[Current treatment strategies for sigmoid diverticulitis].
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.
Di Mare
L
L
Service de chirurgie viscérale, CHUV, 1011 Lausanne.
Christoforidis
D
D
Demartines
N
N
D000208:Acute Disease; D013505:Digestive System Surgical Procedures / Q000379:methods; D004238:Diverticulitis / Q000601:surgery*; D006801:Humans; D012810:Sigmoid Diseases / Q000601:surgery*