ciudad Sanitaria y Universitaria de Bellvitge, University of Barcelona, Barcelona, Spain.
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Adult
Colectomy / methods*
Diverticulitis, Colonic / surgery*
Emergencies
Female
Humans
Length of Stay
Male
Middle Aged
Recurrence
Sex Distribution
Surgical Procedures, Elective / methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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