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Conservative Treatment in Diverticulitis Patients with Pericolic Extraluminal Air and the Role of Antibiotic Treatment

Bolkenstein, H. E., van Dijk, S. T., Consten, E. C. J., Heggelman, B. G. F., Hoeks, C. M. A., Broeders, I. A. M. J., Boermeester, M. A. & Draaisma, W. A., Nov-2019, In : Journal of Gastrointestinal Surgery. 23, 11, p. 2269-2276 8 p.

Research output: Contribution to journalArticleAcademicpeer-review

  • H. E. Bolkenstein
  • S. T. van Dijk
  • E. C. J. Consten
  • B. G. F. Heggelman
  • C. M. A. Hoeks
  • I. A. M. J. Broeders
  • M. A. Boermeester
  • W. A. Draaisma

BackgroundRecently published studies advocate a conservative approach with observation and antibiotic treatment in diverticulitis patients with pericolic air on computed tomography (CT). The primary aim of this study was to assess the clinical course of initially conservatively treated diverticulitis patients with isolated pericolic air and to identify risk factors for conservative treatment failure. The secondary aim was to assess the outcome of non-antibiotic treatment.MethodsPatient data from a retrospective cohort study on risk factors for complicated diverticulitis were combined with data from the DIABOLO trial, a randomised controlled trial comparing non-antibiotic with antibiotic treatment in patients with uncomplicated diverticulitis. The present study identified all patients with Hinchey 1A diverticulitis with isolated pericolic air on CT. Pericolic air was defined as air located

Original languageEnglish
Pages (from-to)2269-2276
Number of pages8
JournalJournal of Gastrointestinal Surgery
Volume23
Issue number11
Publication statusPublished - Nov-2019

    Keywords

  • Diverticulitis, Pericolic air, Conservative treatment, Antibiotic treatment, OUTPATIENT TREATMENT, UNCOMPLICATED DIVERTICULITIS, COMPLICATED DIVERTICULITIS, NONOPERATIVE MANAGEMENT, DISEASE, RISK

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