The aim of our study was to assess if there were any differences in clinical presentation , management, and out-come , between younger and elderly patients with acute diverticulitis (AD) In our experience , non significant difference were recorded about Hinchey's stage, timing of surgery, morbidity, length of hospital stay and recurrence; whereas , regarding the type of surgery (resection-anastomosis, Hartmann's procedures and lavage/drainage) there were a significant difference (p=0.04) Conclusions: Hartmann's procedure have been effectuated more frequently in elderly than in the young patients, with recanalization in less than half of elderly. These data seems to confirm that there is no significant difference in incidence or the natural course of acute complicated colonic diverticulitis among the young or the elderly. The best surgical treatment , with the least morbidity, may be resection with primary anastomosis.

Acute and complicated diverticulitis : are there significant differences between young and elderly patients?

Chiara Dobrinja
Supervision
;
Marina Bortul
Investigation
;
Angelo Turoldo
Membro del Collaboration Group
;
Nicolò de Manzini
Membro del Collaboration Group
2020

Abstract

The aim of our study was to assess if there were any differences in clinical presentation , management, and out-come , between younger and elderly patients with acute diverticulitis (AD) In our experience , non significant difference were recorded about Hinchey's stage, timing of surgery, morbidity, length of hospital stay and recurrence; whereas , regarding the type of surgery (resection-anastomosis, Hartmann's procedures and lavage/drainage) there were a significant difference (p=0.04) Conclusions: Hartmann's procedure have been effectuated more frequently in elderly than in the young patients, with recanalization in less than half of elderly. These data seems to confirm that there is no significant difference in incidence or the natural course of acute complicated colonic diverticulitis among the young or the elderly. The best surgical treatment , with the least morbidity, may be resection with primary anastomosis.
8-apr-2020
Pubblicato
https://www.annaliitalianidichirurgia.it/prodotto/acute-and-complicated-diverticulitis-are-there-significant-differences-between-young-and-elderly-patients/
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11368/2981591
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