Indicaciones resultados alejados del tratamiento quirúrgico electivo de la enfermedad diverticular del colon sigmoides

Background: There are no clear guidelines for the indication of elective surgery in sigmoid diverticular disease. Aim: To analyze the indications and long term results of elective surgery in sigmoid diverticular disease. Material and Methods: Retrospective review of 100 patients (age range 25-86 yea...

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Autores principales:	Bannura C,Guillermo, Contreras P,Jaime, Melo L,Carlos, Barrera E,Alejandro, Soto C,Daniel, Mansilla E.,Juan
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2005
Materias:	Colectomy Diverticulitis Diverticulum colon
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872005000900006
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spelling	oai:scielo:S0034-988720050009000062005-11-09Indicaciones resultados alejados del tratamiento quirúrgico electivo de la enfermedad diverticular del colon sigmoidesBannura C,GuillermoContreras P,JaimeMelo L,CarlosBarrera E,AlejandroSoto C,DanielMansilla E.,Juan Colectomy Diverticulitis Diverticulum colon Background: There are no clear guidelines for the indication of elective surgery in sigmoid diverticular disease. Aim: To analyze the indications and long term results of elective surgery in sigmoid diverticular disease. Material and Methods: Retrospective review of 100 patients (age range 25-86 years, 51 male) with sigmoid diverticular disease, operated in a lapse of 22 years. Sixty seven patients answered a survey about their disease at the end of follow up. Results: Among patients aged more than 70 years, there was a higher proportion of women. The main indication for surgery was recurrent diverticulitis in 54 patients, followed by diverticular fistula in 19. A sigmoidectomy was performed in 91 patients. Stapled anastomosis was performed in half of these patients. No patient died or required reoperation in the immediate postoperative period. During a follow up ranging from 8 to 280 months, 28 patients died for causes not associated with diverticular disease and five were lost. Those patients that answered the survey were free of symptoms related to diverticular disease and did not require new operations. Conclusions: In patients with sigmoid diverticular disease and recurrent diverticulitis or with fistulae, the long term results of surgery are satisfactory (Rev Méd Chile 2005; 133: 1037-42)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.133 n.9 20052005-09-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872005000900006es10.4067/S0034-98872005000900006
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Colectomy Diverticulitis Diverticulum colon
spellingShingle	Colectomy Diverticulitis Diverticulum colon Bannura C,Guillermo Contreras P,Jaime Melo L,Carlos Barrera E,Alejandro Soto C,Daniel Mansilla E.,Juan Indicaciones resultados alejados del tratamiento quirúrgico electivo de la enfermedad diverticular del colon sigmoides
description	Background: There are no clear guidelines for the indication of elective surgery in sigmoid diverticular disease. Aim: To analyze the indications and long term results of elective surgery in sigmoid diverticular disease. Material and Methods: Retrospective review of 100 patients (age range 25-86 years, 51 male) with sigmoid diverticular disease, operated in a lapse of 22 years. Sixty seven patients answered a survey about their disease at the end of follow up. Results: Among patients aged more than 70 years, there was a higher proportion of women. The main indication for surgery was recurrent diverticulitis in 54 patients, followed by diverticular fistula in 19. A sigmoidectomy was performed in 91 patients. Stapled anastomosis was performed in half of these patients. No patient died or required reoperation in the immediate postoperative period. During a follow up ranging from 8 to 280 months, 28 patients died for causes not associated with diverticular disease and five were lost. Those patients that answered the survey were free of symptoms related to diverticular disease and did not require new operations. Conclusions: In patients with sigmoid diverticular disease and recurrent diverticulitis or with fistulae, the long term results of surgery are satisfactory (Rev Méd Chile 2005; 133: 1037-42)
author	Bannura C,Guillermo Contreras P,Jaime Melo L,Carlos Barrera E,Alejandro Soto C,Daniel Mansilla E.,Juan
author_facet	Bannura C,Guillermo Contreras P,Jaime Melo L,Carlos Barrera E,Alejandro Soto C,Daniel Mansilla E.,Juan
author_sort	Bannura C,Guillermo
title	Indicaciones resultados alejados del tratamiento quirúrgico electivo de la enfermedad diverticular del colon sigmoides
title_short	Indicaciones resultados alejados del tratamiento quirúrgico electivo de la enfermedad diverticular del colon sigmoides
title_full	Indicaciones resultados alejados del tratamiento quirúrgico electivo de la enfermedad diverticular del colon sigmoides
title_fullStr	Indicaciones resultados alejados del tratamiento quirúrgico electivo de la enfermedad diverticular del colon sigmoides
title_full_unstemmed	Indicaciones resultados alejados del tratamiento quirúrgico electivo de la enfermedad diverticular del colon sigmoides
title_sort	indicaciones resultados alejados del tratamiento quirúrgico electivo de la enfermedad diverticular del colon sigmoides
publisher	Sociedad Médica de Santiago
publishDate	2005
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872005000900006
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Indicaciones resultados alejados del tratamiento quirúrgico electivo de la enfermedad diverticular del colon sigmoides

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