Diverticulitis, pelvic and other intra-abdominal abscesses
Autor: | Mark Coleman, Sebastian K Smolarek, J. C. Tham |
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Rok vydání: | 2017 |
Předmět: |
Laparoscopic surgery
medicine.medical_specialty business.industry General surgery medicine.medical_treatment food and beverages Intra-abdominal Abscess Disease 030230 surgery Diverticulitis medicine.disease Surgery 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis Radiological weapon medicine Diverticular disease Abscess business Complication |
Zdroj: | Surgery (Oxford). 35:456-461 |
ISSN: | 0263-9319 |
DOI: | 10.1016/j.mpsur.2017.05.004 |
Popis: | Diverticular disease is a common condition in the Western world and it carries significant morbidity and healthcare cost. Patients with diverticular disease may present acutely or to out-patients, and the management should be stratified using clinical judgement and appropriate investigation including radiology. Intra-abdominal abscess is a common complication of diverticular disease, but it can also be due to any intra-abdominal organ disease. Conservative management is safe but in the “unwell” patient, other options such as: radiological drainage, laparoscopic washout and drainage, and surgical resection can be life-saving. Careful selection of patients using current stratification tools will help with management. All patients with intra-abdominal abscesses require follow-up and possibly further investigations. This article discusses current evidence and controversies underlying today's management of diverticulitis, diverticular abscess and other intra-abdominal abscesses. |
Databáze: | OpenAIRE |
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