Choroba uchyłkowa jelita grubego - aspekty chirurgiczne.

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    • Alternate Title:
      Diverticular disease of the colon - surgical aspects.
    • Abstract:
      Controversy persists as to the most appropriate surgical management of complicated diverticular disease. There is no evidence to support the notion that elective surgery should follow two attacks of diverticulitis. Elective resection for uncomplicated diverticulitis does not alter outcome, decrease mortality, or prevent complications of the disease. Perforation is most common during the first episode of acute diverticulitis. Laparoscopic sigmoid resection has become an accepted method for treating uncomplicated diverticulitis and can be performed in patients with complicated diverticulitis without significantly increasing morbidity and mortality. The experience of the surgeon is a strong parameter for a successful outcome. Advanced age, comorbidity, emergency surgery, and perforation of the colon are associated with high rates of morbidity and mortality after surgery for complicated diverticular disease. This article discusses current indications for elective resection following episodes of diverticulitis, the safety of resection and primary anastomosis compared with Hartmann's procedure for patients with acute diverticulitis, the influence of age and comorbidity on outcome, and the feasibility and efficacy of laparoscopic resection in complicated diverticular disease. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Copyright of Gastroenterologia Polska / Gastroenterology is the property of Cornetis SP. Z.O.O. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)