• Br J Surg · Mar 2019

    Multicenter Study

    Multicentre study of non-surgical management of diverticulitis with abscess formation.

    • D P V Lambrichts, H E Bolkenstein, D C H E van der Does, D Dieleman, CrollaR M P HRMPHDepartment of Surgery, Amphia Hospital, Breda, the Netherlands., DekkerJ W TJWTDepartment of Surgery, Reinier de Graaf Gasthuis, Delft, the Netherlands., P van Duijvendijk, M F Gerhards, S W Nienhuijs, A G Menon, de GraafE J REJRDepartment of Surgery, IJsselland Hospital, Rotterdam, the Netherlands., ConstenE C JECJDepartment of Surgery, Meander Medical Centre, Amersfoort, the Netherlands., W A Draaisma, BroedersI A M JIAMJDepartment of Surgery, Meander Medical Centre, Amersfoort, the Netherlands., W A Bemelman, and J F Lange.
    • Department of Surgery, Erasmus Medical Centre, Rotterdam, the Netherlands.
    • Br J Surg. 2019 Mar 1; 106 (4): 458-466.

    AbstractThis multicentre retrospective cohort study included 447 patients with Hinchey Ib and II diverticular abscesses, who were treated with antibiotics, with or without percutaneous drainage. Abscesses of 3 and 5 cm in size were at higher risk of short-term treatment failure and emergency surgery respectively. Initial non-surgical treatment of Hinchey Ib and II diverticular abscesses was comparable between patients treated with antibiotics only and those who underwent percutaneous drainage in combination with antibiotics, with regard to short- and long-term outcomes. Most do not need drainage.© 2019 The Authors. BJS published by John Wiley & Sons Ltd on behalf of BJS Society Ltd.

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