Elective Resection for Ongoing Diverticular Disease Significantly Improves Quality of Life
| Autor: | Werner A. Draaisma, Jan J. van Iersel, Bryan J. M. van de Wall, Marinus J. Wiezer, Ivo A. M. J. Broeders, Esther C. J. Consten |
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| Rok vydání: | 2013 |
| Předmět: |
Male
medicine.medical_specialty digestive system Diverticulitis Colonic Resection Subjective improvement Quality of life Colon Sigmoid Recurrence Surveys and Questionnaires medicine Humans Defecation Fatigue health care economics and organizations Aged Retrospective Studies business.industry General surgery digestive oral and skin physiology Gastroenterology Elective resection Middle Aged Diverticulitis medicine.disease digestive system diseases Abdominal Pain Surgery surgical procedures operative Elective Surgical Procedures Quality of Life Diverticular disease Female business Follow-Up Studies |
| Zdroj: | Digestive Surgery. 30:190-197 |
| ISSN: | 1421-9883 0253-4886 |
| DOI: | 10.1159/000346482 |
| Popis: | Background: Although the risks of elective resection for diverticular disease are well studied, studies on subjective improvement are scarce. This study aims to investigate subjective improvement. Methods: All patients who underwent elective resection for recurring or persisting complaints after an episode of diverticulitis were identified from an in-hospital database. Patients with at least 1 year of follow-up were sent visual analogue scales (VAS) to grade their quality of life (QoL) and the degree of discomfort caused by abdominal pain, abnormal defecation and fatigue before and after resection. Results: One hundred and five patients responded to the questionnaire (response rate 76.6%). The median follow-up was 33 (15-53) months. Elective resection improved general QoL (median VAS improvement 40) and reduced discomfort caused by abdominal pain (median VAS improvement 60) in up to 89.3 and 87.5% of patients, respectively. The effects of elective resection are less profound for discomfort caused by abnormal defecation (77.1%, median VAS improvement 33) and fatigue (75.2%, median VAS improvement 30). Conclusion: Elective resection of the sigmoid for persisting or recurring symptoms after an episode of diverticulitis improves general QoL and discomfort caused by abdominal pain, abnormal defecation and fatigue in the vast majority of patients. |
| Databáze: | OpenAIRE |
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