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World J Gastroenterol. Jul 7, 2014; 20(25): 8166-8172
Published online Jul 7, 2014. doi: 10.3748/wjg.v20.i25.8166
Published online Jul 7, 2014. doi: 10.3748/wjg.v20.i25.8166
Elective operation after acute complicated diverticulitis: Is it still mandatory?
Valérie Bridoux, Marlène Antor, Lilian Schwarz, Julien Cahais, Haitham Khalil, Francis Michot, Jean-Jacques Tuech, Department of Digestive Surgery, Rouen University Hospital, 76031 Rouen Cedex, France
Author contributions: Bridoux V, Michot F and Tuech JJ designed the research; Antor M and Khalil H performed the research; Antor M, Cahais J and Schwarz L analyzed the data; Bridoux V, Tuech JJ and Michot F wrote the paper.
Correspondence to: Jean-Jacques Tuech, MD, PhD, Professor, Department of Digestive Surgery, Rouen University Hospital, 1 rue Germont, 76031 Rouen Cedex, France. jean-jacques.tuech@chu-rouen.fr
Telephone: +33-2-32888142 Fax: +33-2-32888416
Received: October 16, 2013
Revised: January 4, 2014
Accepted: February 17, 2014
Published online: July 7, 2014
Revised: January 4, 2014
Accepted: February 17, 2014
Published online: July 7, 2014
Core Tip
Core tip: We sought to determine whether a conservative approach to the sigmoid colon could be proposed after complicated diverticulitis. One hundred and fourteen patients were included in this study, which confirmed that the conservative approach is feasible in 71% of cases after an episode of complicated diverticulitis (CD). Indications for elective sigmoid resection should not be based solely on CD episode. This approach not only has an impact for the patient, but also for the health care system.