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    • Conservative Management without Colonic Resection: A definitive Treatment for Complicated Left Side Diverticulitis?

    Maged Rihan and Mohamed M.Raslan
    Department of General Surgery, Faculty of Medicine, Cairo University

    Management of complicated colonic diverticular disease is still controversial. The aim of this study is to evaluate the efficacy and safety of the conservative management in complicated acute diverticulitis patients. This is a retrospective study of 44 patients with hemodynamic stability and CT evidence of extra digestive air and/or abscess without evidence of generalized peritonitis [median age: 58 years (range 34- 88); 18 females (40.9%)]. The conservative measures included nil per os (NPO), intravenous fluids and antibiotics. CT-guided percutaneous aspiration with drain or laparoscopic drainage was done in some patients. Forty patients (90.9%) were managed without any surgical intervention. Thirty six (81.8%) patients of them were managed even without guided aspiration or laparoscopic drainage. We concluded that conservative policy is feasible and safe in management of complicated acute diverticulitis patients with a low recurrence risk. Keywords: Complicated diverticulitis, conservative management. 

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