Expert review of gastroenterology & hepatology · 2025
Complicated diverticulitis: medical management or segmental resection?
СтатьяОбзорНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Tursi Antonio
Аннотация
INTRODUCTION: Diverticulitis is the most common complication related to the diverticulosis of the colon. Since there are some concerns about the management of complicated diverticulitis, the aim of this review was to analyze current medical and surgical approaches to complicated diverticulitis and evolving advances in its management.
AREA COVERED: An analysis of the current PubMed literature about the medical and surgical management of complicated diverticulitis was performed.
EXPERT OPINION: Attentive evaluation of the characteristics of complicated diverticulitis may make the difference when approaching its management: detection of large abscesses, or perforation with significant free air in the abdomen remain typical predictors of failed medical management, therefore often requiring surgery. However, recent data support the medical approach as first choice in managing small abscesses or small perforation with small bubble of free air in the abdomen. Further studies have to point out better the evolution of the medical approach also in patients with complicated diverticulitis.
AREA COVERED: An analysis of the current PubMed literature about the medical and surgical management of complicated diverticulitis was performed.
EXPERT OPINION: Attentive evaluation of the characteristics of complicated diverticulitis may make the difference when approaching its management: detection of large abscesses, or perforation with significant free air in the abdomen remain typical predictors of failed medical management, therefore often requiring surgery. However, recent data support the medical approach as first choice in managing small abscesses or small perforation with small bubble of free air in the abdomen. Further studies have to point out better the evolution of the medical approach also in patients with complicated diverticulitis.