title: Success in treatment of complicated diverticular disease is stage related.
abstract: The clinical stage of disease is one of the many factors affecting outcome after treatment for complicated diverticular disease. We retrospectively assessed surgical results during the period 1994-1999 in 406 patients with complicated diverticular disease, according to the stage of disease, surgical technique, postoperative complications, and mortality. Single-stage resection and primary anastomosis were performed safely in most patients with stage I or II disease. Severe complications were rare in stage I but increased in incidence with higher stages. Patients with stage III are a high-risk group. This stage often requires a two-stage procedure (primary anastomosis and protective ileostoma or the Hartmann procedure). Despite these measures, many severe complications occurred in stage III.
authors.affiliation: Chirurgische Klinik und Poliklinik, Universität Würzburg, Germany. bertramillert@altavista.de
authors.forename: B
authors.initials: B
authors.lastname: Illert
authors.forename: R
authors.initials: R
authors.lastname: Engemann
authors.forename: A
authors.initials: A
authors.lastname: Thiede
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004239:Diverticulitis, Colonic / Q000601:surgery*; D006801:Humans; D011183:Postoperative Complications / Q000188:drug therapy / Q000601:surgery*; D019106:Postoperative Hemorrhage / Q000209:etiology; D012189:Retrospective Studies; D012307:Risk Factors; D012720:Severity of Illness Index; D013529:Surgical Wound Dehiscence / Q000209:etiology; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents