Conservative Treatment in Diverticulitis Patients with Pericolic Extraluminal Air and the Role of Antibiotic Treatment
作者： H. E. Bolkenstein , S. T. van Dijk , E. C. J. Consten , B. G. F. Heggelman , C. M. A. Hoeks
DOI: 10.1007/S11605-019-04153-9
关键词:
摘要: Recently published studies advocate a conservative approach with observation and antibiotic treatment in diverticulitis patients pericolic air on computed tomography (CT). The primary aim of this study was to assess the clinical course initially conservatively treated isolated identify risk factors for failure. secondary outcome non-antibiotic treatment. Patient data from retrospective cohort complicated were combined DIABOLO trial, randomised controlled trial comparing uncomplicated diverticulitis. present identified all Hinchey 1A CT. Pericolic defined as located < 5 cm affected segment colon. failure management which need percutaneous abscess drainage or emergency surgery within 30 days after presentation. A multivariable logistic regression clinical, radiological laboratorial parameters respect performed. total 109 included study. Fifty-two (48%) antibiotics. Nine (8%) failed management, seven (13%) group two (4%) (p = 0.083). Only (increased) CRP level at presentation an independent predictor Conservative is suitable strategy. Moreover, might be reasonable selected patients.
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