Outcomes in patients with end-stage renal disease and colonic diverticular disease.

摘要: Purpose: To evaluate clinical presentation and outcomes of patients with end-stage renal disease (ESRD) or transplantation symptomatic colonic diverticular Methods: A retrospective review all the primary diagnosis diverticulitis diverticulosis treated at Yale-New Haven Hospital from January 1, 1985 to December 31, 2005 was performed. Patient factors evaluated including age, gender, comorbidities, nature ESRD, immunosuppression if any, along diverticulitis, complicated vs. uncomplicated morbidity, mortality LOS. Patients were determine predictors poor outcome. Simple summary statistics calculated. Chi-square analyses used compare categorical binary data. ANOVA for continuous outcome variables length stay. Results: Mean age 70+/-13 years. Thirty/77(39%) male. Thirty-three/54(61%) presented gastrointestinal hemorrhage. Twenty-three/33(70%) required transfusion. One/28(4%) surgery; one/28(4%) angiographic embolization. There no deaths. Twenty-five/77(30%) developed diverticulitis. Seventeen/25(68%) uncomplicated. Fifteen/17(88%) managed conservatively; 1/17(6%) surgery. Eight/25(32%) diverticulitis; three/8(38%) perforation 2/8(25%) abscess. Eight/8 (100%) urgent/emergent Five/8 (55%) who underwent surgery a perioperative complication. Four/8 (50%) died following