Nouveautés dans la stratégie thérapeutique de la diverticulite sigmoïdienne [Current treatment strategies for sigmoid diverticulitis]

Détails

ID Serval
serval:BIB_B700565718E8
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Nouveautés dans la stratégie thérapeutique de la diverticulite sigmoïdienne [Current treatment strategies for sigmoid diverticulitis]
Périodique
Revue medicale suisse
Auteur(s)
Di Mare L., Christoforidis D., Demartines N.
ISSN
1660-9379 (Print)
ISSN-L
1660-9379
Statut éditorial
Publié
Date de publication
23/06/2010
Peer-reviewed
Oui
Volume
6
Numéro
254
Pages
1277-1281
Langue
français
Notes
Publication types: English Abstract ; Journal Article
Publication Status: ppublish
Résumé
Treatment of colonic diverticular disease has evolved over the past years. Most episodes are simple and can be successfully treated with antibiotics alone. For complicated diverticulitis, a strong trend is developing towards less invasive therapies including interventional radiology and laparoscopic lavage in an effort to avoid the morbidity and discomfort of a diverting colostomy. Based on a better understanding of the natural history of the disease, the indication to prophylactic colectomy after a few episodes of simple diverticulitis has been seriously challenged. For those patients who need a colectomy, single port laparoscopy, NOTES and transanal specimen extraction are being proposed. However larger studies are needed to confirm the hypothetical advantages of these evolving techniques.
Mots-clé
Acute Disease, Digestive System Surgical Procedures/methods, Diverticulitis/surgery, Humans, Sigmoid Diseases/surgery
Pubmed
Création de la notice
01/10/2010 18:59
Dernière modification de la notice
12/10/2019 5:08
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